Yu smɔl pikin kin vɛks pan di smɔl smɔl tin dɛn we i nɔ ebul fɔ kɔntrol? I kin trowe tantrum we yu de was, kɔm in ia, ɔ ivin tray fɔ go insay di skul bɔs? Dis nɔ kin jɔs bi jɔs bad bad tin ɔ fɔ mek pɔsin trangayes. Infakt, kin gɛt wan dip mɛntɛl hεlth kɔndishɔn bihayn dis bihayvya. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, Disruptive Mood Dysregulation Disorder, ɔr DMDD fɔ shɔt tɛm.
Wetin na DMDD?
Fɔ tɔk am simpul wan, DMDD na wan sik we de mek pikin dɛn nɔ ebul fɔ kɔntrol aw dɛn de fil, mɔ we dɛn kin vɛks. Dis kin mek bɔku tɛm dɛn kin gɛt bɔku bɔku fɛt-fɛt, we wi kin kɔl "temper tantrums," ɛn na dat dɛn kin kɔl dɛn. Bɔrku tɛm, dɛn kayn tin ya kin apin wae dɛn gɛt fɔ du sɔmtin wae dɛn nɔr want fɔ du.
Di impɔtant tin na dat, dis nɔto jɔs bad at. Bɔku tɛm, di bad we aw pikin de fil go dɔn afta sɔm tɛm. Bɔt pikin we gɛt DMDD nɔ kin du dat izi wan. Dɛn kin kɔntinyu fɔ vɛks ɛn wɔri.
Dɛn bin ɔfishal wan put dis sik insay di Diagnostic and Statistical Manual of Mental Disorders (DSM-5) insay 2013. Bifo dis tɛm, sɔm tɛm dɛn bin de mistek fɔ no se pikin dɛn we gɛt dɛn sik ya na pikin dɛn bipola disɔda. Dɛn bin introduks DMDD fɔ mek dɛn nɔ du dis ɛn fɔ mek dɛn no di sik mɔ kɔrɛkt wan. Dis kin mek di pikin gɛt big prɔblɛm na os, na skul, ɛn we i de wit ɔda pipul dɛn, lɛk wit in padi dɛn.
Wetin na di sayn dɛm fɔ DMDD?
Dis na di men sayn dɛm wae yu kin si pan pikin wae gɛt DMDD.
- We pɔsin kin vɛks bad bad wan: Dis nɔto jɔs fɔ vɛks. I kin min fɔ du bad bad tin dɛn we kin mek pɔsin tɔk bad, fɔ ala, fɔ trowe tin, ɔ ivin fɔ atak pɔsin.
- Fɔ vɛks bɔku tɛm: Dɛn bad bad wamat ya kin apin tri ɔ mɔ tɛm insay di wik.
- Fɔ wɔri ivin we i nɔ vɛks: Ilɛksɛf di pikin nɔ gɛt big big prɔblɛm, i kin spɛn bɔku pan di de fɔ vɛks, wɔri, ɔ fɔ vɛks . Dis na tin we famili ɛn ticha dɛn rili ɔndastand.
- Rispɔns dɛn we nɔ fayn fɔ di prɔblɛm: We yu luk di rizin we mek di pikin vɛks, di ansa we i sho nɔ fayn atɔl. I kin bɔm pan ivin di smɔl tin.
- I nɔ kin izi fɔ pe atɛnshɔn pan di pikin na os ɛn skul: Dis kayn maynd kin mek i nɔ izi fɔ di pikin fɔ pe atɛnshɔn pan skul wok ɛn bak fɔ du homwok.
DMDD Diagnosis ɛn di Kɔz dɛm
Risach te naw nɔr dɔn sho klia wan se dis na di kɔz fɔ DMDD. So as mama ɔ papa, nɔ fil gilti fɔ dis.
If yu tink se yu pikin gɛt DMDD, di bɛst tin fɔ du na fɔ tɔk to yu pikin in dɔktɔ . Di dɔktɔ go aks yu bɔku tin bɔt aw yu pikin de biev. Mek shɔ se yu tɔk bɔt aw yu pikin de biev na os, na skul, ɛn we i de go na do. Dɔn di dɔktɔ go chɛk yu pikin fɔ si if ɛni ɔda tin de we kin mek i gɛt dɛn sik ya.
Dɔn, bɔku tɛm di dɔktɔ go rifer di pikin to pɔsin we sabi bɔt mental wɛlbɔdi biznɛs, bikɔs dɛn kin kɔnfyus DMDD wit ɔda mental wɛlbɔdi prɔblɛm dɛn. Fɔ ɛgzampul:
- Atɛnshɔn-Dɛfisit/Haypa Aktiviti Disɔda (ADHD) .
