I fa hian i laka inthen a hlau em? A nih loh leh mi kalsan i hlau em? Separation Anxiety Disorder chungchang hi han sawi ila!

I hnaih tak tak, i nu emaw, i pa emaw, i fa emaw, i kawppui emaw pawh ni se, hun engemaw chen i kalsan hian hlauhna leh lungkhamna nasa tak i nei ngai em? Naupang tê tête chuan an nu kalsan a, sikul kal an hreh, tap chu thil pangngai tak a ni. Mahse, he hlauhna leh lungkhamna hi a tlangpui aia nasain a lo lian a, nitin hnathawhna tibuaitu a nih chuan engtin nge ni ang? Chutih lai tak chuan he thil hi tlem kan ngaihtuah a ngai a ni.

Separation Anxiety Disorder tih hi eng nge ni?

A awlsam zawngin sawi ila, Separation Anxiety Disorder hi rilru lam natna a ni a, naupang leh puitling pawh a nghawng thei a ni. Hetiang natna vei hian mi hnai tak (an attachment figure) nena an inthen hian, emaw, an inthen dawn nia an ngaih laiin hlauhna leh lungkhamna nasa lutuk, thunun theih loh a nei thin. He hlauhna leh lungkhamna hi a chhan aiin a nasa zawk daih a, a tlangpuiin kum nena inmil lo a ni.

Naute chu an nu chhuahsan hian an tap tih i hre tawh ngei ang, chu chu "separation anxiety" an ti a ni. A nihna takah chuan naute hmasawnna atana thil pangngai tak a ni . Khawvel chanchin an hriat rualin a thleng thin. Kum 3 velin a reh tlangpui.

Mahse, naupang kum upa zawk thenkhat tan chuan he inthen hlauhna hian an kum anga thil pangngai anga ngaih chu a pel a ni. Chutih lai chuan doctor-te chuan Separation Anxiety Disorder tia hriat chhuah an ngaihtuah a ni. A châng chuan puitling, naupan laia heng symptoms nei lote pawhin he natna hi an nei thei bawk.

Separation Anxiety Disorder hian nitin nun a tibuai thei a ni. Hetiang natna nei naupangte hian sikul an kal thei lo thei lo mai thei. Puitlingte chu hnathawhna hmunah an kal thei lo emaw, ngaihtuahna sen harsat emaw pawh a ni thei.

Mahse, lungngai suh, hei hi chatuan atan hetiang hian a awm a ngai lo. Nangmah emaw, i hriatte emaw pawhin hetiang natna hi an nei thei nia i ngaih chuan doctor pan rawh. An biak theih che a, a tul chuan therapy emaw damdawi emaw an rawt thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

Separation Anxiety Disorder vei chuan a hnuaia symptom pathum tal a nei thei a ni:

A lan chhuah dan tlangpui:

• Attachment figure atanga inthen emaw, inthen tur ngaihtuah lai emawa lungngaihna nasa tak neih.
• I inzawmna mi chuan harsatna (hliam, thihna ang chi) emaw, natna emaw a tawk ang tih hlauh reng .
• Mimal harsatna (bo, rukbo ang chi) avanga i inzawmna mi nen inthen hlauh reng .
• Inthen hlauh vanga in chhuahsan duh loh emaw, sikul kal duh lo emaw, hnathawh duh loh emaw.
• I inzawm tlat mi tel lova mahni chauha awm hlauhna (in lama room pakhatah pawh)..
• I nupui pasal nei lova mut duh lohna emaw, mut duh loh emaw .
• I inhnamhnawih mi nena inthen chungchangah mumang chhia i neih fo thin (e.g., kangmei, tualthah, etc.).
• I kawppui nen in inthen emaw, inthen dawn nia in hriat emaw hian taksa lam natna (pum na, lu na, luak chhuak, luak chhuak) te hi a awm thei. Naupang tê leh puitlingte chuan rilru natna emaw, luak chhuak emaw an nei thei (hengte hi naupang tê têah chuan a tam lo hle).

Naupang tê tête zingah inṭhenna lungkhamna hi engtin nge kan hriat theih ang?

