Major Depressive Disorder (MDD) , i vei tih hmuhchhuah a nih chuan a buaithlak thei a, a hlauhawm pawh a ni thei. "Tunah enge ka tih ang?" leh "Hei hi a tha leh dawn em ni?" i rilruah an awm ngei ang. Mahse ka hrilh ang che, nangmah chauh i ni lo. He natna hi enkawlna tha tak tak a awm nual. Mahse chutiang enkawlna atanga hlawkna tam ber i hmuh theih nan chuan i tana tha tur leh i mamawh ngaihthlaksaktu specialist zawn chu a pawimawh ber a ni. Chuvangin vawiin hian he damna zinkawngah hian i tan kawppui dik tak, chu chu specialist thlan dan tur kan sawi dawn nia.
Depression enkawltu specialist te hi tute nge ni?
A hmasain, he thila min pui thei tur specialist te hi tute nge an nih i en ang u. I chhungkaw doctor (General Practitioner - GP) chuan i lungngaihna damdawi a pe thei mai thei. Chu chu bul tanna tha tak a ni. Mahse, he natna chungchânga hriatna thuk tak nei leh a tâna zirtîrna bîk dawng tawh mi hnên aṭanga enkawlna i hmuh chuan i hlâwkpui lehzual ang.
Depression enkawlna chungchang sawi dawn chuan specialist chi hnih kan tawk tlangpui. Anni hi Psychiatrist leh Psychologist an ni . An pahnih hian rilru hriselna kawngah pui mah se, rawngbawlna an pek danah hian danglamna chiang tak a awm. A danglamna chiang takin i hrethiam ang u.
| Specialist a ni | Main Role leh Qualification te | Damdawi ka pe thei ang em? |
|---|---|---|
| Rilru lam doctor | Hengte hi medical school-a zir chhuak, MBBS degree nei tawh, chumi hnua psychiatry lama specialist degree nei tawh doctor an ni. Natnate an hmuchhuak a, an enkawl a, an veng bawk. I rilru bakah taksa dinhmun pawh an enkawl a ni. Damdawi, rilru lam enkawlna leh damdawi lam enkawlna bik dang (e.g. ECT) an hmang thin. | Ni e, an ti thei. |
| Psychologist a ni | Doctor an ni lo. Psychology lama advanced degree nei (e.g., PhD emaw MSc in Clinical Psychology) leh training zau tak nei specialist an ni. An enkawl dan ber chu talk therapy a ni a, psychotherapy emaw talk therapy emaw tia hriat bawk a ni. I ngaihtuahna, i rilru put hmang leh nungchangte hriatthiamna pein, i enkawl theih nan an pui bawk. | Ni lo, damdawi an pe thei lo. |
A awlsam zawngin, i thluaka chemical imbalance ang chi thil avang hian damdawi i mamawh nia i ngaih chuan psychiatrist hi biak tur dik tak a ni. Nun chungchang te, inlaichinna te, thil lungchhiatthlak tak tak te sawi i duh a, i rilru natna enkawl dan tur i zir duh chuan psychologist hian a pui thei hle ang.
Pawimawh tak chu, a châng chuan heng mi pahnihte hian rah ṭha ber chhuah tûrin ṭanpuina an mamawh a ni. Psychologist nena inbiakna leh i psychiatrist-in damdawi a pekte ei hi i rilru hriselna tichaktu tha tak a ni.
Engtin nge i tana tha tur specialist i thlan?
Okay, tunah chuan an pahnih danglamna chu ngaihtuahna i nei ta. Tunah chuan i tana tha tur zawn dan tur i lo en ang u. Heng step te hi zawm rawh.
1. I mamawh hrethiam hmasa phawt ang che.
Enkawlna i zawn hmain hetiang hian inzawt hmasa phawt ang che:
- "Damdawi chungchangah tanpuina ka mamawh dawn em ni? Ka symptoms (mut theih lohna, lungkham lutuk, ei duh lohna) hi a na lutuk em?"