- Oposishɔnal Defiant Disɔda (ODD) .
- Dizayd dɛn we kin mek pɔsin wɔri
Fɔ mek dɛn ɔfishal wan no se pikin gɛt DMDD, dɛn fɔ mit dɛn krayteria ya. Lɛ wi luk dis na wan tebul.
| Krayteria fɔ no di sik | Tɔk bɔt |
|---|---|
| Fɔ vɛks bad bad wan | Vaylɛnt ɔtbɔst ɔf wɔd ɔ akshɔn we nɔ fayn fɔ di situeshɔn. |
| Ɔmɔs tɛm | Bɔku tɛm, dɛn kin du am tri tɛm insay di wik ɔ mɔ . |
| Mud we yu nɔ vɛks | Fɔ fil vɛks ɔ wɔri bɔku pan di de, ivin we yu de vɛks. |
| Di tɛm we dɛn fɔ spɛn | Di sayn dɛm fɔ de fɔ at le 12 mɔnt (wan ia). |
| Ej | Di sayn dɛm fɔ dɔn bigin bifo i ol 10. Dɛn kin gi di diagnosis to pikin dɛm nɔmɔ we ol bitwin 6 ɛn 18 ia . |
Wetin na di tritmɛnt dɛm fɔ DMDD?
Bikɔs DMDD na nyu tin we dɛn kin no bɔt, dɔktɔ dɛn stil de du risach bɔt di bɛst tritmɛnt dɛn. Bɔt tritmɛnt dɛn dɔn ɔlrɛdi de we dɔn sho se dɛn dɔn wok fayn. Dɛn kin yuz tu men kayn tritmɛnt.
1. Mɛrɛsin
Sɔm mɛrɛsin kin ɛp fɔ kɔntrol di sayn dɛm fɔ DMDD, mɔr lɛk wae yu vɛks ɛn wae yu de fil. Dɛn fɔ jɔs gi dɛn tin ya ɔnda di rɛkɛmɔndeshɔn ɛn sɔpɔt we dɔktɔ de gi.
- Stimulants: Dɛn kin yuse dɛn tin ya fɔ ADHD ɛn dɛn kin ɛp fɔ ridyus di iritabiliti we dɛn kin si pan DMDD.
- Antidipreshɔn: Dɛn mɛrɛsin ya kin ɛp fɔ mek yu nɔr vɛks ɛn nɔr gɛt prɔblɛm wit yu maynd.
- Atypical Antipsychotics: Sɔntɛnde dɛn kin gi dis kayn mɛrɛsin fɔ pikin dɛn we vɛks bad bad wan, mɔ di wan dɛn we gɛt bihayvya we de ambɔg ɔda pipul dɛn bɔdi.
2. Saikɔlɔjik Tritmɛnt dɛn
Saikɔlɔjik tritmɛnt impɔtant jɔs lɛk mɛrɛsin, if nɔto mɔ.
- Fɔ Trenin Mama ɛn Papa: Dis rili impɔtant. Mama ɛn papa dɛn nid fɔ tich aw fɔ dil wit pikin we gɛt DMDD. Mama ɛn papa dɛn fɔ lan fɔ no wetin de mek dɛn pikin vɛks, fɔ ansa di rayt we we i apin, ɛn prez dɛn pikin fɔ di gud we aw i de biev.
- Tɛrapi fɔ di pikin: Dairekt tritmɛnt fɔ di pikin bak rili impɔtant. Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) kin rili wok ya. Dis kin ɛp di pikin fɔ lan fɔ no aw i vɛks, lan aw fɔ kɔntrol am, tɔk fayn to ɔda pipul dɛn, ɛn dil wit prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- DMDD nɔto pikin in traŋa ɔ bad we aw i de biev. Na rial sik we pɔsin kin gɛt we i nid tritmɛnt.
- De men sayn dɛm na wae yu kin vɛks ɔltɛm, wae yu kin vɛks bad bad wan ɛn yu kin de wɔri ɔltɛm.
- If yu pikin gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ fɔ advays.
- Dis kכndyushכn kin mεnεj rili saksesful wit mεdikeshכn εn saykolojik tritmεnt (especially mama εn papa trenin εn bihayvכral tεrapi fכ di pikin).
- As mama ɛn papa, una lɔv, peshɛnt, ɛn ɔndastandin na big trɛnk fɔ mek yu pikin wɛl kwik kwik wan.
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