Nangmah pawh nangmah ni lo ang maiin i inhria em? Heng (Dissociative Disorders) chungchang hi han sawi ila!

I chenna khawvel hi a tak tak lo angin i inhriat ngai em? A nih loh leh mahni taksa pawn lam atanga i in en reng ang maiin? A chang chuan thil pawimawh tak tak pawh i theihnghilh thin em? Heng thiltawnte hi i neih fo chuan dissociative disorder i nei thei a ni . Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Heng dissociative disorder te hi engte nge ni?

A awlsam zawngin sawi ila, dissociation disorder hi rilru lam harsatna chi khat a ni. I thil tak tak, nangmah taksa emaw, i hriatrengna emaw nena inzawmna nei lo anga i inhriat hian a ni. "Dissociation" tih thumal hi a awmzia takah chuan "inthenna" tihna a ni. Mi dangte, i chhehvel khawvel emaw, nangmah nen pawh inzawmna nei lo leh inzawmna nei lo anga inhriat tihna a ni.

Vawi tam tak chu heng dinhmunte hi nun chhunga engtik lai pawha thil thleng tawh , hun rei lote emaw, hun rei tak emaw chhunga shock na tak (`trauma`) avanga lo awm thin a ni. Rilru venhimna kawng khat angin ngaihtuah rawh. Chu chu, tuar theih loh khawpa lungngaihna a lo thlen chuan, rilru chu rei lo te chhungin a natna chu paih bo turin a ‘disconnect’ tihna a ni. Mahse hei hi a kal zel chuan buaina a lo ni ta a ni.

Dissociative disorder chi hrang hrangte chu engte nge ni?

Dissociative disorder hi chi thum a awm a. Eng nge an nih i han thlir teh ang.

1. Dissociative Identity Disorder (DID) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei hi mi thenkhatin "multiple personalities" an tih chu a ni. Heta thil thleng chu mi pakhat hian identity hrang hrang pahnih emaw a aia tam emaw a nei a ni . Heng identity te hi ``alters'' kan ti thin. ' ``Alter'' tin hian hun hrang hranga mi nungchang chu a thunun vek a ni. Hun khat chu mi pakhat ni lovin, hun dangah chuan mi pakhat nih angin ngaihtuah rawh. ``Alter'' tin hian history, trait, duh leh duh loh bik an nei thei a ni. Taksa pakhat chhungah mi tam tak awm ang mai a ni.

2. Dissociative Amnesia natna (Amnesia) natna (dissociative Amnesia) a ni

In this condition , i nun chungchanga thu pawimawh tak tak i hloh a ni. He theihnghilh hi i nunah thil thleng bik pakhatah chauh a awm thei. A nih loh leh, i nun chanchin tam tak chu i theihnghilh mai thei a, i nihna pawh i theihnghilh mai thei bawk.

3. Mihring nihna (Depersonalization/Derealization Disorder) tih hi a ni

Hemi kawngah hian thil tawn pahnih hi i nei thei a, pakhat chauh pawh i nei thei bawk.

• Depersonalization: Hei hi i rilru, i rilru leh taksa atanga inlakhran i nih lai a ni. Pawn lam atanga i nun i en ang mai a ni a, movie i en ang mai a ni.
• Derealization: Hei hi i chhehvel, mihring leh thil awmte chu a tak tak lo anga i hriat hun a ni. Engkim hi mumang ang maiin a lang thei, blurry.

Chu bakah chuan , dissociative fugue"Delusion" tih symptom a awm bawk. Hun engemaw chen hriatrengna hloh a, ngaihtuah phak loh hmuna ngaihtuahna engmah nei lova awm a huam a ni.

Dissociative disorders hi trauma-related condition a nih avangin heng condition nei tam tak hian rilru lam harsatna dang an nei thei bawk. Entir nan:

• Post-traumatic Stress Disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
• Borderline Personality Disorder (BPD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Substance hman dan lama harsatna awm thei
• Lungngaihna
• Lungkhamna (anxiety Disorder) a awm

Heng dinhmunte hian tute nge a nghawng ber?

Dissociative disorders hian kum eng pawh, hnam eng pawh, socioeconomic status-ah pawh a nghawng thei a, mahse hmeichhiaah a hluar zawk niin an sawi .

