Wi ɔl kin gɛt tɛm dɛn na wi layf we wi kin fil bad ɛn disapɔynt, nɔto so? I rili nɔmal fɔ fil bad we yu lɔs pɔsin we yu lɛk, we yu nɔ ebul fɔ du ɛgzam, ɔ we yu lɔs yu wok. Na wi mɔtalman nature fɔ fil sɔri. Bɔt if dis bad bad pwɛl hat, nɔr ebul fɔ ɛp yu, ɛn nɔr gɛt wan valyu wae yu fil kin de fɔ sɔm dez ɔr wiks, ɛn dis kin mek yu wan ol layf nɔ ebul fɔ du natin, i kin bi sɔntin we pas jɔs nɔmal sɔri-at. Na dat wi de tɔk bɔt tide, pwɛl hat, ɔr wan sik wae dɛn kin mɛn wae dɛn kɔl Clinical Depression .
Wetin rili na pwɛl hat? (Wetin na Dipreshɔn?)
Fɔ tɔk am simpul wan, pwɛl hat na wan mɛntɛl hεlth sik wae de afɛkt yu mכd. I kin mek yu fil bad ɔltɛm ɔ yu nɔ kin bisin bɔt tin dɛn we yu bin de ɛnjɔy trade. I tan lɛk dak klawd we de hang oba yu ed. I kin afɛkt di we aw yu de tink, di we aw yu de fil, ɛn ivin di we aw yu de wok na yu layf ɛvride.
De impɔtant tin na dat, pwɛl hat nɔr min fɔ les ɔr wikɛd maynd. Na rial sik we pɔsin kin gɛt we i nid tritmɛnt, jɔs lɛk dayabitis ɔ ay blɔd prɛshɔn.
Pan ɔl we no "mɛjik pil" nɔ de we go ebul fɔ mɛn dis sik ɔltogɛda, if yu gɛt di rayt tritmɛnt ɛn advays, yu kin kɔntrol di sik dɛn ɔltogɛda ɛn yu kin liv nɔmal, gladi layf. Wi kin kɔl da stet de fɔ di sik rɛmishɔn. So nɔ giv ɔp fɔ gɛt op.
Yu gɛt dɛn sik ya bak?
Di Diagnostic and Statistical Manual of Mental Disorders (DSM-5), we dɔktɔ dɛn kin yuz fɔ no if yu gɛt maynd sik, sho se if yu gɛt fayv ɔ mɔ pan dɛn tin ya fɔ tu wiks , yu kin gɛt pwɛl at. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Sad mood we de las ɔl di de | Di ɛmti, sɔri-at, ɛn pwɛl at we yu kin fil, mɔ na mɔnin. |
| Nɔ gɛt ɛnaji/taya | Fɔ fil taya ɛn slip ɔl di de ivin we yu nɔ du natin. |
| Fɔ fil se yu nɔ gɛt wan valyu/gilt bɔt yusɛf | Fɔ tink bɔku tɛm lɛk "A nɔ gɛt yus" ɛn "A ripɔtabl fɔ ɔltin." |
| Fɔ fil se yu at pwɛl | Pessimistic tinkin lɛk "natin nɔ go ɛva bɛtɛ." |
| I nɔ kin izi fɔ pe atɛnshɔn ɛn disayd fɔ du sɔntin | I nɔ kin izi fɔ mɛmba smɔl smɔl tin dɛn, fɔ pe atɛnshɔn pan wok, ɛn fɔ disayd fɔ du sɔntin. |
| Slip kin chenj | Nɔ slip ɔr de slip pasmak (slip ɔl di de). |
| Nɔ intres pan tin dɛn we yu bin de ɛnjɔy trade | I nɔ go want fɔ tɔk to padi dɛn, wach TV, ɔ du tin dɛn we i lɛk fɔ du. |
| Tin dɛn we pɔsin kin tink bɔt day ɔ kil insɛf | Fɔ tink se layf nɔ gɛt wan minin, fɔ tink bɔt fɔ du bad to yusɛf. |
| Di wet we yu bɔdi kin chenj | Yu nɔ go want fɔ it ɛn yu nɔ go gɛt bɔku bɔku bɔdi ɔ yu nɔ go want fɔ it mɔ ɛn yu go gɛt mɔ wet. |
Apat frɔm dat, sɔm sayn dɛm na yu bɔdi lɛk fɔ vɛks ɔltɛm, nɔr de rɛst, yu bɔdi de at ɔltɛm, yu ed de at, ɛn yu bɛlɛ de pwɛl. Dis na bikɔs di bren kemikal dɛm wae gɛt fɔ du wit pwɛl hat, lɛk sɛrotonin ɛn norepinephrine, gɛt fɔ du wit wi maynd ɛn bak wit pen.
