Major Depressive Disorder nena nun hi roller coaster-a chuang ang mai a ni em? Hemi chungchang hi han sawi ila.

A châng chuan chutiang khawpa chak leh hlim takin i inhria em? Mahse a tuk ah chuan khum atanga tho thei lo ang maiin i inhria a, engkim a bo vek ang maiin i inhria a, khawvel hi a thim ta? Depression nei, emaw, damdawi lama kan sawi thin `Major Depressive Disorder (MDD)` emaw i nih chuan he thil tawn hi i hriat chian em em a ni mai thei. Roller coaster-a chuang ang mai a ni. Ni khat chu i sang a, a tuk ah i tla thla leh bawk. Hei hi hriatthiam hi he zinkawng enkawlna atana hmalakna hmasa ber leh pawimawh ber a ni.

Depression (MDD) hi lungngaihna mai ni lovin a tam zawk.

A hmasain hei hi i sawi dik ang u. Depression hi lungngaihna emaw, chak lohna emaw chauh a ni lo. Damdawi lam dinhmun dik tak a ni . Zunthlum emaw thisen sang emaw ang bawkin. I rilru put hmang, i ngaihtuahna, i taksa leh i nungchang a nghawng a ni.

Ngaihtuah teh, i thluaka chemical (neurotransmitter) thenkhat balance a inthlak chuan i rilru put hmang leh ngaihtuahna pawh a danglam thei. Chuvangin hei hi "i rilru i siam chuan a pawi lo" tia hnawl mai theih thil a ni lo. Chumi atan chuan damdawi lam enkawlna leh counselling mumal tak neih a pawimawh hle .

He zinkawngah hian sang leh hniam hi thil pangngai a ni a, chumi atan chuan i inbuatsaih ang u.

Depression atanga dam leh hi kawng dik a ni lo. Yarn ball tangled ang mai a ni. I rilru a hahdam tak tak hun ni a awm ang. Chumi ni chuan hna thawh tur te, ṭhiante nena inbiakna te, leh i duhzawng tih theihna te chuan chakna i nei ang. Mahse, a tuk zingah chuan thim hluiah chuan i tlu leh nghal thei a ni.

Hei hi ‘setback’ kan ti a ni. Hei hi mi tam zawk ti beidawngtu chu a ni. "Aw, ka ti tha em em a, mahse ka awmna hmunah ka kir leh ta. Ka dam thei ngai lo," i ti mai thei.

Mahse chu chu thudik a ni lo. Heng setbacks te hi depression an tih natna zinga mi a ni. I chak lo tihna a ni lo. He indona hi i la bei reng tihna chauh a ni. A pawimawh ber chu, hetiang setback i neih hian hlauthawng suh la, "Okay, hei hi he natna hi a ni. Zawi zawiin ka keah ka ding leh ang," tiin ngaihtuah rawh. Hemi chungchang hi i doctor nen sawiho rawh. I damdawi ei zat chu a thlak danglam thei a, thurawn dang pawh a pe thei che a ni.

Ngaihtuahna tha lo (negative thinking patterns) thang

Depression chungchanga thil hlauhawm dang chu kan ngaihtuahna a tidanglam thin hi a ni. Hun rei tak chhung lungngaihna nena kan nun hian kan rilruah ngaihtuahna tha lo tak tak a lo piang thei a. Chûngte chu kawngpuiah rut thuk tak ang mai a ni. Kan rilru chuan chu kawngpuiah chuan kan kal fo thin.

Nang pawhin hetiang ngaihtuahna hi i nei em?

• Engkim dum emaw, var emawa hmuh: "Vawiin hian ka hna ka thawk thei lo a, chuvang chuan ka hlawhchham vek tawh." Gray area, middle ground a awm thei tak zet a ni lawm ni?
• Thil thleng pakhata engkim thutlukna siam: Thil pakhat a dik loh veleh "Hei hi ka chungah a thleng fo thin. Engmah a dik ngai lo" tih ngaihtuah.
• Thil tha ngaihtuah loh: Thil tha tak i chungah thleng mahse, "A thleng mai mai" tih i ngaihtuah avangin i hlim lo.
• Mahni inpuh: "Ka sualna zawng zawng a ni," tih ngaihtuah, mahni thunun theih loh thil vang pawh nise.

A hmasa ber chu heng ngaihtuahna kalphungte hi hriatchhuah a ni. A dawtah chuan i challenge a ngai a ni. Mahni inzawt rawh, "Hei hi ka ngaihtuah dan a ni em? Hei hi hmuh dan dang a awm lo em ni?" Hemi atan hian counseling, a bik takin Cognitive Behavioral Therapy (CBT) hi a \angkai hle thei a ni . Hemi chungchang hi doctor zawt rawh.

I 'Safety Plan' siam rawh.

He roller coaster ride hi paltlang tur chuan ruahmanna kan neih a ngai a ni. Ni harsa a lo thlen huna tih tur ngaihtuah lawk hian danglamna nasa tak a thlen thei a ni.

1. I support group chu hriat chian rawh: I lungngaih lai hian tute nge i biak theih ang? I ṭhian ṭha ber emaw, i chhûngkaw member emaw, i kawppui emaw pawh a ni thei. Tin, he list chung berah hian i doctor chu a awm tur a ni.

2. ‘First aid kit’ siam: Hei hi kit tak tak a ni lo. I lungngaih laia thil tenawm tak tak i tih theih list a ni. Entir nan:

• Ka hla duh ber thenkhat ngaihthlak.
• Minute 10 chhung huan chhunga chhuak a, kea kal.
• Pet nen hun engemaw chen hman.
• I rilru hahdam theih nan thawk lakna exercise tih.
• I rintlak mi biak.

3. Triggers hriatchhuah: I mood tihhniam thei thilte chu zawng chhuak rawh. I pumpelh vek thei lo va, mahse i hriat chian chuan hmachhawn turin i inpeih thei a ni.

4. Doctor thupek dik tak zawm rawh: Doctor-in damdawi a pek che a nih chuan a hun takah leh a hun dik takah ei a pawimawh hle . Tlemin i rilru a hahdam deuh a nih pawhin doctor nen inbia lovin damdawi ei kha bansan suh. Chutianga i tih chuan i natna lan chhuahna chu a tizual leh thei a ni.

Hei hi mahni chauha kal tur zinkawng a ni lo. Ṭanpuina dîl hi chakna chhinchhiahna a ni a, chak lohna a ni lo. I tanpui thei tur professional leh hmangaihtu an awm bawk.