Doctor-in Attention-Deficit/Hyperactivity Disorder (ADHD) a nei tih a hmuchhuak tawh em? A nih loh leh i hriat mi pakhatin he natna hi a nei em? Chutiang a nih chuan, thil tê tê ber pawha thunun theih lohna, lungngaihna awlsam tak, leh dinhmun ṭha lo tak hneh harsatzia lantîrnate chu i hre chiang mai thei. Mi tam tak chuan ADHD hi ngaihtuahna seng thei lo leh hmun khata awm theih lohna avanga harsatna awm mai mai niin an ngai. Mahse thudik chu a buaithlak zawk hle. Vawiin hian ADHD nena inzawm fo thin, mahse tumahin an sawi loh he emotional imbalance hi kan sawi dawn a ni.
He DESR hi eng nge ni?
Doctor-te chuan he natna hi Deficient Emotional Self-Regulation, a tawi zawngin DESR an ti a ni. A awlsam zawngin, hei hian rilru natna nasa tak (entir nan, thinrimna, lungngaihna, emaw, lungkhamna) a neih huna thunun, tihmuang leh nungchang dik tak neih harsa tihna a ni.
Hei hi han mitthla teh. Queue-ah i awm a, mi pakhatin a cut che a, hma a sawn ta a ni. Mi pangngai chuan an thinrimna chu a thunun thei a, tlem pawh nise. Mahse DESR vei chuan chutih lai chuan an thinrimna chu a thunun thei lo mai thei a, chu mi chu a au emaw, chibai a buk emaw pawh a ni thei. Chumi awmzia chu an emotional response chu thil thleng aiin a nasa zawk tihna a ni.
Mak tak maiin official medical diagnostic manual (DSM-5)-ah chuan DESR hi symptom anga tarlan a ni lo. Mahse, he lama mithiam Russell Barkley ang mithiamte chuan ADHD natna lan chhuahna ber leh bulpui ber pakhat a nih thu an sawi.
DESR-te thil langsar ber berte chu engte nge ni?
He emotional control tlakchhamna hi kawng pawimawh pali hmangin kan hre thei a ni. ADHD vei tam takin hengte hi an hmuh hian, "Aw... kei pawhin hei hi ka nei ve tho," tiin an ngaihtuah thin.
| Mihring ziarang | A awlsam zawngin sawifiah a ni |
|---|---|
| Emotional Impulsiveness tih hi a ni | Dawhtheihna a hniam hle. Mi pakhat chu thil tenawm ber pawhah awlsam takin a thinrim thin. Hei hi buaina, dawhtheihna nei lo, leh rilru natna nasa taka sawi chhuahnaah te kan hmu thei a ni. |
| Mahni Inngaihtuah theih lohna | Emotion chak tak, entirnan thinrimna a lo chhuah chuan a nasatzia tihtlem a, a pangngaia kir leh chu a harsa a, chu chu i rilru a hahdam thei lo tihna a ni. Chu emotion chhungah chuan i tang tlat niin i hria. |
| Thil ngaihtuah harsa tak a ni | Miin rilru ti na thei thil a sawi chuan i ngaihtuah reng a, chu thil thleng a\anga i ngaihtuahna lak bo a, thil dang tih chu a harsa \hin. I rilru chu chu thil thlengah chuan a innghat tlat mai. |
| Chhanna tha thlan harsa | Thinrim chuan au ai chuan thil an sawi chhuak tur a ni tih an hria a, buaina chu an chinfel tur a ni tih an hria a, mahse chutih lai tak chuan thununna an hloh a, a tawpah chuan an au chhuak a, thil a tichhe zual ta a ni. Chu chu hun rei tak chhunga thil \ha tih ai chuan an rilru put hmang chu hun rei tak chhunga thunun turin an phal tihna a ni. |
ADHD leh thluaka rilru natna (emotions) inzawmna chu eng nge ni?
Hei hi nungchang lam thil mai a ni lo. Neurological basis chiang tak a nei a ni. Kan thluak peng hrang hrang, kan rilru put hmang thununtu a awm a. Hengte hi limbic system kan ti a . Hemi hmun hi amygdala an ti a, chu chu rilru natna hmunpui ber a ni. Tin, thluak hma lama ngaihtuahna, thutlukna siam, leh nungchang thununtu chu prefrontal cortex .
