I fa chu a thinrim reng em? A puak darh em? Hei hi (DMDD) tih hming pu condition a ni thei!

I naupang tê chu a thinrim reng em? Thil tenawm ber ber chungah a puak darh em? A chang chuan, ‘Aw ka pathian, he naupang hi eng nge a tihsual, a thinrim fo thin’ tih i ngaihtuah mai thei. Dik tak chuan naupang ṭhenkhat chuan hetiang thinrimna nasa tak, awm reng leh thinrimna hi an nei thei a ni. Vawiin hian chutiang dinhmun kan sawi dawn a, chu chu Disruptive Mood Dysregulation Disorder (DMDD) .

He disruptive mood disorder (DMDD) hi eng nge ni?

A awlsam zawngin, he disruptive mood disorder, a tawi zawngin DMDD hi naupangte rilru natna a ni. Hemi kawngah hian naupang chuan hun rei tak, thinrimna nasa tak leh thinrimna a nei a ni . Thinrimna, a nih loh leh thinrimna an nei fo bawk .

A tlangpuiin naupang tê tête hian tlem an rilru na leh thinrim hun an nei ṭhin. Chu chu thil pangngai a ni. Mahse ``(DMDD)`` hi a na zawk, a kal zel dan a ni . Heng thinrimna chhuakte hi a nasa hle a, chutih laia thil awmdan nen a inmil lo tak zet a ni. Chu chu thil tenawm ber pawhah an thinrim hle tihna a ni a, a châng chuan an au chhuak a, leiah thil an paih a, mi an vuak bawk.

A pawimawh ber chu, he dinhmun hian naupang nitin nun, sikul hnathawh, chhungte leh ṭhiante nena inlaichinna nasa takin a tibuai a ni . Hetiang natna hi hriat theih nan chuan kum 10 an tlin hmaa a lan chhuah dan a intan a ngai a ni .

(DMDD) hi (ODD) nge (Bipolar Disorder) nen a inang em? Eng nge a danglamna?

Tunah chuan i ngaihtuah mai thei, hei hi ``(DMDD)`` hi kan hriat tawh oppositional defiant disorder, ``(Oppositional Defiant Disorder - ODD)``, emaw ``(Bipolar Disorder)`` ang chi nen a inang em? Hengte hi inanna engemaw zat awm mahse, danglamna chiang tak a awm. Eng nge an nih i en ang u.

Oppositional Defiant Disorder (ODD) leh (DMDD) te chuan an rilru a hah hle.

`(ODD)` chu naupangin thu awih lohna, dodaltu, leh a châng chuan thuneihna neitute (e.g., nu leh pa, zirtirtu) laka hmêlma pawh ni thei thiltih dân a lantîr rengna dinhmun a ni. `(ODD)` chhinchhiahna thenkhat chu `(DMDD)` nen a inang thei. Mahse, `(DMDD)` hi natna khirh zawk anga ngaih a ni . A chhan chu, `(DMDD)`-ah hian mood disorder lian tak a awm ber a ni .

Ngaihtuah teh, naupang pakhatin `(ODD)` leh `(DMDD)` pahnih symptom a neih chuan doctor-te chuan `(DMDD)` a nei tih an hmuchhuak tlangpui ang. Chu chu `(DMDD)` hian `(ODD)` aiin a thunun zawk tihna a ni.

Bipolar Disorder leh (DMDD) te hi a awm lo.

Bipolar Disorder (BD) hi dam chhung zawnga rilru natna (mood disorder) a ni a , rilru natna, chakna level, ngaihtuahna leh nungchang inthlak danglamna nasa tak a awm a ni.Chûng inthlâk danglamnate chu ni tam tak, kar tam tak, a nih loh leh thla tam tak pawh a daih thei a ni. Nitin hna i thawh theihna pawh a nghawng thei bawk.

