Yu de sɔfa wit pwɛl hat? Sɔntɛm yu dɔn bigin fɔ gɛt tritmɛnt. We yu de gɛt dɛn kayn tritmɛnt ya, sɔntɛnde yu kin rili layt ɛn yu kin fil fayn. Bɔt wantɛm wantɛm, fɔ natin, di ol sɔri-at, wɔri, ɛn ebi tin we de na yu at kin kam bak. Nɔ tink se na yu wangren de du dɛn tin ya we de apin. Dis na nɔmal tin fɔ bɔrku pipul dɛm wae de gɛt tritmɛnt fɔ pwɛl hat. So tide, lɛ wi tɔk bɔt wetin mek dis kin apin, ɛn wetin dɛn kin du bɔt am.
Wetin mek di mɛrɛsin wae de mek pɔrsin fil bad nɔr kin woke di sem we ɔltɛm?
We dɛn de trit yu fɔ pwɛl hat, sɔmtɛm, i kin tan lɛk se wan mɛrɛsin wae bin woke fayn fɔs nɔr kin woke fayn lɛk aw i bin de woke. Dɔktɔ dɛn kin kɔl dis ‘rilaps’, ɔr di sayn dɛm wae de kam bak. Stɔdi dɔn sho se te to 30% pan di pipul dɛm wae de pan tritmɛnt kin gɛt dis insay wan ia.
Tink bɔt wetin mek dis de apin. Bɔku rizin dɛn kin de fɔ dis. Fɔ tɔk am simpul wan, sɔntin kin de ambɔg di we aw di mɛrɛsin we yu de tek de wok.
| Rizin dɛm wae mek mɛrɛsin nɔr kin woke ɔr de sik kin kam bak | Wan simpul ɛksplen |
|---|---|
| Ɔda kayn drɔgs dɛn | De mɛrɛsin wae yu kin tek fɔ ɔda sik, lɛk stɛroyd ɛn sɔm antibayɔtik, kin miks wit mɛrɛsin fɔ pwɛl hat. |
| Di tin dɛn we kin afɛkt di we aw pɔsin de liv in layf | Tin dɛn lɛk fɔ smok pasmak ɛn fɔ drink rɔm kin mek di mɛrɛsin nɔ wok fayn. |
| Siriɔs strɛs | Tin dɛn lɛk dayvɔs, wok prɔblɛm, mɔni prɔblɛm, ɛn prɔblɛm wit pikin dɛn kin mek yu nɔ gɛt kolat. I sɔprayz fɔ no se di strɛs we pɔsin kin gɛt frɔm gud tin dɛn lɛk fɔ bɔn nyu pikin ɔ fɔ gɛt nyu wok kin afɛkt dis bak. |
| Fɔ alaw | Sɔntɛnde, wan drɔg kin stɔp fɔ wok fɔ no rizin. Dis kin apin bikɔs as tɛm de go, di tin dɛn we de na yu bren kin yus to di tin dɛn we di mɛrɛsin de du. I tan lɛk se yu de lisin to di sem siŋ ɔltɛm ɛn i nɔ de mek i lɛk yu igen. |
Yu de tink fɔ stɔp yu mɛrɛsin? Wetin na di prɔblɛm dɛn we kin apin we wi du dat?
Sɔm pipul dɛn kin taya fɔ tek mɛrɛsin bikɔs ɔf di sayd ɛfɛkt dɛn we i kin gɛt. Dɛn kayn tɛm ya, sɔm pipul dɛn kin stɔp fɔ tek di mɛrɛsin lɛk aw dɛn fil, ɔr kin tek am ɛvri ɔda de.
Dis na tin we rili denja. If yu stɔp yu mɛrɛsin ɔ chenj di doz we yu nɔ gɛt yu dɔktɔ in advays, dat kin mek yu sik wɔs.
Wetin na dɛn kɔmɔn sayd ɛfɛkt ya?
- Sεkswal disfכnkshכn: Di men tin dεm na we man dεn nכ de εrekshכn, we uman dεn nכ kin ebul fכ rich כrgazm, εn dεn tu patna dεm nכ kin want fכ du bכku bכku wan.
- We yu de gɛt mɔ wet: Sɔm mɛrɛsin dɛn kin mek yu want fɔ it mɔ ɛn mɔ ɛn yu go gɛt mɔ wet.
If yu gɛt sayd ɛfɛkt lɛk dis, di bɛst tin fɔ du na fɔ tɔk opin wan bɔt am wit yu dɔktɔ. I kin chenj yu to difrɛn mɛrɛsin we go fayn fɔ yu.
Wan ɔda prɔblɛm na we yu nɔ de tek di mɛrɛsin fayn. Sɔm pipul kin se, "Yɛs, a kin tek mi mɛrɛsin ɛvride," bifo di dɔktɔ, bɔt we yu aks dɛn smɔl mɔ, dɛn kin se, "O... a fɔgɛt fɔ tek am tri ɔ 4 dez insay di wik." If yu tek am fɔ wan ɔ tu dez ɛn afta dat yu nɔ tek am fɔ tri ɔ 4 dez, di mɛrɛsin nɔ de bil am to di lɛvɛl we i nid fɔ wok na di bɔdi. So, i nɔ de gɛt ɛni rizɔlt.
Yu fil lɛk se yu filin de ‘numbing’ bikɔs ɔf di mɛrɛsin?
