Nangmah pawh nangmah ni lo ang maiin i inhria em? Environment hi a blurry niin a lang em? (Depersonalization-Derealization Disorder) chungchang hi han sawi ila.

Hetiang hian i inhriat ngai em? I taksa pawnah i awm a, nangmah i in en ang mai a ni. A nih loh leh i chhehvela thil awmte chu a tak takah i inhria lo, mumang ang maiin. Heng thil tawn te hi a mak deuh a, hlauhawm pawh a ni mai thei, a dik em? Vawiin hian hetiang thil tawn nawn fo hian rilru dinhmun kan sawi dawn a ni.

He mahni leh boruak atanga inthenna rilru hi eng nge ni?

A awlsam zawngin, he ``Depersonalization-Derealization Disorder'' tia koh dinhmunah hian nangmah atanga inlakhran (``Depersonalization'' tia koh) leh i chhehvel leh boruak (``Derealization'' tia koh) atanga inlakhran i ni thei.

Dawr pakhatah thil lei turin i kal dawn tih han mitthla teh. Mahse nangmah ni lo ang maiin i inhria a, i taksa chhungah midang thuin trolley chu a nawr a, bungrua a thlang a, a man a pe a ni. Side atanga en reng ang mai a ni. Store window-a i thlalak i hmuh chuan i inhlat lutuk a, i hre thei lo pawh a ni mai thei. Hei hi ``(Depersonalization)`` emaw mahni atanga inlakhran anga inhriatna emaw kan tih chu a ni . Hei hi i ngaihtuahna, i rilru put hmang, i taksa pawh i ta ni lo anga i hriat lai a ni.

A lehlamah chuan `(Derealization)` tih a ni. Chu chu, i chhehvel, i chhehvel, i tan chuan a tak tak lo ang maiin i hria tihna a ni . Khawvel hi foggy window atanga i thlir ang maiin a awm thei a, black and white film i en ang maiin a lang thei bawk. A châng chuan thil pianzia leh lian leh te pawh a danglamin a lang thei. Anmahni i en chuan an inthlak danglam ang tih pawh i hre thei. Kawngpuiah i kal lai hian in leh thing zawng zawng chu cardboard a siam ang maiin, infiamna thil ang maiin a lang vek ang tih han ngaihtuah teh. Chu chu `(Derealization)` an tih state chu a ni.

Depersonalization-Derealization Disorder vei chuan heng thil pahnih hi a tawng thei a, pakhat chauh pawh a tawng thei bawk. A pawimawh ber chu heng thilte hi a tak tak a ni lo tih i hriatchhuah hi a ni . I rilru i la bo lo. Mahse heng thil tawnte hi a tak tak a ni lo tih hriatna leh tlanbo theih loh hian lungkhamna leh lungkhamna nasa tak a thlen thei a ni.

Doctor-te chuan he natna hi rilru lam natna ``DSM-V'' classification-ah ``Dissociative Disorder'' tiin an dah a. ``Dissociative Identity Disorder'' (mi pakhatin mize hrang hrang a neihna dinhmun) leh ``Dissociative Amnesia'' (hriatrengna hlohna dinhmun) te pawh hi he category-ah hian an tel ve bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan kan nunah engtik lai pawhin he khawvelah hian awm lo ang maiin kan inhria vek a. A pangngai a ni. ``Transient depersonalization'' an ti a ni. Hun eng emaw chen atana hriatna tihna a ni . Mahse kan sawi tum chu ``Depersonalization-Derealization Disorder'' tih hi a ni. Hei hi hun rei tak chhunga awm tur a ni lo va, a nih loh leh dinhmun lo thleng leh chhuak lo . Hetiang dinhmun hian za zinga pakhat emaw pahnih emaw (1%-2%) a vei tlangpui. Mahse thalai leh puitling naupang zingah a tam zawk.Hei hi tlem tal i hmu thei ang.

Hei hi eng symptoms nge ni?