Yu tink se yɔŋ pikin ɛn yɔŋ pipul dɛnsɛf kin gɛt pwɛl hat?
Yɛs. Dis kin afɛkt ɛnibɔdi we ol ɛni ej.
- Yɔŋ pikin dɛn: Na nɔmal tin fɔ mek pikin fil bad. Bɔt if de pwɛl hat kin kɔntinyu fɔ sɔm dez, ɛn chenj de pan aw pɔrsin de biev we kin ambɔg skul wok ɔr ple wit padi dɛm, dat kin bi pwɛl hat.
- Tin dɛn: Di we aw pɔsin de fil kin chenj na dis ej. Bɔt if yu notis sayn dɛn we de sho se yu at pwɛl pas tu wiks, yu nɔ de wok na skul, yu de lɛf yu padi dɛn, ɔ yu de tɔn to drɔgs ɔ rɔm, yu fɔ wɔri. Tɔk to dɔktɔ wantɛm wantɛm fɔ advays.
Wetin na de tin wae kin mek pɔrsin gɛt pwɛl hat?
Dɛn nɔr dɔn fɛn wan patikyula tin wae kin mek pɔrsin gɛt pwɛl hat, bɔt dɔktɔ dɛn biliv se na sɔm tin dɛn kin kam wit am.
- Bren strɔkchɔ: Wi kin si sɔm pat dɛm na di bren fɔ pipul dɛm wae gɛt pwɛl hat sik.
- Bren Kεmikכl Chenj: Na di kεmikכl mεsenja dεm na di bren we dεn kכ l nyurotransmitta dεm de kכntro di mכd. We dɛn tin ya nɔr de balans, pwɛl hat kin kam.
- Ɔmon dɛm: Pwɛl hat kin kam bikɔs ɔf di chenj dɛm we de apin na di ɔmon dɛm we kin apin we uman gɛt bɛlɛ, afta i bɔn pikin, we i gɛt prɔblɛm wit in tayroyd, ɛn we i de lɛf fɔ gɛt bɛlɛ.
- Jɛnɛtiks: If pɔrsin na yu famili gɛt pwɛl hat, yu kin gɛt dis sik smɔl.
Difrɛn kayn pwɛl hat sik de?
Yɛs, pwɛl hat kin kam difrɛn kayn ɛn ɔnda bɔrku difrɛn nem dɛm. Yu dɔktɔ go no us kayn yu gɛt bay di sayn dɛm we yu gɛt.
- Unipolar major depression: Na di kayn pwɛl hat sik wae kin kam pan pɔrsin.
- Persistent depressive disorder (Dysthymia): Na wan kayn pwɛl hat sik wae nɔr kin tranga bɔt wae kin teik lɔng tɛm wae kin te fɔ tu ia ɔr mɔr.
- Premenstrual dysphoric disorder (PMDD): Na wan sik wae uman kin gɛt pwɛl hat ɛn mud swing wae kin tranga pas di tipik PMS bifo dɛn mɔnt.
- Pɛripartum dipreshɔn: Diprɛshɔn we kin apin we uman gɛt bɛlɛ ɔ afta i bɔn pikin.