Research atanga a lan dan chuan ADHD vei te hian heng part te hnathawh dan leh an inbiakpawhna ah hian danglamna engemaw zat an nei a. Kan thluaka rilru lam thil kalphung sang zawk, ruahmanna siam, inrelbawlna, hun hman dan, leh rilru put hmang tihreh dante chu executive functioning an ti a. Chuvangin he emotion regulation hi ADHD vangin a tichhe thei key executive function a ni.
Engvangin nge hei hi hriatthiam loh a nih?
Hei hi buaina lian ber a ni. ADHD-a he emotional regulation problem hi official symptom anga pawm a nih loh avangin doctor-te pawhin natna dang angin an ngai sual thei a ni.
Hei hi hmeichhiaah a tam hle. Hmeichhia pakhat, lungngai reng, lungngaih awlsam leh thinrim tak chu han mitthla teh. Doctor a pan hian ADHD chungchang a ngaihtuah tha lo a nih chuan depression a nei thei a ni.There is a high chance of being misdiagnosed with bipolar disorder , leh damdawi pek hian harsatna tak tak, ADHD chu a chinfel sak dawn lo.
Mithiamte sawi dan chuan, " ADHD vei mi pakhatin emotional control lama harsatna a neih te, a bik takin emotion control loha a chhuah leh a lo chhuah huna a tuar theih loh leh a thunun theih lohna te hi ADHD ngeiah hian a tel ve a ni. A chhan zawng turin rilru natna dang zawn a ngai lo. ADHD ngeiah pawh executive functioning chak lohna a ni.
Chuti a nih chuan engtin nge hei hi rilru natna dang nen i thliar hrang ang?
Hei hi a buaithlak deuh a, mahse awlsam taka tih tum ila. ADHD leh bipolar disorder ang chi natna hi a danglamna pawimawh tak tak a awm. Mahse, i doctor chauh hian diagnosis dik tak a siam thei tih hre reng ang che.
| Hnamhnawih | ADHD ah DESR a awm | Ex: Bipolar natna (Bipolar disorder) a awm |
|---|---|---|
| Hriatna inthlak danglam chhan | Chutih laia thil thleng (trigger) chhanna atan a thleng fo thin. (e.g. mi pakhatin a sawisel che). | Ni tam tak emaw, kar tam tak emaw chhunga awm, a chhan chiang tak awm lo fo thin mood change. |
| Hriatna hun | Hun rei lote chhung atan. Thil thleng atanga darkar tlemte emaw, ni khatah emaw a reh thei. | Hun rei tak chhung atan. Depressive emaw manic state emaw hi kar tam tak chhung a awm thei. |
| Tlangpui | Chutih laia thil thleng nen khaikhin chuan ‘sang zawk’ pawh ni se, rilru natna nasa tak chu a inzawm tlat a ni . | Emotion awm dan chu chutih laia thil thleng nen chuan a inzawm lo thei a ni. |
I hmuh angin an pahnih inkarah hian danglamna chiang tak a awm. Mahse heng symptoms te hi a inzawm khawm thei a ni. Chuvangin nangmah emaw i hnaih ber emaw hian he harsatna hi i neih chuan rilru lam doctor hmu la, sawipui ngei ang che. Mahni inhriatthiamna (self-diagnosis) pumpelh a, damdawi lam thurawn mumal tak lak a pawimawh hle.
Take-Home Thuchah a ni
- ADHD hi ngaihvenna lama harsatna mai a ni lo. Disturbance in emotional regulation (DESR) pawh hi a pawimawh ber leh a bulpui ber a ni.
- Nangmah emaw i hriat mi emaw chuan ADHD symptoms, thinrim awlsam, lungngaihna, leh thil tenawm tak tak chunga dawhtheihna hniam tak nei te an neih chuan DESR a ni thei.
- Hetianga emotion regulation lama harsatna hian a chang chuan depression emaw bipolar disorder emaw ang chi diagnosis dik lo a thlen thei bawk.
- I rilru put hmang chungchangah ngaihtuahna i neih chuan i doctor nen zalen takin sawipui rawh. Diagnosis dik tak leh enkawl dan dik tak neih a pawimawh hle.
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