Hetiang natna vei te hian an rilru put hmang chu tawngkam hmanga sawi chhuah an harsat thin. Mi thenkhat chuan sawi tur thu an nei a, thenkhat erawh chuan an hrethiam lo emaw, ngaihsak lo emaw an ti mai thei. Mahse, Depersonalization-Derealization Disorder chhinchhiahna ber chu he inlakhran leh inzawmna nei lo anga inhriatna hi a ni . Hetiang hi i tawng thei a ni:

• Depersonalization chu i ngaihtuahna, i rilru put hmang leh i taksa atanga inthen ang maia inhriatna a ni.
• Derealization chu i chhehvel leh i chhehvel atanga inlakhran anga inhriatna a ni.
• Robot ang maia inhriatna, emaw i chhehvela mite robot ang maia inhriatna.
• Emotionally numb, feeling zawng zawng hloh tawh ang maia inhriatna.
• I taksa atanga i pen chhuak a, i in en ang maiin a lang.
• Mumang khawvela awm ang maiin a lang.
• Lungngaihna leh lungkhamna ang chi hriatna.

Heng symptoms te hian stress leh lungkhamna nasa tak a thlen thei che a ni. ‘Thil dik lo ka ti em?’ tiin i ngaihtuah tan mai thei. Heng symptoms te hi ruminate a, control tum turin i thlem mai thei. Hei hian i lungkhamna leh hlauhna a tipung thei a, i natna lan chhuahna a tizual thei bawk .

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Doctor-te chuan Depersonalization-Derealization Disorder awm chhan dik tak chu an la hre lo a, mahse, chu chu stress emaw, thil rapthlak tak emaw nen a inzawm fo . Entir nan:

• Taksa lama tihduhdah a nih.
• Chhungkaw tharum thawhna (a tawn tawh emaw, hmu tawh emaw).
• Accident emaw natural disaster emaw hmachhawn.
• Nunna atana hlauhawm thil thleng hlauhawm tak takte.
• Hmangaih tak thih thut.
• Rilru natna khirh tak tuar nu leh pa nena seilian.

Mi ṭhenkhat chuan an naupan laiin thil lungchhiatthlâk tak an tawng a ni tih han ngaihtuah teh. Ṭhenkhat chuan he inṭhenna hriatna hi rilruin chutih laia rilru hahna tuar theih loh aṭanga a pumpelh theihna tur, a invenna kawng khat atan pawh a lo chhuak thei niin an ngai. Chu chu rilru chuan chu thil tawn lungchhiatthlak tak a\ang chuan ‘inthen’ a tum tihna a ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

Mi thenkhat chu dissociative disorder, emaw, inthenna dinhmun emaw an vei theihna a sang zawk thei. Hei hi thil engemaw zat a awm a, chungte chu:

• Mahni rilru put hmang hriat lohna (i.e., mahni rilru put hmang dik tak hriatthiam theih lohna).
• Mihring lam harsatna dang emaw, rilru lam hriselna lama harsatna dang emaw nei.
• Taksa lam natna, seizure disorder ang chi neih.

Engtin nge hei hi i hriat chian?

Heng symptoms te hi i neih chuan mental health counselor i ni., chu chu psychiatrist emaw counselor emaw pan a tha ber tihna a ni. I symptoms chungchangah zawhna tlemte a zawt ang che. I symptoms thlentu tur rilru lam hriselna dang pawh an zawng ang. Entir nan:

• Lungngaihna
• Hlauhthawnna
• Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
• Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
• Mihring nihna lama harsatna (Personality Disorders) a awm

Hetiang damdawi dang i neih loh chuan, damdawi i ei tawh loh hnua heng symptoms te hi a lo lang lo a nih chuan, heng thilte hi ruihhlo emaw zu emaw hman avanga lo awm a nih loh chuan i doctor chuan Depersonalization-Derealization Disorder i nei tih a hmuchhuak thei che a ni.

Hei hi hriat chian nan eng test nge tih i zawh chuan i doctor chuan i natna lan chhuah dan te, eng chen nge a lo awm tih te, i nitin nunah eng chen nge a nghawng tih hriat tumin zawhna a zawt ang che. Computer-a ziak tur emaw, tih tur emaw assessment thenkhat pek i ni thei bawk. I rilru put hmang chu thumal hmanga sawi chhuah a harsa thei a, mahse i thil tawn chu a chiang thei ang bera sawi a pawimawh . Hei hian i doctor tan a puih a awlsam phah ang.

Hei hi eng enkawlna nge ni?

