A châng chuan i rilru put hmang thunun harsa i ti em? Thil tenawm ber pawh hi i lungngai em em a, a nih loh leh i ngaihtuah aiin i thinrim zual deuh niin i inhria em? Chutiang rilru natna nasa tak nena nun chu thil awlsam a ni lo. Mahse, thu lawmawm a awm. Heng dinhmunte tanpui thei tur enkawlna bik a awm a. Vawiin hian kan sawi dawn a ni. DBT, a nih loh leh Dialectical Behavior Therapy tih a ni.
A awlsam zawngin DBT chu eng nge ni?
DBT, Dialectical Behavior Therapy tih hi rilru lam enkawlna chi khat a ni a, thusawi hmanga pek chhuah a ni. A nihna takah chuan enkawlna lar dang, Cognitive Behavioral Therapy (CBT) , atanga siam a ni a, rilru natna nasa tak nei te tan bik a siam a ni.
Hemiah hian "Dialectical" tih thumal hian "ngaihtuahna inhnialna pahnih inzawmkhawm" tihna a ni. Ngaihtuah teh, he therapy method hian kawng khatah chuan i nun leh i nungchang dik tak chu a awm ang anga pawm turin a pui che a ni (validation/acceptance). Tin, a lehlamah chuan harsatna thlentu che nungchangte chu thlak danglamin i nun (change) a siam \ha thei bawk. Heng pawm leh inthlak danglamna ngaihdan pahnih inkara inthlauhna vawn reng hi DBT thupui ber a ni.
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 ber?
An rilru put hmang enkawl leh thunun kawngah harsatna nei apiangin DBT hi nasa takin an hlawkpui thei a ni. Research atanga a lan dan chuan he enkawlna dan hi rilru lam harsatna hrang hrangah a hlawk hle a ni.
- Borderline Personality Disorder (BPD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
- Mahni intihhlum tumna
- Mahni intihhlum tumna emaw, mahni intihhlum tumna emaw (Suicidal behavior) .
- Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
- Substance hmansualna (substance hmansualna) a ni
- Ei leh in lama harsatna, a bik takin ei leh in tam lutuk leh bulimia
- Lungngaihna
- Hlauhthawnna
A pawimawh ber chu heng dinhmun zawng zawng bulpui ber chu hlawhchham leh hrisel lo taka rilru natna nasa tak, tha lo tak takte thunun tumna a ni. DBT hian chutiang harsatna siamtu kawngte aiin, rilru natna hmachhawn dan hrisel zawk, tha zawk a zirtir che a ni.
DBT therapy hian engtin nge hna a thawh?
DBT enkawlnaah chuan i therapist thil tum ber chu nangmah leh i harsatnate chu a awm ang anga pawm (validation) leh thil \ha tihdanglam (change) siam tura fuih che inkara inthlauhna siam hi a ni. He enkawl dan hi a tlangpuiin a bulpui pali a awm thin.
1. DBT Pre-Assessment: Enkawl tan hmain therapist chuan DBT hi i tan a fit tha em tih en turin a be ang che. Engkim an sawifiah hnuah, leh i remtih chuan hun bituk chhung atan he enkawlnaah hian inpe turin an ti ang che.
2. Mimal therapy: Hemiah hian i therapist nen kar khatah vawi khat minute 40-60 vel ringawt in inhmu ang. I rilru put hmang leh i nungchangte journal-a ziak turin an ti thei bawk che a ni. Hei hian in pahnih hian harsatna awm dan tur in hriat theih nan a pui ang.
3. Group hrang hranga skills training: Hei hi group therapy a ni lo. Classroom-a awm ang bawkin therapist chuan pawl pakhat hnenah thiamna pawimawh pali a zirtir thin. I harsatna sawi ai chuan hetah hian heng thiamnate zir hi ngaih pawimawh ber a ni.
4. Telephone crisis coaching: Hei hi a pawimawh hle. Therapy session neih laiin mahni intihhlum ang chi ngaihtuahna lungchhiatthlak tak i neih chuan i therapist chu i ko thei a, tanpuina i dawng nghal thei bawk. Mahse, hei hi hun bituk leh khapna tur a awm.