Naupan laia taksa emaw, mipat hmeichhiatna lama tihduhdah tawhte chu dissociative identity disorder (DID) vei an hlauhawm hle. United States, Canada leh Europe ang ramteah chuan DID vei zinga 90% vel chu naupang an nih laiin tihduhdah leh ngaihsak loh an ni tih hmuhchhuah a ni.

Dissociative disorder hi engtiang chiahin nge a awm?

Heng dinhmunte hi a takah chuan a tlem hle. Entirnan, American mipui 2% vel chuan heng natna hi an nei a ni.

Dissociative disorders natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi disorder chi hrang hrang a zirin a inang lo. Heng symptoms te hi thil rapthlak tak a thlen hnuah a lo lang tan thin. Heng symptoms te hi stress laiin a na zual thei a, nitin hnathawhna a tibuai thei bawk.

Dissociative identity disorder (`DID`) natna lan chhuah dan:

`DID` nei chuan identity hrang hrang pahnih emaw a aia tam emaw a nei a. `Core` identity chu chu mi mize pangngai a ni. `Alters` tih hi chu mi chu a mize danglam bik (alternative personalities) a ni.

`(alter)` tin hian nungchang, rilru put hmang, duhzawng, hriatrengna leh ngaihtuahna hrang hrang an nei vek a. Mi dangte chuan heng `(alters)` te danglamna te, chutiang bawkin `DID` nei mi inthlauhna te pawh an hre thei mai thei bawk. `(alter)` pakhat atanga `(alter)` dang a inthlakna hi hriat lohvin leh rang takin a thleng thin.

DID chhinchhiahna pawimawh dang chu nitin thil thleng, mimal chanchin, leh/ emaw hun kal tawha thil thleng rapthlak tak takte chungchanga hriatrengna lama harsatna awm reng hi a ni . Heng chhinchhiahnate hi mi thenkhat tan chuan a na lo thei hle a, mahse mi thenkhat nunah nghawng lian tak a nei thei a ni.

Dissociative Amnesia natna lan chhuah dan:

A lan chhuahna ber chu sudden episodes of amnesia , thla tam tak emaw, kum tam tak emaw pawh a daih thei a ni.

Memory loss hi chi thum a awm a, chungte chu:

• Localized: Thil thleng emaw hun bituk bik emaw theihnghilh (hei hi a tam ber chi a ni).
• Thil thlan bik: 1.1.Hun engemaw chen chhunga thil thleng chipchiar tak tak thenkhat chauh chu theihnghilh a ni.
• Generalized: I identity leh nun chanchin hriatrengna zawng zawng i hloh vek (hei hi a rarest type a ni).

I hriatrengna hloh chu i hre lo mai thei a, a nih loh leh hriatna tlemte chauh i nei thei bawk. Mahse i hnaih berte chuan he hriatrengna hloh hi an hre thei tlangpui.

Depersonalization/Derealization Disorder natna lan chhuah dan:

Hetiang dinhmunah hian a hnuaia thil tawn pakhat emaw, pahnih emaw hi hun rei tak chhung chu a lo thleng leh thin a ni:

• Depersonalization: I rilru, taksa emaw, nangmah emaw atanga inlakhran a, thil tak tak nena inzawmna nei lo anga inhriatna. I nun leh thil thlengte chu hla tak atanga i thlir ang maiin, active takin i tel lo ang maiin.
• Derealization: I chhehvel leh thil tak tak pawn lama inthiarfihlim anga inhriatna. Mite leh thilte chu thil tak tak lo angin a lang thei.

Heng thil thleng lai hian i chhehvêl i hre chiang a, i thil tawn chu thil pangngai a ni lo tih i hria a ni.

Heng symptoms te hi a chang chuan naupan lai atanga intan thei a ni. A lo intan kum zat chu kum 16 vel a ni. He natna vei zinga 20% aia tlem chuan kum 20 an tlin hnuah an episode hmasa ber an nei thin.

Dissociative disorders awm chhante chu engte nge ni?

Dissociative disorders hi thil thleng nasa tak emaw, hun rei tak chhunga lungkhamna, tihduhdahna, emaw, trauma emaw hmachhawn dan angin a lo awm fo .