Heng natna lan chhuah dan hi naupang kum a zirin a danglam deuh thei. Entîr nân, preschooler pakhat chuan an rilru put hmang chu thuin a sawi thei lo mai thei. An lungngai mai thei, an tap mai thei, a nih loh leh an lungawi lo mai thei . Naupang upa zawk chuan mumang tha lo leh hlauhna te chu a sawi chhuak thei mai thei.

I fa chu sikul kal theih loh avângin eng ang pawhin tap mah se, sikul kal tûrin i nawr luihtîr ang tih han ngaihtuah teh. Tichuan naupang chu a lungngai a, sikul a ngaihven lo mai thei. Zirna lama ngaihtuahna seng harsa an ti thei a, naupang dangte nena inzawm duhna pawh an nei lo niin a lang thei bawk. Chûng thilte chu naupang zirtîrtuin a hriat theih a ni.

In atanga ni engemaw zat an awm loh a ngai a nih chuan (entir nan, sikul zin emaw, chhungte bula awm emaw) naupang inthenna lungkhamna nei chu an in lama an haw hma loh chuan in lam a hawi nasa hle thei a, a lungkham hle thei bawk. A châng chuan, an nu leh pate nêna inṭhen anga inhria tu pawh chungah an thinrim a, an râpthlâk thei bawk.

Puitlingte zingah separation anxiety hi engtin nge kan hriat theih ang?

Inhmangaih laia mi pakhat chungchang tlem tal ngaihtuah hi thil pangngai a ni. Nunna peng pakhat a ni. Mahse separation anxiety disorder avanga stress lo awm chu hlauhna ngei pawh a ni lo . I hnathawh leh inlaichinna a tibuai tan thei bawk. Entîr nân, i hmangaih tak bula awm i duh avângin hna i tlachham mai thei a, a nih loh leh an ṭhat leh ṭhat loh en tûrin phone leh text reng reng i duh mai thei a, an chhân lêt hun nghah chu i rilru a hah hle thei bawk.

Hetiang dinhmunah hian i awm lai hian i hlauhthawnna leh lungkhamna chu a tlangpui aia sang a ni tih i hre lo mai thei. I fa emaw, i kawppui emaw a thinrim a, i check up reng reng hian i lungkhamna chu thunun theih loh a ni tih i hrechhuak mai thei.

Engvangin nge separation anxiety disorder hi a lo awm?

Researcher-te chuan hei hi eng thil nge a thlen tih chiang takin an la hre lo a, mahse genetics leh environmental factors pahnih inzawmkhawm a nih an ring . Entîr nân, mi pakhat chu an thluaka chemical ṭhenkhat hnathawh dân tichhe thei, genetic mutation neia piang a ni thei.

Mahse genetics ringawt pawh hian he natna chi hi a thlen thei lo mai thei. Vawi tam tak chu, boruak thil —nun inthlâk danglamna lian tak emaw, naupan laia thil tawn ṭha lo emaw ang chi—chu a tel ve bawk. Heng thilte hian epigenetic changes a thlen thei a, chu chu i genes nena inzawm leh an hnathawh dan nghawngtu chemicals inthlak danglamna a ni. Entirnan, epigenetic change thenkhat hian i taksa cell-te'n stress control tu genes an "read" dan a nghawng thei a ni.

Risk factors te chu engte nge ni?

Naupang chu Separation Anxiety Disorder vei theihna a sang thei a, chu chu:

• I hnaih ber (e.g. thihna hmanga) i hloh chuan .
• I nu leh pate inthen ang chi dinhmun lungchhiatthlak tak i hmachhawn chuan .
• School thlak emaw hmun thara insawn emaw pawh nise .
• Chhungkaw zingah tu pawhin (biologically related) anxiety disorder an neih chuan .

Puitling pakhatah Separation Anxiety Disorder vei theihna tur risk factors:

• Hmangaih tak hloh .
• A hmangaih tak pakhat damlo .
• Nun lian tak a inthlak (e.g. insawn, inzawmna bul tan, nu leh pa nih).
• Naupang a nih laiin lungkhamna (anxiety disorder) a vei tih hmuhchhuah a nih tawh avangin.
• Puitlingah chuan lungkhamna dang emaw rilru lam harsatna dang emaw a vei tih hmuhchhuah a nih tawh.