DBT lama thiamna pawimawh pali zirtirna te
DBT therapy hian nitin nun hlawhtling taka i enkawl theihna tura puitu thiamna pawimawh pali a ngaihtuah a ni. Hengte hi therapy thinlung ber a ni.
| A Thiamna chu | A awlsam zawngin... (A awmzia) . |
|---|---|
| Ngaihtuahna (mindfulness) a ni | Hun kal tawh inchhir lo leh hmalam hun hlau lovin, tunlai huna thil thlengte chu a famkimin awm reng tur leh hre reng tur a ni. Rorelna tel lova mahni ngaihtuahna leh rilru put hmang enfiah dan practice. |
| Harsatna tuar theihna | Thil \ha lo tak takte hmang lovin, dinhmun nuam lo, hrehawm tak, a nih loh leh lungkhamna nasa takah rilru natna hriatthiam leh enkawl zir chu thinrimna rang tak hmachhawn dan zir ang a ni. |
| Mihringte nena inpawh tawnna (Interpersonal Effectiveness). | I duh leh duh loh (boundaries) te chiang taka inhrilhhriat dan zir hi nangmah leh midangte zahna tur a ni. Hei hian a tul huna "Ka ti thei lo" tih theihna a huam tel bawk. |
| Emotion Regulation chungchang | I rilru put hmang hriat chian lehzual te, hriatthiamna te, leh thunun theihna nasa zawk neih te. Emotion bawih nih ai chuan thunun zir. |
Engtin nge DBT therapy atana tling tur ka hmuh theih ang?
Hei hi a harsa deuh thei a, mahse beidawng suh. Sri Lanka-a hetiang tih dan tha ber chu i chhungkaw doctor emaw, i rintlak doctor emaw hnenah he thil hi zawt la, chutah chuan rilru lam doctor emaw psychologist thiam tak hnenah refer che hi a ni.
I hmuh tur therapist chu state-certified leh licensed mental health counselor a nih ngei ngei tur a ni . Tin, i dinhmun (e.g., BPD, ei leh in lama harsatna) enkawlna kawngah tawnhriat a nei em tih pawh en bawk ang che.
DBT enkawlna hian eng chen nge a daih?
DBT enkawlna hi thla 6 atanga kum khat tal a ni tlangpui . Mahse, mi zawng zawng hi kan danglam vek tih hre reng ang che, rilru lam hriselna chungchangah pawh a buaithlak hle. A châng chuan, a bik takin BPD ang chi dinhmunah chuan enkawlna kum engemaw zat a daih thei.
A pawimawh ber chu enkawlna hian eng chen nge a daih tih a ni lo va, tanpuina i dil a, i zinkawng i tan tih hi a ni. Hmasawnna tenau eng pawh hi hnehna lian tak a ni.
Engtikah nge Doctor ka hmuh ang?
I treatment session engmah hi lo thlir ve suh. An zinga pakhat zel tel hi a pawimawh hle.
Mahni intihhlum duhna ang chi lungngaihna nasa tak i neih thut chuan , a theih chuan i therapist nen inbia ang che. A hnena i thlen theih loh chuan nangmah chauhin awm suh. I rintlak tak nen inbia nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
DBT hi rilru natna nasa tak nei tan chuan enkawlna tha tak a ni. I tana tha tur therapist zawng tur chuan theihtawp chhuah a ngai thei a, mahse a phu hle. Enkawlna i tan hma leh i inpekna poh leh nun tha zawk i hmang tan thuai thei ang.
Take-Home Thuchah a ni
- DBT hi psychotherapy special tak a ni a, intense emotions te enkawl nan a pui thin.
- Hei hian i dinhmun "pawm" leh a tha zawka "danglam" tih kawng pahnih inthlauhna a huam a ni.
- Hei hmang hian practical skill pali zir theih a ni a, chungte chu Mindfulness leh Distress Tolerance te hi a ni.
- DBT therapy atan hian inpekna leh dawhtheihna hi a pawimawh hle. Results hmuh nan hun engemaw chen a la ngai mai thei.
- Hetiang harsatna i neih chuan nangmah chauhin tuar suh. Doctor rintlak tak nen inbia la, professional thiam tak hnenah refer rawh.











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