Tunah chuan han en teh, `(BD)` leh `(DMDD)` inkarah hian inanna engemaw zat a awm mai thei. Mahse, `(BD)` symptoms hi episode hrang hrangah a lo thleng a, chu chu `(DMDD)` angin a lo thleng a ni . Mahse, `(BD)` symptoms hi a chhunzawm zel a, a tawp lo .

Thil dang pakhat chu `(Bipolar Disorder)` hi naupang tê tê leh tleirawlah a tam lo hle. Tin, `(BD)` hi dam chhung zawnga awm a ni tlangpui bawk. Mahse, naupang `(DMDD)` vei chuan a hnu lamah, chu chu puitling a nih chuan `(Major Depressive Disorder)` emaw `(Generalized Anxiety Disorder)` ang chi natna a nei tam zawk a ni.

Dik tak chuan kum 2013-a DMDD hi official-a diagnosis anga pawm a nih hma khan DMDD vei naupang tam tak chu Bipolar Disorder nei anga hriat sual an ni.

Tuin nge DMDD vei? Engtiang chiahin nge a hluar?

DMDD symptoms hi kum 10 an tlin hmain a intan tlangpui a, chuvangin doctor-te chuan naupang kum 6 hnuai lam emaw, kum 18 chunglam emaw chu DMDD vei an ni tih an hmuchhuak lo.

DMDD hi natna hmuhchhuah thar a nih avangin a hluar tak tak tih chiang taka sawi tur chuan zirchianna a tling lo. Mahse, zirchianna hmasa berah chuan he natna hian United States-a naupang 2% leh 5% inkar a nghawng thei tih a tarlang. Sri Lanka ramah pawh hetiang natna nei naupang an awm thei a, mahse a zat dik tak sawi erawh a harsa hle.

Hetiang natna (DMDD) hi engte nge a lan chhuah?

Tlem kan sawi tawh ang khan `(DMDD)` symptoms hi kum 10 an tlin hmain a intan tlangpui a, naupang `(DMDD)` vei chuan hetiang hi a tawng thei a:

• Nitin thinrim emaw thinrim emaw, a hun zawng zawng deuhthaw. Naupang pakhat, zing thawh atanga zan lama an mut thlenga thinrim leh lungawi lo reng reng kha han mitthla teh.
• Thil awmdan nena inmil lo tak tak thinrimna nasa tak (thu emaw, nungchang emaw) a chhuak. Hengte hi kar khatah vawi thum emaw a aia tam emaw a thleng tlangpui. Entîr nân, naupang chu a au thei a, a tap thei a, a tlu thei a, mi dangte chungah thil a vawm thei a, chu chu infiamna chhe tak ang maia thil tê tak tê chungah pawh a ni thei. Anmahni an inhnek thei a, anmahni an seh thei a, midang an vuak thei bawk.
• Hetiang thinrimna hian hmun khat aia tam, in lamah emaw, sikulah emaw, ṭhiante nêna emaw hnathawh a ti harsa thei a ni. He thinrimna hi in chhung chauh a ni lo. Sikul-ah te, zirtirtu te leh \hiante hnenah harsatna a thlen thei bawk.

A pawimawh ber chu i fain DMDD a vei nia i hriat chuan rilru lam hriselna lama counselor an hmuh a, enkawlna an zawn a pawimawh hle.A pawimawh hle mai. A chhan chu, `(DMDD)` dinhmun hian naupang nunphung, sikul hnathawhnaah nghawng lian tak a nei thei a ni. Chhungte leh \hiante nena inlaichinna a nghawng \ha lo thei bawk.

Eng thilin nge DMDD hi a thlen?

DMDD hi natna hmuhchhuah thar a nih avangin zirchiangtute chuan a chhan hi an la hre chiang lo hle. ODD leh BD ang bawkin DMDD hi biological, genetic, leh environmental factors inzawmkhawm buaithlak tak avanga lo awm a nih a rinawm .