Hei hi a bîk takin heng thilthlengte hi naupan lai, naupang tê tê a lo thlen hunah a ni. Hei hi a chhan chu chutih lai chuan naupangin thil thlengte a hriatthiam theihna a tlêm vang a ni. Tin, harsatna hmachhawn dan tur (coping mechanisms) pawh a la insiam kim lo hle bawk. Puitling mawhphurhna nei leh hriatna nei an awm phawt chuan tanpuina leh tanpuina a awm thei ang.

Thil lungchhiatthlak tak atanga rilru lama ‘disconnecting’ hi hun rei lote chhunga invenna mechanism a ni thei a, chu chuan natna atanga tlanchhuahna kawngah a pui thei che a ni. Mahse he defense mechanism hian thil tak tak atanga a then hran zel che a, i hriatrengna atanga hun chhung zawng zawng a ti bo vek a nih chuan buaina a lo ni ta a ni.

Thil awmdan lungchhiatthlak tak takte entirnan:

• Taksa, rilru emaw, mipat hmeichhiatna lama tihduhdah nawn fo
• Accident a ni
• Thilsiam chhiatna (natural disaster) a ni
• Indona buaina
• Thil sual tihsual tuar nih

Tun hnaiah scientist-te chuan dissociation nena inzawm thluak structure leh function bikte chu an zirchiang a. An thil hmuhchhuah chu, inthenna (dissociation) lai hian thluak chhung thuk tak, hriatrengna nena inzawmte chuan rhythmic activity engemaw zat an lantir a, chutih laiin ngaihtuahna leh ruahmanna siamtu hmun dangte nena inzawmna chu a bo niin a lang

Dissociative disorders hi engtin nge kan hriat theih ang?

Doctor-te chuan i symptoms leh personal history uluk taka enfiahin dissociative disorders an hmuchhuak thin.

I doctor chuan heng natna thlentu taksa lam thil dang (e.g., hriatrengna hloh) te enfiah turin test a ti thei ang. Entir nan:

• Lu hliam
• Thluak natna (brain tumor) a awm
• Mut tlakchhamna
• Ruihhlo leh/ emaw zu hman

Taksa lama chhan i hriat loh hnuah chuan rilru lam hriselna lama mithiam, rilru lam doctor emaw, rilru lam doctor emaw hnenah hruai i ni mai thei a, ani chuan clinical interview leh observation hmangin diagnosis a siam ang.

Mental health professional-te chuan American Psychiatric Association-a Diagnostic and Statistical Manual of Mental Disorders (DSM) aṭanga tehfung hmangin dissociative disorder an thliar hrang a, an enfiah ṭhin.

Dissociative disorder hi engtin nge enkawl an nih?

Dissociative disorders enkawlna ber chu psychotherapy, a nih loh leh talk therapy a ni. Hei hian dissociative process leh symptoms te chu a enkawl thei a ni.

Psychotherapy hi trained, licensed mental health professional , rilru lam doctor emaw psychologist emaw hmanga pek a ni. Nangmah leh/ emaw i chhungte tan nitin nun i hmachhawn theih nan leh i rilru hriselna tihchangtlun nan tanpuina, zirna leh kaihhruaina a pe che a ni.

Dissociative disorders enkawlna atana psychotherapy hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Cognitive Behavioral Therapy (CBT): Hei hi rilru lam enkawlna (psychotherapy) kalphung mumal tak, targeted form a ni. I therapist chuan i ngaihtuahna leh i rilru put hmang thuk takin a en theih nan a pui che a ni. CBT hmang hian ngaihtuahna leh nungchang hrisel lote thlahthlam i zir thei a, ngaihtuahna leh tih dan hrisel zawk i siam thei bawk.
• Dialectical Behavior Therapy (DBT): DBT hi rilru natna nasa tak nei te tan bik siam a ni. A tum ber chu tu nge i nih leh i harsatnate chu eng nge ni tih validation leh inthlak danglamna hlawkna inthlauhna siam hi a ni. I therapist chuan i rilru put hmang tihreh theihna tur thiamna thar zir turin a pui ang che.