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

Separation Anxiety Disorder hian i nun a tibuai thei a, i duh leh duhzawng tih a ti harsa thei bawk.

Naupangte chunga nghawng a neih dan:

• School hnathawhnaah ngaihtuahna seng harsa , class-a tlakchhiatna a thlen.
• Naupang dangte nena inrem harsa leh khawtlang nunah tel harsa .
• Zirna hun remchang hloh, khawtlang nun thiamna tihhmasawn, leh mahni inrintawkna nei zawk .

Puitlingte chunga nghawng a neih dan:

• Hnathawh emaw, mawhphurhna dang emawa ngaihtuahna seng harsa .
• An inlaichinnaah buaina a awm a, a bîk takin an inpawhpuite nêna inhnialna a awm .
• Khualzinna emaw thil pawimawh dang tih theihna hun remchang neih loh .

Engtin nge Separation Anxiety Disorder hi hmuhchhuah a nih? (Diagnosis) tih a ni.

Doctor-te hian engtin nge natna an hriat chian?

Doctor-te chuan puitlingah separation anxiety disorder an neih theih nan a hnuaia mi ang hian an ti thin:

• I symptoms chungchang sawipui che .
• I natna lan chhuah dan leh i thil tawn te ngaihtuah chungin zawhna bu ziak rawh .I chhannate hian doctor chu separation anxiety diagnose (a nih loh leh a ni lo tih nemnghet) turin a pui ang.

Naupangte separation anxiety disorder an hmuhchhuah hian nu leh pa emaw, enkawltu emaw chu naupang ang bawkin interview an nei thin. I naupang enkawltu doctor chuan nangmah (leh i fate pawh, an upa tawh chuan) zawhna bu ziak turin a ti thei che a ni. I fate nungchang leh i thil hmuhte chungchâng ṭawngkam hmanga zawhna an zawt thei bawk.

A châng chuan doctor-te chuan nangmah emaw, i chhûngte emaw chu rilru lam doctor emaw, rilru lam doctor emaw hnênah i natna hriat chian nâna ṭanpuina dang dîlin an refer thei bawk.

Diagnostic criteria te hi engte nge ni? (DSM-5-TR) a ni.

Doctor-te chuan Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR®) hmangin separation anxiety disorder leh rilru lam hriselna lama harsatna dang, nangmah/i fate nghawng thei te chu an enfiah thin.

DSM-5-TR ang chuan Separation Anxiety Disorder vei nia hriat theih nan a hnuaia mi zawng zawng hi a dik vek tur a ni:

• A hmaa kan sawi tawh ang khan symptom awm thei 8 zinga 3 tal chu a awm ngei tur a ni.
• Heng symptoms te hi a awm chhunzawm zel tur a ni - naupangah chuan kar 4 tal, puitlingah chuan thla 6 tal a awm tur a ni.
• Heng chhinchhiahnate hian a kaihhnawih mi chu lungngaihna nasa tak a thlen tur a ni a, a nih loh leh nitin thiltih (sikul kal emaw hnathawhna hmun emaw kal ang chi) a tibuai tur a ni .
• Heng symptoms te hi diagnosis dang hmanga sawifiah theih a ni lo .

Hun rei tak chhung chu doctor-te chuan separation anxiety disorder hi naupan laia an neih chuan puitlingah chauh an hmuchhuak thin. Mahse DSM-5-TR chuan kum 18 an tlin hmaa hriat chhuah ṭhin natna category aṭangin he natna hi a paih chhuak a, lungkhamna (anxiety disorder) tiin a dah a ni. Tunah chuan doctor-te chuan kum eng pawha puitlingah a thleng thei tih an pawm a, a vawi khatna atan pawh a thleng thei a ni.