- Substance-induced mood disorder: Na dipreshɔn simptom dɛm wae kin kam bikɔs yu de tek drɔgs ɔr rɔm ɔr afta yu dɔn stɔp dɛm.
- Sizin patɛn: Na wae pɔrsin kin gɛt pwɛl hat sik kin bigin sɔm tɛm dɛm na di ia, mɔr lɛk insay di mɔnt dɛm wae dak ɛn nɔr kin gɛt san.
Aw dɛn kin no bɔt pwɛl hat sik ɛn trit am?
If yu tink se yu gɛt sayn fɔ pwɛl hat, di bɛst tin fɔ du na fɔ go to yu famili dɔktɔ. I go chɛk yu ɛn if nid de, i go sɛn yu to spɛshal pɔsin we de mɛn yu maynd.
Diagnosis we dɛn kin gɛt
Na di dɔktɔ rayt am:
1. 1. 1. .Dɛn go du wan ɛgzam fɔ di bɔdi fɔ chɛk fɔ ɔda sik dɛn we de na di mɛrɛsin.
2. Dɛn go chɛk tin dɛn lɛk di tayroyd ɔmon lɛvɛl tru blɔd tɛst .
3. Dɛn go tɔk to yu bɔt aw yu de tink, aw yu de fil, ɛn aw yu de biev. Dis rili impɔtant.
4. Dɛn go asɛs yu sik dɛn akɔdin to di (DSM-5) krayteria.
Tritmɛnt
Di we aw dɛn de trit yu kin dipen pan di kayn sik we yu gɛt ɛn aw i kin tranga.
- Mɛrɛsin: Di mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat kin woke fayn fɔ pɔrsin wae gɛt pwɛl hat sik. Yu kin nid fɔ tray bɔku mɛrɛsin fɔ fɛn di wan we go wok fɔ yu. Dɛn fɔ jɔs yuz dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn.
- Saykotɛrapi: Fɔ tɔk am simpul wan, dis na tritmɛnt fɔ tɔk. If yu tɔk bɔt yu prɔblɛm wit pɔsin we de advays yu bɔt yu maynd, dat kin ɛp yu fɔ kɔntrol yu sik dɛn. Cognitive Behavioral Therapy (CBT) na wan pɔpul we dɛn kin yuz fɔ dis.
- Ɔda tritmɛnt dɛn: If i sik bad bad wan we nɔ de tek mɛrɛsin, dɛn kin tɛl yu fɔ tek spɛshal tritmɛnt lɛk ilɛktrɔkɔnvulsiv tɛrapi (ECT) .
Sayn dɛm fɔ risk ɛn tink bɔt fɔ kil yusɛf
Dis na tin we rili impɔtant ɛn we rili impɔtant.
If yu kin tink bɔku tɛm fɔ du bad to yusɛf ɔ fɔ day, nɔ ignore am. Na pat pan di sik. Nɔ ɛva shem fɔ aks fɔ ɛp.
If yu ɔ pɔsin we yu sabi de plan ɔ tɔk bɔt fɔ du bad to dɛnsɛf, go na di ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu wantɛm wantɛm. Ɔ go to dɔktɔ kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Pwɛl hat nɔr de pan wi at, na sik wae dɛn kin trit.
- If yu ɔr pɔrsin wae yu sabi gɛt pwɛl hat, nɔr de intres, ɛn ɔda sayn dɛm wae kin teik pas tu wiks, nɔr shem fɔ go to dɔktɔ.
- If yu gɛt di rayt tritmɛnt (mɛrɛsin ɛn saykotɛrapi), yu kin ebul fɔ kɔntrol pwɛl hat fayn fayn wan ɛn yu kin liv gladi layf.
- If yu de tink bɔt fɔ du bad to yusɛf, na imejensi. Go to dɔktɔ wantɛm wantɛm. Nɔto yu wan de, bɔku pipul dɛn de we go ebul fɔ ɛp.
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