Dik tak chuan zirchiangtute chuan Depersonalization-Derealization Disorder enkawlna tha ber tur chu an la zawng chhuak mek a ni. Enkawl i tan hmain i doctor chuan i medical history, symptoms leh enkawlna atanga i beisei dan te a sawipui ang che. Vawi tam tak chu damdawi leh rilru lam enkawlna inkawp hman a tha thei. Chung zingah chuan cognitive behavioral therapy (CBT) emaw mit chetna desensitization and reprocessing (EMDR) emaw pawh a tel thei.

Ngaihtuah teh, `(CBT)` therapy hian heng i ngaihtuahna leh rilru natna mak tak takte hi hmachhawn dan tur, hmachhawn dan tur a zirtir che a ni. ``Kei hi keimah ka ni lo'' tih i hriat hian chu ngaihtuahna chu dodal turin, kawng danglam taka hmu turin zirtir i ni. `(EMDR)` therapy hi a tangkai hle thei a, a bik takin he natna hi thil rapthlak tak tak nena inzawm a nih chuan.

Damdawi chi hrang hrang

Hemi atan hian Talk therapy hi damdawi tha ber nia ngaih a ni. Mahse, i rilru lam doctor chuan i enkawlnaah damdawi pakhat emaw a aia tam emaw a rawt thei bawk. Entir nan:

• `(Selective Serotonin Reuptake Inhibitors - SSRIs)` (Heng hi lungngaihna leh lungkhamna damdawi chi khat pek thin a ni).
• Lungkhamna dona damdawi.
• Mood tidanglam thei damdawi.
• Antipsychotic damdawi hi rilru lam natna thenkhat tan damdawi pek thin a ni.

Heng damdawi te hi symptoms control nana pek a ni a, mahse heng damdawi te chauh hian a natna hi a tidam kim thei lo tih hriat reng a pawimawh.

Damdawi hian side effect a nei em?

Depersonalization-Derealization Disorder tan hian damdawi hrang hrang hman a nih avangin a side effects pawh a inang lo thei hle. Mahse, a side effects awm fo thin thenkhat chu hetiang hi a ni:

• Ek khal.
• Luak chhuak thei.
• Mutthilh theih lohna.
• Kawng a vawt.
• Ei duhna a tipung.
• Damdawi dang, ruihhlo dang emaw, zu i in emaw avanga nghawng tha lo a awm theihna.
• Zun harsatna (Urinary retention).
• A taksa rihna a tipung.

Chuvangin, side effect i neih chuan doctor hriattir a pawimawh hle . Chumi hnuah doctor chuan a dose a thlak thei a, a tul chuan damdawi dang a pe thei bawk.

Hetiang dinhmun hi eng chen nge a daih ang?

Hemi chungchangah pawh hian research data a tam lo hle. Mahse, enkawl loh chuan Depersonalization-Derealization Disorder hi kum tam tak chhung a awm thei . A châng chuan a mah chauhin a kal bo thei hial a ni. Mahse, in inzawmna leh hnathawh danah nghawng tha lo tak a la nei thei tho. A tha ber chu enkawl a nih chuan thla engemaw zat chhungin a natna lan chhuah dan chu a lo tha chho tan tlangpui thin .

Engtin nge i in enkawl ang?

Depersonalization-Derealization Disorder symptoms i neih chhunzawm zel chuan i ngaih pawimawh hmasak ber tur chu mental health counselor hnen atanga enkawlna zawng a ni tur a ni . A tir lamah chuan mi tlemte i hmuh a ngai mai thei a, chutah chuan psychologist nen inhmuh fo a ngai mai thei a, rilru lam doctor nen pawh inhmuh fo bawk ang che. Psychologist hian i tana enkawlna dik tak zawng turin a pui thei che a, damdawi ei avanga a side effects te pawh a enkawl thei bawk. Counselor chuan talk therapy hmangin i symptoms te hmachhawn dan tur a zirtir thei che a, triggers te pawh a hmuchhuak thei bawk.

Chutih lai chuan i damdawi pek chu a hun takah ei la . I chungah ngilnei rawh. I rilru put hmang dik tak chu thuin i sawi thei lo a nih chuan a pawi lo. I hriselna chungchangah lungkhamna i neih hi thil pangngai a ni a, mahse chu chu ngaihtuah reng suh. I lungkhamna chu paced breathing emaw meditation emaw ang chi thil tih hmangin i tihziaawm thei a ni .