Comorbidities dangte hriatchhuah

Doctor te pawhin DSM-5-TR hmangin comorbidities an hmuchhuak bawk . Chumi awmzia chu mi pakhatin a diagnosis bulpui (he thu-ah hian separation anxiety) bakah hian damdawi lam harsatna dang a nei tihna a ni. Mi pakhat hian rilru lam natna pahnih emaw a aia tam emaw a nei thei. Tichuan, symptoms te chu a inzawm khawm thei a, thliar hran harsa khawpin a nghawng thei bawk.

Entirnan, Separation Anxiety Disorder nei naupang pawhin Generalized Anxiety Disorder emaw, phobia bik emaw a nei ve tho a ni.

Puitling separation anxiety disorder nei te hian heng co-morbid condition pakhat emaw a aia tam emaw hi an nei fo thin:

• Agoraphobia ( hmun zau emaw, mipui tamna hmun emaw hlauhna nasa tak) .
• Generalized Anxiety Disorder a ni a, a rilru a hah hle
• Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
• Panic Disorder a ni
• Mihring nihna lama harsatna (Personality Disorders) a awm
• Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
• Khawtlang nun lungkhamna (Social Anxiety Disorder) a ni
• Phobia bik a awm
• Lungngaihna

Doctor-te chuan vun natna an hriat chian avângin, chu mi mal mamawh bîk angin enkawlna chu an siam rem thei a ni . Entirnan, enkawlnaah hian therapies chi hrang hrang emaw, damdawi chi hrang hrang emaw a tel thei.

Kan nunphung inang lote pawh kan ngaihtuah a ngai em?

Hnam ṭhenkhat chuan chhûngkaw member-te innghahna nghet tak chu an ngai pawimawh hle. Chumi awmzia chu nunphung dang aiin chhungkaw member an inhnaih zawk a, an innghahna a sang zawk tihna a ni. Hetiang innghahna hi separation anxiety disorder nen hian a inang lo. Doctor-te pawhin he natna hi an hmuhchhuah hian heng nunphung inang lote hi an ngaihtuah tel bawk .

Hei hi eng enkawlna nge ni? (Tihdamna)

Separation anxiety disorder enkawlna hmasa ber chu psychotherapy , a bik takin therapy chi khat cognitive behavioral therapy (CBT) tih a ni. CBT hian mi chu a ngaihtuahnain a thiltih a nghawng dan a hriatthiam theih nan a pui thin.

Enkawlna dang: 1.1.

• Dialectical Behavioral Therapy (DBT) : Hei hian mi pakhat chu a nihna pawm leh inthlak danglamna pawm inkara inthlauhna a hmuh theih nan a pui thin.
• Family Therapy : Hei hian chhungkaw member inkara inlaichinna a titha thei a ni. Hemi hun chhung hian i chhungkuaa mi zawng zawng pawh Separation Anxiety Disorder chungchang hriattir an ni bawk.

Damdawi chi hrang hrang

Thusawi therapies hian a puih tawk loh chuan nang emaw i fa emaw hian damdawi i mamawh mai thei. I doctor chuan eng damdawi chi nge tha ber tih leh eng chen nge i ei tur tih chiang takin a hrilhfiah ang che.

Naupang hnena damdawi pek thin te

Doctor-te chuan naupang kum 6 leh a chunglam separation anxiety disorder tan Selective Serotonin Reuptake Inhibitors (SSRIs) an tih damdawi class an hmang \hin. Damdawi bik atana rawtna awmte chu:

• Fluoxetine (Prozac®) hmanga siam a ni.
• Sertraline (Sertraline - Zoloft®) tih a ni a, a man hi a to hle.
• A rilru a buai em em a, a rilru a hah em em bawk a.

Side effect awm thei chu mut theih lohna, luak chhuak, leh ei duhna inthlak danglamna te a ni. Naupangte SSRI hman chungchanga ngaihtuahna lian zawk pakhat chu mahni intihhlum tumna a sang chho zel hi a ni .

I fa doctor chuan mahni intihhlum tumna chhinchhiahna a awm leh awm loh ngun takin a en ang . I fate nen an in check in fo a ngai ang (follow-ups an ti a), thla hmasa berah kar khatah vawi khat, chutah thla leh atan kar hnih danah. In lama en tur pawh an hrilh ang che.

