I rilru put hmang thunun harsa i ti em? DBT (Dialectical Behavior Therapy) chungchang hi han sawi ila!

A châng chuan thil tê tête pawhin lungngaihna nasa tak, thinrimna, a nih loh leh lungngaihna nasa tak a thlentîr che niin i hria em? Chutiang rilru put hmang chu i thunun thei lo va, ṭanpui theih lohvin i inhria em? Chutiang rilru natna nasa tak nena nun chu a harsa hle. Vawiin hian chutiang mite tanpui tura duan special treatment method hlawhtling tak tak kan sawi dawn a ni. Hei hi DBT an ti a, chu chu Dialectical Behavior Therapy tihna a ni.

A awlsam zawngin DBT chu eng nge ni?

DBT hi talk therapy chi khat a ni. CBT atanga siam a ni a, chu chu kan hriat vek tawh a ni a, chu chu Cognitive Behavioral Therapy a ni. Mahse, DBT hi a bik takin rilru natna nasa tak leh na tak tak nei te tanpui nan ruahman a ni.

A awlsam zawngin, CBT therapy hian kan ngaihtuahna hian kan rilru leh nungchang a nghawng dan hriatthiamna min pe a ni. DBT hian chu aia hla deuhin a kal a ni.

"Dialectical" tih thumal hian "ngaihtuahna inrem lo pahnih inzawmkhawm" tihna a ni. Hei hi DBT therapy-ah chuan a thleng thin. Chu chu:

1. Pawmna: "Ni e, tunah hian hetiang hian ka inhria a, he harsatna hi ka nei a, chu chu thudik a ni." I dinhmun pawm turin a pui che a ni .

2. Chutih rual chuan inthlak danglamna \ha (Change) lam hawia thawk rawh : Thil awmdan i pawm hnuah, i hneh theih nan kan pui ang che, nungchang \ha lo tidanglam la, i nun siam\hat nan kan pui ang che.

Hetiang enkawl dan hi kum 1970 chho vela American psychologist Marsha Linehan-i’n a lo siam chhuak a ni.

DBT therapy hian tute nge a puih?

DBT hi an rilru put hmang enkawl leh tihreh harsa tak takte tan chuan enkawlna tha tak a ni. Research atanga a lan dan chuan hahdamna nasa tak a pe a, a bik takin a hnuaia rilru lam hriselna lama harsatna nei te tan chuan:

A pawimawh ber chu heng dinhmun zawng zawng hian thil pakhat a inang vek a ni. Chu chu, an rilru natna nasa tak, ṭha lo tak takte thunun nân kawng hrisel lo, hrisel lo tak tak an hmang tihna a ni. DBT therapy hian kawng hrisel lo hmang lovin an rilru natna chu hrisel taka hmachhawn dan tur a zirtir a ni.

DBT therapy hian engtin nge hna a thawh?

DBT therapist thil tum ber chu a hmaa kan sawi tawh ang khan pawm leh inthlak danglamna inkara inthlauhna siam hi a ni. Therapist hian i rilru put hmang tihreh tha zawk turin thiamna thar zir turin a pui che a ni.

DBT enkawlna hi a tlangpuiin hmun li a awm a:

1. DBT Pre-assessment neih hmasak ber tur

2. Mimal therapy hmanga enkawlna

3. Group hrang hranga thiamna zirtirna

4. Telephone-a harsatna awm thei coaching

Tunah chuan heng hmun hrang hrangte hi a hranin han thlir ila.

1. DBT Pre-assessment neih hmasak ber tur

Enkawlna i tan hmain i therapist chuan he enkawlna hi i tan a tha em tih a zawt ang che. Zawhna an zawt ang che a, DBT hnathawh dan an hrilhfiah ang che. He enkawlna hi i ngaihven a nih chuan hun bituk chhung atan inpe turin an ti ang che.

2. Mimal Therapy tih a ni

Hemi kawngah hian kar khatah vawi khat chu i therapist nen chauh in inhmu thin. Session tin hian minute 40-60 vel a awh thin. Heng mimal inkhawmpui hian thil tum lian tak tak engemaw zat a nei a:

• Mahni intihhlum duhna emaw, mahni intihhlum duhna emaw i neih chuan, chu chu tihtlem leh him taka awmtir tura ṭanpui .
• Enkawlna tibuaitu nungchang tihtlem.
• I nun tum tihhlawhtlinna tura puih che leh i nunphung tihchangtlun.
• I nungchang tha lo thlak danglamna atana i hman theih tur thiamna thar zirtirna che.

Vawi tam tak chu i therapist chuan nitin i rilru put hmang leh thiltih dan journal ziak turin a ti ang che. Hei hi "diary card" an ti a. Diary te tak te ang mai a ni a, chutah chuan ni khat chhunga i rilru put hmang leh i thiltih te i ziak chhuak thin. Hei hi session tinah i rawn keng tel tur a ni. Tichuan, nang leh i therapist pahnih chuan chu ni a sawi tur pawimawh ber chu i rel thei ang.