Ei leh in tur tha lo a awm em?

Depersonalization-Derealization Disorder i neih chuan ruihhlo leh zu hman loh a tha ber . Ruihhlo leh zu hian depersonalization leh derealization symptom a thlen thei a ni. Damdawi i ei lai nen pawh an inzawm tha lo thei bawk. Ruihhlo emaw zu emaw i hman chuan, .I mental health team te hnenah dik takin sawi la, chutiang chuan him taka i paltlang theih nan i mamawh tanpuina an pe thei ang che.

Engtikah nge Doctor i hmuh a ngaih?

I doctor-te chuan i hriselna, i natna lan chhuah dan leh i enkawlna avanga a side effects te enfiah turin follow-up appointment neih fo ang che. Mahse, a châng chuan harsatna i nei emaw, ṭanpuina i mamawh emaw a, mahse appointment i neih loh phah thei bawk. I natna lan chhuah dan a na zual a nih chuan i doctor biak hreh suh . Nangmah emaw, mi dang emaw i tichhe dawn nia i hriat chuan ṭanpuina la nghal rawh . Sri Lanka ramah chuan i damdawi in hnai ber emergency room-ah kal la, a nih loh leh 1926 (The National Mental Health Helpline) ah call rawh. (US-ah chuan mahni intihhlum leh harsatna tawk mek tanpui nan 988 emaw, emergency help duh tan 911 emaw i call thei a, mahse Sri Lanka-ah chuan kan ram chhunga service awm zawng zawng kan hmang a ni.)

I doctor hnenah eng zawhna nge i zawh tur?

I doctor zawhna zawh chu hlau leh hlauthawng suh. I dikna a ni. A chang chuan Doctor-in, "Zawhna i nei em?" Chuvangin, zawhna i zawh tur list ziak la . Hetiang zawhna hi i zawt thei ang:

• Eng chen nge keimah ang maia ka inhriat leh theih nan?
• Enkawlna atang hian eng side effect nge ka beisei ang?
• Eng chen nge damdawi ka ei a ngai ang a,/ emaw talk therapy ka kal ang?
• Zawhna emaw, ngaihtuahna emaw ka neih chuan engtin nge ka biak ang che?
• Ka natna lan chhuah dan a zual chuan engtin nge ka tih ang? Hnathawh zawhah emaw, chawlhkar tawp lamah emaw an dam ṭhat chuan engtin nge ni ang?

Depersonalization-Derealization Disorder i neih hian inthiarfihlim anga inhriat hi a awlsam hle. Nangmah emaw, i chhehvêla khawvêl emaw aṭangin inthiarfihlim niin i inhria mai thei. A nih loh leh mumang ang maiin i inhria thei a, glass thuk tak, vur tla atanga nun i thlir ang maiin i inhria thei bawk. Chûng rilru put hmangte chuan inhlat takin a awmtîr thei che a ni. Mahse, i rilru lam hriselna team chu ṭanpui turin an awm tih hre reng ang che . Tin, i chhungte, i thiante... i thil tak tak hriatthiam harsa ti mahse, an hmangaih che a ni. An hriatthiam theih loh avangin an tanpui che an bansan dawn lo. An hnen atanga i mamawh chu hrilh rawh . Tichuan an puih dan tur che an hre tawh ang.

A tawp berah chuan a pawimawh ber

Chuvangin, a awlsam zawngin, Depersonalization-Derealization Disorder hi rilru lam natna a ni a, chu chuan nangmah leh i chhehvel chungchangah ngaihdan mak tak tak, thil tak tak lo tak tak i neih tir thin a ni. Hei hi i sualna a ni lo va, chak lohna pawh a ni lo . Hei hi enkawl theih a ni. Nangmah chauh i ni lo . Heng symptoms te hi i neih chuan doctor rawn la. Enkawlna dik tak i neih chuan i nun chu a pangngaiin i hmang leh thei tawh ang.I chungah ngilnei la, dawhthei la, tanpuina dil pawh hlau suh.

` Mahni inthiarfihlim, boruak atanga inthiarfihlim, Depersonalization-Derealization Disorder, rilru hriselna, dissociative disorder, lungkhamna, stress