Pawimawh: Hetiang kalphung engtik lai pawhin, i fain damdawi a ei tan hma pawhin, i fa doctor hnenah zawhna emaw, i ngaihtuahna emaw i neih apiang sawipui hreh suh.

Puitling tan damdawi

I doctor chuan SSRI ang chi antidepressant emaw, benzodiazepines ang chi anti-anxiety damdawi emaw a pe thei ang.

I doctor chuan i ei tur damdawi bikte avanga side effect awm thei leh hlauhawm dan te a hrilh belh ang che. Entirnan, benzodiazepines hi addictive (habit-forming) a ni thei . SSRIs hian mahni intihhlum tumna emaw, nungchang emaw a tipung thei a , a bik takin i ei tan tirh khan.

Damdawi zawng zawng hian hlauhawmna leh hlawkna a nei vek a. Nang leh i doctor nen in thawhhona chuan i tan enkawlna tha ber i hmu thei ang.

Mahni intihhlum i ngaihtuah a nih chuan, emaw, i fain mahni intihhlum a ngaihtuah tih i ngaihtuah a nih chuan 1926 (Sri Lanka’s National Mental Health Helpline) ah call rawh. 24/7 in tanpui thei tur mi a awm.

Hetiang dinhmun hi engtin nge a awm ang? (Hmuh dan tur) .

Naupangte chu engtin nge an awm?

Naupang enkawlna dawngte—a bîk takin an ṭan hma chuan—an ti ṭha . Sikul an kal a, ṭhian an siam a, zawi zawiin mahni inrintawkna nei lehzual an zir a ni. Mi tam tak chuan puitlin thlengin heng symptoms hi an nei chhunzawm zel lo va, college kal emaw, nupui pasal neih emaw ang chi transition-ah pawh harsatna an nei lo. Naupang thenkhat chuan independence i hriat chu an tan a pawimawh zia hriatthiam nan leh nuam an tih theih nan tanpuina tlem tal an mamawh chauh a ni. Chu thlawpna hmang chuan khawvel hi i awm loh lai pawhin hun remchang tamna hmun angin an hmu thei a ni.

Mahse enkawl loh chuan separation anxiety disorder nei naupangte chuan sikul hnathawh kawngah harsatna an tawk thei a ni. Risk emaw, inthlâk danglamna emaw awm thei dinhmunte pawh an do thei a, chu chuan zir leh ṭhanlenna hun remchâng an neihte chu a tikhawtlai thei a ni. Tin, nakin lawkah rilru lam natna dang, panic disorder emaw agoraphobia emaw ang chi an neih theihna chance a sang zawk bawk.

Kum upa lam dinhmun chu engtin nge a awm?

I doctor chuan i dinhmun bik a i beisei tur chu a hrilh thei che a ni. Separation Anxiety Disorder hian mi zawng zawng hi a nghawng dan a inang lo deuh. Tin, miten enkawlna an dawn dan pawh a inang lo hle bawk. Therapy ringawt pawh hian i natna lan chhuah dan control nan a tawk mai thei a, damdawi i mamawh thei bawk a, hun eng emaw chen emaw, hun rei tak emaw pawh nise.

Kum tlemte hnuah, thla leh lamah pawh engtin nge i awm dawn tih sawi lawk a harsa khawp mai. Mahse i dinhmun enkawl turin i doctor nen thawhhona tha tak i neih chuan lungkhamna tihziaawmna leh i ngaihtuahna thunun theihna hun tha ber i nei ang.

I doctor-in enkawlna ruahmanna a pek che chu zawm la, follow-up appointment zawng zawngah tel vek rawh. I doctor chuan i damdawi te hnathawh dan leh side effect i neih leh neih loh a enfiah a ngai ang.

Separation Anxiety Disorder hi ven theih a ni em?

Separation anxiety disorder ven dan tur hriat a la ni lo .

Nu leh pa emaw, enkawltu emaw i nih angin i fate rilru hriselna pui tura i tih theih ṭha ber chu zalen taka inbiak hi a ni. An rilruah eng thil pawh sawipui thei che ang maiin inhriat tir rawh. Tin, an tan i awm tih leh an hmuh theih loh lai pawhin phone call khat chauhvin i awm tih hriattir bawk ang che. I fate tan sikul leh in pawn lama thil dang tihnaah awlsam zawka a insiamrem theih dan tur i naupang enkawltu doctor nen pawh i sawi thei bawk.