3. Group hrang hranga Skills Training neih

Hei hi a danglam deuh hlek a ni. Hetah hian therapist chuan midang pawl nen thiamna thar a zirtir che a ni. Mahse hei hi "group therapy" a ni lo. Chu chu mi zawng zawng nena mimal harsatna i sawipuina hmun a ni lo tihna a ni. Classroom-a zirtirna ang mai a ni a, thil thar i zirna hmun a ni.

DBT therapy-ah hian thiamna lian pali zirtir a awm a. Hengte hi i nitin nunah a tangkai hle.

4. Telephone-a harsatna awm thei Coaching

Hei hi DBT thil pawimawh dang a ni. Chumi awmzia chu emergency-ah, i enkawlna hun inkarah, i therapist hnenah tanpuina i dil thei tihna a ni.

Entir nan:

• Mahni inhriatthiam lohna i neih thut chuan.
• I nitin nunah thiamna i zir tawh chu hman tumnaah i tang tlat nia i hriat chuan, chutih hunah chuan eng nge i tih tur tih thurawn la rawh.

Mahse, therapist chuan engtikah nge i biak theih ang a, eng dan hnuaiah nge i biak theih ang tih chu chiang takin a siam ang. Heng phone call te hi a tawi tlangpui a, mimal emaw pawl emaw session thlakna tur a ni lo.

Engtin nge DBT therapist tha tak ka hmuh theih ang?

Therapist tha tak zawn hi a chang chuan hun rei tak leh thil harsa tak a ni thei. Mahse, lungngai suh. I tih theih ṭha ber chu i chhungkaw doctor , i rintlak tak chu he thu hi zawh hi a ni. Mi tling hnenah a refer thei ang che.

Tin, therapist i ngaihven i neih chuan hetiang zawhna tlemte hi zawt la a tha ang:

• "DBT ah hian eng training nge i neih?"
• "DBT treatment kimchang i ti em? A nih loh leh modified version a ni em?"
• "DBT counseling group member i ni em?"
• "Weekend-a phone call emaw email emaw chungchangah eng policy nge i neih?"
• "He enkawlna zawng zawngah hian hun engzat nge ka hman i beisei?"

DBT therapy hian eng hlawkna leh harsatna nge a neih?

Research atanga a lan dan chuan DBT therapy hi BPD vei tan chuan a tangkai hle. A hlawknate chu:

• Mahni intihchhiatna leh thinrimna a tlahniam.
• Damdawi ina ni awm zat tihtlem.
• Ruihhlo leh zu hman tlem.
• Depressive symptoms a tlahniam.

Amaherawhchu DBT hi mi zawng zawng tan a ni lova, a awlsam lo bawk.

Heng thilte atana i inpeih chuan DBT hi i tan a hlawhtling hle thei a ni:

• Inthlak danglamna tha tak siam i duh tak tak a nih chuan .
• Enkawlna kawngah inpekna famkim nei la , homework tih tur pawh inpeih rawh .
• Tunlai leh hmalam hun ngaihtuah tura i inpeih chuan , hun kal tawh ngaihtuah ai chuan.
• A theih chuan mi dangte nen group session-ah tel ve rawh.

He enkawlna hian eng chen nge a daih?

DBT enkawlna hi a tlangpuiin thla 6 atanga kum khat tal a ni . Mahse mi zawng zawng hi kan danglam vek. Rilru hriselna chungchang hi a buaithlak hle. Chuvangin kum khat chhungin i harsatna zawng zawng a bo vek beisei suh. A bik takin BPD ang chi natna hi enkawl nan kum tam tak a ngai thei.

Hun ngaihtuah buai suh. A pawimawh ber chu tanpuina i zawn hi a ni. Hmasawnna tlemte pawh hi hmasawnna lian tak a ni.

Emergency-ah eng nge tih tur?

I treatment session-ah te tel fo a pawimawh hle.

Mahni intihhlum duhna ang chi emergency i neih chuan i theih chuan i therapist nen inbia ang che.

I therapist i thlen theih loh chuan hlauthawng suh. NIMH Mental Health Helpline 1926 ah biak nghal rawh. Nitin darkar 24 chhungin tanpui turin an awm reng a ni. A nih loh leh i damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.

DBT hi rilru natna nasa tak, tha lo tak tak nei te tan chuan enkawlna tha tak a ni. I tana tha tur therapist hmuh chu thil harsa tak leh hun rei tak daih a ni thei. Mahse, beidawng suh. Enkawlna i tan hma leh i inpekna poh leh nun tha zawk i hmang tan thuai thei ang.