• Biological factors , kan sawi hian thluaka chemical thenkhat (neurotransmitters) inthlak danglamna, emaw, thluak hmun thenkhat hnathawh dan inthlak danglamna te hi a inrawlh thei mai thei.
• Speaking of genetic factors , chhungkaw zinga mi tu emaw hian hetiang rilru lam harsatna hi a nei tawh a nih chuan naupang pawhin a vei theihna tur hlauhawmna tlem a awm thei.
• Environment factors -ah hian naupang a lo seilian dan te, chhungkuaa lungkhamna te, naupangin a hmachhawn tur thil harsa tak takte pawh a tel thei a ni.

Mahse hengte hi research stage-ah an la awm a ni. A chhan dik tak chu eng nge ni tih sawi a la hma lutuk.

Engtin nge DMDD hi hmuhchhuah a nih?

Mental health professional-te chuan DMDD hi i fain American Psychiatric Association -in rilru lam natna chungchanga standard manual a tihchhuah Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-a tarlan criteria a tlin chuan thla 12 tal a tlin chuan an hmuchhuak thin.

I fain DMDD chhinchhiahna a neih chuan naupang leh tleirawl rilru lam doctor emaw, rilru lam doctor emaw an pan a ngai mai thei . Heng rilru lam hriselna lama mithiamte hian interview leh assessment hmanrua bik an siam a ni. Hengte hi naupangin rilru lam harsatna a neih leh neih loh tehna atan an hmang thin.

Psychiatrist leh psychologist te hian naupang nungchang hriatthiamna famkim an neih theih nan naupang nu leh pa, a unau, a thiante leh a zirtirtute hnen atangin thu an la fo thin.

DMDD hi a chang chuan thinrimna nena inzawm thil dang nen a awm thei bawk. Entirnan, Attention-Deficit/Hyperactivity Disorder (ADHD) emaw, lungkhamna (anxiety disorder) emaw nen a awm thei . Chuvangin i fa psychologist emaw psychiatrist emaw chuan uluk takin i fa chu a ennawn ang a, diagnosis dik tak a pe ang.

DMDD hi eng enkawlna nge ni?

DMDD hi natna hmuhchhuah thar a nih avangin a enkawl dan tur zirchianna tam tak a la awm lo. Tuna enkawlna hman mekte hi naupan lai dinhmun dang, thinrimna nena inzawm, lungkhamna leh ADHD te chungchanga zirchianna an neih tawhah a innghat ber a ni.Thu lawmawm tak chu heng enkawlna tam tak hian DMDD tan pawh hlawhtling takin hna a thawk bawk.

DMDD enkawlna kawng lian ber pahnih chu psychotherapy emaw talk therapy emaw leh damdawi te hi a ni . Vawi tam tak chu doctor-te chuan damdawi hman hmain psychotherapy an rawt thin.

Psychotherapy hmanga enkawlna

Psychotherapy, a nih loh leh talk therapy tih hi mi pakhatin a rilru put hmang, ngaihtuahna leh nungchang hrisel lote a hriat theih nan leh a tihdanglam theih nan enkawl dan hrang hrang a ni.

He psychotherapy hi trained, licensed mental health professional , psychologist emaw psychiatrist emaw te pek a ni. I fa leh/ emaw i chhungte tan DMDD hmachhawn tura an mamawh tanpuina, zirtirna leh kaihhruaina a pe a ni.

DMDD natna atana pui thei psychotherapy chi hrang hrang a awm a:

• Cognitive Behavioral Therapy (CBT): Hei hi rilru lam enkawlna atana hman tlanglawn ber pakhat a ni. CBT for DMDD-ah hian rilru lam hriselna lama mithiam chuan naupang chu an ngaihtuahna leh rilru put hmang thuk takin a en theih nan a pui thin. Naupang chuan an ngaihtuahnain an thiltih a nghawng dan a zir a. CBT hmang hian naupang chuan ngaihtuahna leh nungchang tha lote chhuahsan a zir thei a, ngaihtuahna leh tih dan hrisel zawk a nei thei bawk . Mental health professional chuan naupang chu tantrums throw lovin lungngaihnate hmachhawn dan zir turin a pui thei a ni.
• Dialectical Behavior Therapy (DBT): DBT pawh hi CBT atanga siam a ni a, mahse a bik takin rilru natna nasa tak nei te tan ruahman a ni . DBT hian i fate chu an rilru put hmang insiamrem dan zir turin a pui thei a, thinrimna nasa tak emaw, rei tak emaw a chhuah loh nan a pui thei bawk.
• Nu leh pa zirtirna: I fa doctor chuan i fa enkawlna rualin nu leh pa zirtirna a rawt thei ang. He enkawlna hian nu leh pa emaw enkawltu emaw chu thinrimna thiltih dan tha zawka chhan dan tur a zirtir a ni . Entîr nân, i fa tithinur thei dinhmunte hriatchhuah leh pumpelh hmangin. I fate nena inmil leh inmil taka awm a pawimawhzia a sawi bawk a, duh loh zawng tihziaawmna tur leh nungchang hrisel tihhmasawn nan positive reinforcement hman a pawimawh bawk.

Damdawi ei tur

Tunah hian US Food and Drug Administration (FDA) chuan DMDD enkawlna atana damdawi bik engmah a pawm lo. Mahse, doctor-te chuan DMDD natna lan chhuah dan enkawl nân damdawi ṭhenkhat an pe thei a ni. Chung zingah chuan:

• Stimulants: Doctor-te chuan ADHD enkawlna atan hian stimulant an pe thin. Research atanga a lan dan chuan stimulant hian ADHD vei naupangte thinrimna a tihziaawm thei bawk.
• Antidepressant: Doctor-te chuan DMDD vei naupangte’n an tawrh theih thin thinrimna leh rilru lam harsatna te enkawl nan antidepressant an pe fo thin. Zirna pakhatah chuan damdawi citalopram hi methylphenidate (stimulant) nena hman dun a nih chuan DMDD vei naupangte thinrimna a tihziaawm tih hmuhchhuah a ni.
• Certain atypical antipsychotic / neuroleptic medications: Doctor-te chuan naupang thinrimna, thinrimna nasa tak, emaw, chetsualna nei te enkawlna atan heng damdawi te hi an pe fo thin. Mahse, doctor-te chuan heng damdawi te hi DMDD tan hian enkawlna dang zawng zawng a hlawhchham chuan chauh an pe thin.

Pawimawh: Damdawi zawng zawng hian side effect a nei vek. I fain side effect a neih leh neih loh uluk taka en a pawimawh hle a, side effect a awm chuan i fa doctor hnenah hriattir a pawimawh hle.

DMDD hi ven theih a ni em?

DMDD hi ven theih vek a ni lo mai thei. Mahse, a lan chhuah veleh hriatchhuah leh chhanletna chuan i fa leh chhungte rilru hahna chu a tiziaawm thei a ni. Tin, he natna nena inzawm harsatna tam tak venna kawngah pawh a pui thei bawk. Hei hian a hmaa inrawlh hi a pawimawh tihna a ni .

DMDD vei naupang tan chuan hmalam hun chu eng ang nge ni ang?

DMDD vei naupangte hian sikulah, in lamah leh khawtlang nunah harsatna lian tak an nei thei a ni.

Enkawl loh a nih chuan DMDD vei naupangte chu puitling an nih chuan depression leh/ emaw anxiety disorder an vei theihna a sang hle. Chuvangin, i fain DMDD chhinchhiahna a lantir a nih chuan a rang thei ang bera tanpuina dil a pawimawh .

Engtin nge ka fa chu ka puih theih ang?