Engtikah nge doctor i hmuh ang?

Nangmah emaw i fa emaw hian separation anxiety disorder symptoms i neih chuan doctor pan rawh.

Doctor-in nangmah emaw, i fate emaw damdawi a pek chuan heng thilte hi i hriat chuan hriattir nghal rawh:

• Side effect thar emaw danglam zel emaw .
• Nungchang inthlak danglamna .
• Symptoms a lo tha lo emaw a na zual emaw chuan .

Hetah pawh hian mahni intihhlum i ngaihtuah a nih chuan, emaw, i fain mahni intihhlum a ngaihtuah tih i ngaihtuah a nih chuan 1926 (Sri Lanka’s National Mental Health Helpline) ah call la. 24/7 in tanpui thei tur mi a awm.

Hetiang dinhmun hi engtiang chiahin nge a awm? (A hluar dan) 1.1.

Separation Anxiety Disorder hi naupang kum 12 hnuai lam zingah lungkhamna nei tam ber a ni a, he kum lama naupang 100 zinga 4 velin a vei a ni.

Puitling zingah chuan separation anxiety disorder hian United States-a mipui 1% leh 2% inkar a nghawng a ni. Hei hi tlemte ang maia lang mah se, chu chu puitling 50 zinga pakhat velin he natna hi an nei tihna a ni. Ngaihtuah teh, restaurant mipui tamna hmunah i awm a nih chuan, chutah chuan mi pakhat emaw pahnih emaw tal chu separation anxiety disorder neia khawsa an nih theihna chance tha tak a awm.

I hmangaih mite ngaihtuah hi thil pangngai tak a ni a, a bik takin dinhmun thar an paltlang lai hian. I fa hian university a zir tan chauh pawh a ni mai thei a, rei vak lo an text lo che a nih chuan an dam tha em tih i ngaihtuah mai thei. Mahse chu lungkhamnate chu i rilru hnung lamah a lo lum reng a, a tawpah chuan a ngawi reng thin. Separation anxiety disorder nen chuan chutiang lungkhamna volume chu max thlenga tihsan ang mai a ni a, chu chu control tu button chuan hna a thawk lo niin a lang. I hmangaih tak chungchanga lungkhamna hian thil dang zawng zawng a tichhe vek a ni.

Separation anxiety disorder nei naupangte pawhin hetiang hi an tawng ve bawk. Chûng hlauhna leh lungkhamnate chuan lungkhamna nasa tak a thlen a, sikul hnathawhna lam ngaihtuah te, ṭhiante nêna infiamna te, hlim taka hun hman a harsat phah a ni.

A tawp berah chuan take-home message

Separation Anxiety Disorder hi kum engzat atanga tan pawh ni se, nunna atana hlauhawm tak a ni thei. Nangmah emaw i fa emaw hian separation anxiety disorder symptoms i neih chuan doctor nen inbiakna neih hreh suh. An natna hi hriatchhuah leh enkawl turin an inpeih reng a ni.

Hrereng:

• Hei hi i sualna leh i fa sualna a ni lo. Hei hi damdawi lam dinhmun enkawl theih a ni.
• Ṭanpuina dîl hi chak lohna chhinchhiahna a ni lo. Nangmah leh i fate i ngaihsak tih chhinchhiahna a ni.
• Enkawlna mumal tak a awm chuan nun chu a pangngaiin a lo kir leh thei a ni.
• Nangmah chauh i ni lo. Hetiang dinhmuna harsatna tawk mi tam tak an awm a, tanpui thei tur an awm bawk.

Chuvangin, huaisen la, a tul angin hma la rawh. Nang leh i chhungte chu hrisel leh hlim takin in awm thei!

` Separation Anxiety Disorder, Lungngaihna, Rilru Hriselna, Naupang Rilru Hriselna, Puitling Rilru Hriselna, Enkawlna