Dis na sɔntin bak we sɔm sik pipul dɛn dɔn yɛri bɔt. Dis na tru mɔ fɔ smɔl pipul dɛn we de tek SSRI (Selective Serotonin Reuptake Inhibitors), we na wan klas fɔ mɛrɛsin we dɛn kin gi.
Sɔm pipul dɛn kin se, "A nɔ de fil sɔri lɛk aw a bin de fil, bɔt a nɔ ebul fɔ gladi lɛk aw a bin de gladi trade. Ɔltin na di sem."
Dis kin bi bikɔs dɛn mɛrɛsin ya kin afɛkt wan kemikal na di bren we dɛn kɔl dopamine , we gɛt fɔ du wit filin fɔ gladi ɛn fɔ gɛt wɛlbɔdi. If na so i bi, yu dɔktɔ kin disayd fɔ ad ɔda mɛrɛsin (lɛk Bupropion) to yu mɛrɛsin ɔ chenj yu to ɔda mɛrɛsin.
Dis na sɔmtin wae kin dɔn pasmak wae yu chenj mɛrɛsin, so nɔr nid fɔ wɔri.
Wetin fɔ du if ol simptom dɛn kam bak (rilaps)?
Di tin we impɔtant pas ɔl na fɔ lɛ wi nɔ fred. If yu fil lɛk se yu pwɛl hat sik de kam bak, de fɔs tin fɔ du naFɔ tɔk to yu dɔktɔ.
Dɔn i go gi yu di sɔlv we fit yu pas ɔl. I kin bi sɔntin lɛk dis:
- Fɔ inkrisayz di doz fɔ di mɛrɛsin we yu de tek naw.
- Fɔ chenj to ɔda mɛrɛsin.
- Fɔ ad nyu mɛrɛsin to di mɛrɛsin we yu de yuz naw.
- Start saykotɛrapi, dat na fɔ tɔk tɛrapi, wit mɛrɛsin.
If di sik rili bad, dɔktɔ dɛn kin ivin tɛl yu fɔ tek spɛshal tritmɛnt lɛk ‘shɔk tɛrapi’ (ECT). Bɔt di tin we impɔtant pas ɔl na fɔ tek stɛp fɔ tek di tritmɛnt to ay levul.
Yu tink se tɔk tɛrapi impɔtant wit mɛrɛsin?
Absolutli yes. Pan ɔl we mɛrɛsin kin wok fɔ kɔrɛkt di kemikal dɛn we nɔ balans na yu bren, saykotɛrapi kin ɛp yu fɔ tɔk bɔt yu prɔblɛm dɛn ɛn di tin dɛn we dɔn apin na yu layf we dɔn mek yu gɛt pwɛl hat.
Naw, sɔm tritmɛnt dɛn de we dɛn kin yuz fɔ shɔt tɛm, we dɛn kin tɔk bɔt fɔ dis.
- Intapɔsɔnal Saykotɛrapi (IPT): Dis kin min fɔ tɔk bɔt de tin dɛm wae kin apun na yu layf wae mek yu gɛt pwɛl hat (e.g., pɔrsin wae yu lɛk day, yu padi biznɛs brok) ɛn tich yu aw fɔ bia wit dɛm.
- Kɔgnitiv Tɛrapi: Dis kin min fɔ no di bad tin dɛn we yu nɔ want ɛn di bad tin dɛn we yu de tink bɔt na yu maynd ɛn ɛp yu fɔ chenj dɛn.
Dis tritmɛnt impɔtant mɔ if di mama ɛn papa gɛt pwɛl at. Risach dɔn sho se we dɛn trit mama ɛn papa dɛn pwɛl hat, dɛn pikin dɛn kin gladi ɛn nɔ kin gɛt maynd sik lɛk pwɛl hat tumara bambay. Dat tan lɛk we yu kil tu bɔd wit wan ston!
Pwɛl hat nɔto wikɛd tin ɔ yu fɔlt. Na wan sik we pɔsin kin gɛt we i nid tritmɛnt. Natin nɔ de fɔ shem fɔ gɛt tritmɛnt fɔ am.
Stɔdi dɔn sho klia wan se pipul dɛm wae de tek mɛrɛsin wae de mek pɔrsin fil bad kin gɛt tu to tri tɛm fɔ gɛt dis sik bak if dɛn stɔp fɔ tek am wantɛm wantɛm. So, di bɛst tin we yu go du na fɔ wok wit yu dɔktɔ ɛn kɔntinyu fɔ gɛt tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Fɔ trit pwɛl hat na joyn wit ɔp ɛn dɔŋ. Na nɔmal tin fɔ gɛt gud de ɛn bad de.
- If yu gɛt sayd ɛfɛkt ɔ yu fil lɛk se di mɛrɛsin nɔ de wok, nɔ ɛva stɔp fɔ tek di mɛrɛsin fɔ yusɛf. Tɔk to yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ tek di mɛrɛsin di rayt tɛm ɛn di rayt doz.
- Apat frɔm mɛrɛsin, yu kin bɛnifit bɔrku if yu gɛt ‘tɔk tɛrapi/saykotɛrapi’.
- Di tin we impɔtant pas ɔl: Pwɛl hat nɔto yu fɔlt. Na wan mɛrɛsin wae dɛn kin trit.
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