- "Ka harsatnate chu ka duh apiang hnenah tlang takin ka sawi thei ang em, ka rilru pawh ka zalen thei ang em?"
- "Ka ngaihtuahna thlak danglam tur leh harsatna hmachhawn dan tur zir turin tanpuina ka mamawh em?"
Heng zawhnate chhanna atang hian rilru lam doctor emaw, rilru lam doctor emaw i pan hmasak tur nge tih hi a rough idea i nei thei ang.
2. I research ti rawh.
A tha ber chu i chhungkaw doctor (GP) hnenah recommendation dil hi a ni. Chumi hmuna specialist tha, rintlak tak tak an hre tlangpui.
Chu bakah, hetiang hian i ti thei bawk:
- Ṭhiante rintlak emaw chhungte emaw zawt rawh . An thil tawn \ha tak tak an lo tawng tawh mai thei.
- Enkawlna i zawnna damdawi ina Mental Health Unit atang hian thu belhchian dawl zawk zawt rawh.
- Specialist thenkhat chuan website emaw social media page emaw an nei a . An enkawl dan tur ngaihtuahna nei turin en rawh.
3. Thu sawiin zawhna zawt rawh.
Specialist i thlan hmain a office call a, hetiang thil hi zawh hmasak phawt chuan thil dik lo a awm lo.
- "Major depressive disorder (MDD) vei enkawlna kawngah tawnhriat i nei em?"
- "Eng enkawlna nge i hman ber? (e.g. damdawi, CBT, talk therapy)".
- "Appointment hmasa berah khan eng nge ka beisei theih ang?"
Hetiang zawhna zawh hian chu mi chu hriatthiamna tha zawk i nei ang a, i mamawh ang zela a inmil em tih hriat a awlsam phah bawk ang.
4. Rapport chungchang ngaihtuah rawh.
Hei hi a pawimawh ber pawh a ni mai thei. I thlan specialist hnenah chuan i hlim tur a ni a, i inrintawk tur a ni a, i inhawng tur a ni. Rorelsak hlau lova i rilrua awm reng reng i sawi theihna tur boruak an siam hi a pawimawh hle.
Inkhâwm hmasa pahnih khat hnuah hetiang hian i inhria em tih en rawh:
- "He doctor/lady hian ka sawi tur chu ngun takin a ngaithla thin."
- "Amah biak pawh hi nuam ka ti hle."
- "Min hriatthiam tum ang maiin ka hria."
Chutianga i inhriat loh chuan specialist dang hmuh ngaihtuah chu thil dik lo a ni lo. Hei hi i dam lehna kawng a ni tih hre reng ang che. I tana kawppui tha ber thlang turin dikna i nei vek.
Take-Home Thuchah a ni
- Major Depressive Disorder hi enkawlna hmanga thunun theih vek a ni. Ṭanpuina dik zawn hi a hmasa ber leh a pawimawh ber a ni.
- Psychiatrist chu specialist a ni a , medical degree neiin damdawi a hmuchhuak thei a .
- Psychologist chu psychology lama advanced degree nei specialist a ni a, psychotherapy a thawk ber a ni. Damdawi an pe thei lo.
- I natna lan chhuah dan a nasat emaw, damdawi i mamawh mai thei nia i hriat emaw chuan rilru lam doctor pan a tha. I harsatnate sawipui a, i rilru chakna i siam a ngai a nih chuan psychologist hi duhthlanna tha tak a ni. A châng chuan a pahnih hian a ngai mai thei.
- I chhungkaw doctor (GP) hnenah referral dil rawh. Specialist i thlan hmain a enkawl dan tur zawt hmasa phawt ang che.
- A pawimawh ber chu i mi thlan nen hian i hlim a, i him a, i inrintawkna a ni. Chu inzawmna chu i damna zinkawngah chakna nasa tak a ni ang.
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