I fain DMDD a vei a nih chuan, professional treatment pek bakah hian nang leh i fate tanpui theih dan kawng engemaw zat a awm a:

• DMDD chungchang hi i theih ang angin zir rawh: I fa doctor emaw, rilru lam hriselna lama mithiam emaw nen inbia ang che. DMDD chungchanga enkawlna kawng hrang hrang leh zirchianna thar chungchangah zawhna zawt rawh.
• I fa doctor nen inbiak fo rawh: I fate tana enkawl dan tur thutlukna tha ber siam turin i fa doctor nen thawhhona tha tak neih a pawimawh hle.
• I fa zirtirtu emaw, sikul counselor emaw nen thawk ho rawh: I fate sikul hlawhtlinna tura pui thei tur ruahmanna leh awm dan tur in siam dun thei ang.
• A tul chuan ‘time-out’ emaw chawlh emaw la rawh:I fa nena inhnialna chu a tha zawk ni lovin a tizual zawk nia i hriat chuan chawlh hahdam la, kal bo rawh. Hei hian i fa tân entawn tûr ṭha tak a siam a ni. I fain dinhmun ṭha lo a zual zel loh nâna chawlh hahdam a tum a nih chuan, ṭanpui rawh.
• Nangmah leh nangmah in enkawl rawh: I duhzawng leh i ngaihven zawngte chu vawng reng la, lungkhamna chu thunun la, i fate nena inzawmna nei puitling dangte nêna thawk ho la, an ṭanpuina dawng tûrin bei rawh.

Naupangin engtikah nge doctor a hmuh ang?

I fain DMDD a vei tih hmuhchhuah a nih chuan, i fate nungchang a chhe zual emaw, chhungkua emaw, sikul nun a tibuai emaw a nih chuan, i fa doctor nen inbia ang che.

Naupang leh naupang tête thinrim reng reng chu nu leh pate tan chuan harsatna lian tak a ni thei. Naupang tê leh puitling naupangte chu a hun hunah moody an nih hi thil pangngai a nih laiin, persistent, disruptive behavior hian ‘(DMDD)’ tih hming pu condition a tilang thei a ni.

DMDD enkawlna hi tan hmasak a pawimawh . Enkawlna hmasa ber chu doctor emaw mental health counselor emaw nena inbiakna neih a ni . I fa doctor hnenah zawhna zawh hlau suh. I tanpui turin an awm reng a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan in lama kan hruai haw tur pawimawh ber?

Okay, chuvangin tunah chuan vawiin a kan sawi tawh ``(DMDD)`` tih dinhmun hi in hriatthiam ka beisei. Naupang tin thinrim hi thil pangngai a nih laiin, ``(DMDD)`` hi naupang nun tichhe thei dinhmun thuk zawk a ni tih hre reng ang che.

• I fate thinrimna leh thinrimna chu a pangngai aia sang a nih a, a awm reng a nih chuan , leh chu chuan an sikul hnathawh, in lama nun, emaw, ṭhiante nena an inlaichinna a nghawng a nih chuan , ngaihtuah rawh.
• ``(DMDD)`` hi ``(ODD)`` emaw ``(Bipolar Disorder) emaw dik tak a ni lo, chu aia danglamna a tam zawk .
• He natna hi hriatchhuah leh enkawl tur hian rilru lam hriselna lama counselor thiam tak puihna lak a pawimawh hle.
• Chumi atan chuan Psychotherapy leh a chang chuan damdawi te pawh hi damdawi tha tak a ni.
• Nu leh pa i nih angin, in ṭanpuina te, in hriatthiamna te, leh in dawhtheihna te hi in fa tân a hlu hle a ni. I tan pawh i in enkawl a pawimawh bawk.
• He dinhmun hi hriat hmasak a, enkawl tan hian naupang chu hmalam hun hrisel leh hlim tak lam pan tura pui turin kawng thui tak a zawh ang.

Ngaihtuah buai suh, hetiang dinhmunah hian tanpui theih dan a awm. A pawimawh ber chu nangmah chauh i ni lo tih i hriat chian a, i mamawh tanpuina i hmuh hi a ni.

` DMDD, naupang rilru hriselna, naupang thinrim, nungchang lama harsatna, mood disorder, naupang rilru lam enkawlna, nu leh pa thurawn