Depression enkawlna i tan tawh em? Hetah hian dik taka follow up dan tur kan rawn tarlang e!

I doctor khan depression i nei tih a hrilh che em? Chumi atan chuan damdawi ei tan turin a hrilh che em? A tam zawkah chuan kan chhungkaw doctor (primary care doctor) hian he enkawlna hi a tan thin. Mahse, "Psychiatrist hmu lova chhungkaw doctor hnen atanga damdawi lak hi a dik em?" Chu chu a takah chuan first step tha tak a ni. A chhan chu lungngaihna vei zawng zawng hian specialist hmuh theihna hun remchang an nei vek lo mai thei. Chuvangin, vawiin hian i doctor nen he zinkawng hlawhtling taka i zawh theihna tura i tih theih tur thenkhat kan sawi dawn a ni.

Zawhna i doctor zawh ngei ngei tur

Kan doctor-te hian hun an nei tlem hle tih kan hria. Minute tlemte chauh an biak theih che a ni mai thei. Mahse, chu hun chu i enkawlna chungchanga thil pawimawh ber berte zir chhuahna atana hman chu i mawhphurhna a ni .

Heti hian i zawt ang tih han ngaihtuah teh: "Doctor, ka enkawl dan tur chu eng nge ni? Ka dam theih nan eng chen nge a la ngai ang?" Hei hi zawhna awmze nei tak a ni. Chu bâkah, chûng thilte chu zâwt rawh.

• "Tunlaia antidepressant chi hrang hrang awmte hi eng nge a thatna leh a that lohna?"
• "He damdawi hian eng side effect nge a neih tlangpui?"
• "Side effect ka neih chuan eng chen nge a bo ang?"

Hengte hi hriat lawk a pawimawh. A chhan chu a chang chuan i taksain damdawi a hman thiam theih nan hun rei tak a ngai thin. Mi thenkhat chuan damdawi an ei tan atanga kar hnih hmasa berah side effects a neih avangin an ei tawh lo. Mahse, a rah chhuah theihte i hriat lawk chuan, i tân dinhmun chu i hmachhawn a awlsam phah ang.

Engtikah nge doctor ka hmuh leh ang? (Chhunzawmna)

Hei hi one-size-fits-all time frame a awm lo. Thil engemaw zatah a innghat a, chu chu i natna lan chhuah dan nasat dan leh damdawi i dawn dan te hi a ni.

I symptoms a na lo a, damdawi i ei tan hnua i rilru a hahdam zauh zauh a nih chuan kar 4-6 vel hnuah follow-up neihpui chu a pawi lo Amaherawhchu, danglamna i hriat loh chuan doctor pan vat rawh.

Kar hmasa pahnih chhunga hmasawnna i hmuh loh chuan i enkawl dan tur ngaihtuah nawn leh a ngai tih finfiahna tha tak a awm. Chu chu i damdawi i thlak tur tihna a ni hauh lo. I doctor nen, "Dose thlak a ngai em? A nih loh leh i diagnosis ngaihtuah nawn leh a ngai em?"

I lungngaih lai hian hmasawnna tlemte pawh hriat a harsa thei. Hetah hian measurement-based care a lo lut a, chu chuan depression symptoms tlanglawn tak takte chu scale-a rating a huam a ni. Treatment i kalpui lai hian heng score te hi i khaikhin thei a, i hlawhtlinna chu i hmu thei ang.

A hnuaia tarlan te hi nangmah emaw i doctor emaw teh tur thenkhat an ni.

Naupang leh tleirawl enkawlnaah a bik takin fimkhur hle ang che.

Puitling ang lo takin naupangte hian depression symptoms an nei hrang thei. "Naupangte an lungngaih hian lungngai angin an lang lo mai thei. Chu ai chuan thinrim leh thinrim takin an lang thei a ni ," tiin naupang leh tleirawl rilru lam enkawlna lama specialist chuan a sawi.

Antidepressant hian "black box warning" a nei a, chu chuan kum 24 hnuai lamte zingah mahni intihhlum duhna a tipung thei tih a sawi a, hemi chungchangah hian sawiselna engemaw zat awm mah se, i fate dinhmun hriattir turin i doctor hmu emaw, kar khatah vawi khat tal i fa doctor phone emaw a tha ber.

Nu leh pate hian mahni intihhlum tumna ngaihtuah hi thil pangngai tak a ni a, mahse chu hlauhna chuan i fate damdawi pek loh nan a khap tlat suh ang che.

Rikrum!

I fain anmahni a tihnat dawn nia i rinhlelh emaw, an himna chungchangah ngaihtuahna lian tak i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh . Hei hi nunna atana hlauhawm emergency angin en la, heart attack ang bawkin.

Engtin nge talk therapy hian a puih theih ang?

Talk therapy hi damdawi nen emaw, ei loh pawhin hman theih a ni. Ngaihtuah tûr chhan ṭha ṭhenkhat chu hetiang hi a ni:

• I symptoms hi a na lo emaw, a hniam emaw a ni.
• Nakin lawka natna lo lang leh tur venna atana pui thei tur method zir duhna.
• Non-pharmacological approach i duh zawk.

I doctor hnenah Cognitive Behavior Therapy (CBT) lama thiamna nei mi i hmu thei em tih zawt rawh . Hei hi depression enkawlna tha tak, thiamna hmanga enkawl a ni. Tin, nitin harsatna, in lama harsatna emaw, hnathawhna hmun emawa harsatna awmte chu a enkawl thei bawk.

Engtikah nge rilru lam doctor i hmuh ang?

I chhungkaw doctor hian mild depression a enkawl thei tlangpui. Mahse i dinhmun a buaithlak zawk chuan rilru lam doctor pan a ngai mai thei. Hengte hi a case thenkhat chu an ni:

• Treatment-resistant depression i neih chuan: Chu chu standard antidepressant pahnih tal hmanga i symptoms a ṭhat loh chuan tihna a ni.
• Side effects enkawl dan tur tanpuina i mamawh a nih chuan: Damdawi thenkhat hian a tir lamah chuan lungkhamna a tipung thei a, mut theih lohna, etc. Hengte hi ni engemaw zat emaw kar tlemte emaw chhungin a bo tlangpui a, mahse chutih chhung chuan specialist chuan enkawl dan tur a hre zawk mai thei.
• Ngaihdan pahnihna i mamawh a nih chuan: I doctor chu eng ang pawhin tha mah se, midang hnen atanga thurawn lak hi thil dik lo a ni lo. "Thil a kal dik lo nia i hriat a, enkawlna thenkhat pawh a hlawhtlin loh chuan mental health professional hmuh hi a dik lo a ni lo."

Hetiang tihsual hi ti ngai suh!

Antidepressant i ei a nih chuan i ei nghal vat ngai suh. Chutianga tih chuan withdrawal symptoms a thlen thei a, chu chu lu-ah "zaps" emaw electric shock emaw a ni thei. Doctor te chuan hei hi discontinuation syndrome an ti mai thei .