Enkawlna kalphung chu a harsa thei hle a, a chhan chu hun kal tawha thil lungchhiatthlâk tak takte hriat reng a, chu chu hmachhawn dân zir a ngai a ni. Mahse, hun rei tak chhûng chu i natna lan chhuah dân a\angin nasa takin a ti hahdam thei a ni .

Enkawlna dang \angkai thei turte:

• Hypnosis (`Hypnosis` / `Hypnotherapy` tih hi a awm lo):Hypnosis hi rilru hahdamna thuk tak leh ngaihtuahna fim tak a ni. Trance-a i awm lai hian, he ngaihtuahna nasa tak hian thil tihbuai pangngaite chu ngaihthah theiin, i hrisêlna tihchangtlunna tûra inthlâk danglamna siam tûra kaihruai thei tûr rawtnate chu a inhawng zâwk thei a ni.
• Eye Movement Desensitization and Reprocessing (EMDR therapy): Hei hian traumatic memories i process laiin i mit chu kawng bik takin i tihchet a ni. EMDR hian a tum ber chu trauma emaw, nun harsatna dang emaw atanga i dam leh theih nan a pui che a ni. Therapies dang nena khaikhin chuan EMDR hi thil thar tak a ni.

Dissociative disorders tan damdawi bik a awm lo. Mahse, i doctor chuan rilru lam natna dang awm thei enkawlna atan damdawi, antidepressant ang chi a rawt thei a ni.

Dissociative disorder nei tan chuan hmalam hun eng nge awm?

Dissociative disorder nei tan chuan mi hrang hrangah prognosis a inang lo thei.

Professional treatment (a tam zawkah chuan psychotherapy) hmang hian dissociative disorder vei tam tak chuan an symptom ber berte chu an control thei a, nitin nunah an thawk tha thei bawk.

Mahse mi thenkhat tan chuan, a bik takin dissociative identity disorder (DID) nei tan chuan he natna hi nunna atana hlauhawm tak a ni thei. DID vei zingah mahni intihhlum tum leh mahni intihhlum hi a hluar hle. DID vei zinga 70% aia tam chuan mahni intihhlum an tum nia chhut a ni.

Nangmah emaw, i hnaih ber emawin mahni intihhlum duhna i neih chuan National Mental Health Helpline on 1926 ah call la, nitin darkar 24 chhungin mi tu emaw tanpui turin a awm reng a ni.

Engtikah nge Doctor ka hmuh ang?

Dissociative disorder symptoms nei nia i hriat chuan doctor emaw mental health counselor emaw biak nghal rawh.

Rilru lam natna dang ang bawkin, a lan chhuah veleh tanpuina zawng hian i nun tibuaitu chu a tiziaawm thei a ni. Dissociation symptoms i neih chuan doctor nen inbia ang che. Mental health professional-te chuan i dinhmun enkawl dan tur ruahmanna siamsak thei che a ni.

Kan Thusawi Atanga Take-Home Message

Okay, chuvangin kan sawi tawh atang hian point pawimawh tak tak thenkhat i hriat nawn tir leh ang u.

• Dissociative disorders hi rilru lam natna a ni a , chu chu trauma na tak avanga lo awm thei a ni .
• A chhinchhiahna bulpui ber chu nangmah leh i hriatrengna, a nih loh leh i khawvêl aṭanga inzawmna nei lo anga i inhriat hi a ni .
• Dissociative identity disorder (DID), dissociative amnesia, leh depersonalization/reality disorder te hi a chi hrang hrang a ni.
• Heng dinhmunte hi a tlem hle a, mahse enkawl dan erawh a awm.
• Enkawlna ber chu psychotherapy a ni.
• Heng symptoms te hi i neih chuan damdawi lam thurawn zawng chu hlau lo la, zak suh. Ṭanpuina lak vat a pawimawh hle.
• Nangmah chauh i ni lo. Heng dinhmunte nen hian mi tam takin harsatna an tawk a, tanpui thei tur che an awm bawk.

He dinhmun hriat chian te, sawi chhuah te, leh tanpuina zawng te hi i nun thunun leh theihna tura hmalakna lian tak a ni tih hre reng ang che.

` Dissociative Disorders, Rilru hriselna, Trauma, Hriatrengna hloh, Psychotherapy, DID, Depersonalization