Mi hmaa inpawh leh thusawi pawh i hlau em? Chu chu (Social Anxiety Disorder / Social Phobia) a ni em? Hemi chungchang hi han sawi ila!

Mi thar i hmuh hunah te, mipui hmaa thu i sawi lai te, a nih loh leh mi pakhatin a en che hunah emaw, a châng chuan i hlauthawng a, i lungkham a, i rilru a hah em? I ngaihtuah em, “Thil dik lo ka ti dawn em ni?Midangin engtin nge min ngaih ang? Ka kalsan dawn em ni?” Hetiang hlauhna hi a chang chuan hriat hi thil pangngai a ni thei. Mahse he hlauhna hian i nitin nun a nghawng a nih chuan , hna pawimawh tak tak i thawh loh chuan, mualphona mai ni lovin a tam zawk mai thei. Vawiin hian hetiang dinhmun hi kan sawi a ni.

Social Anxiety Disorder tih hi eng nge ni?

A awlsam zawngin, `Social Anxiety Disorder` (hmanlai chuan `Social Phobia` tia hriat) hi rilru lam natna a ni a , midangte’n an rorelsak ang che, i rilru a na ang che, an en ang che tih hlauhna nasa tak, nghet tak i nei a ni Hei hi nervousness tenau mai a ni lo va, stress nasa tak thlentu thil a ni.

Hetiang hlauhna hi khawtlang dinhmun hrang hrangah i tawng mai thei. Entir nan:

• Mi thar kan hmuh hunah.
• Presentation i pek a ngaih hunah, office-ah emaw, class-ah emaw pawh nise.
• Phone call pawh a pawi lo, incoming call chhan pawh a pawi lo.
• Mipui inthiarna hmang rawh.
• Store emaw restaurant emaw ah kal la, tanpuina dil rawh.
• Mi pakhat nen ``Date`` kan neih hunah.
• Group hmaah zawhna chhang rawh.
• Midang hmaah chaw ei rawh.
• Hna interview tura kal hunah.

Heng zawng zawng bulpui ber chu "midangte'n min rorel ang a, min hnawl ang a, min ti mualpho ang" tih hlauhna nasa tak hi a ni.

He dinhmun hian tute nge a nghawng ber?

Social Anxiety Disorder hi tu pawh a nghawng thei a ni. Mahse, kum 20 an tlin hmain symptoms hi a intan fo thin a, mipa aiin hmeichhiaah hian a tam zawk deuh hlek a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi thil mak a ni lo. Khawvel pumah mi 100 zinga 5 atanga 10 inkar velin Social Anxiety Disorder an nei nia chhut a ni. Substance use disorder leh depression hnua rilru lam hriselna lama natna langsar ber pathumna a ni.

Khawtlang lungkhamna level hrang hrang a awm em?

Ni e, `Social Anxiety Disorder` level hrang hrang a awm. Mi thenkhat chu a na lo hle thei a, mahse mi thenkhat chu tlem a na zawkin a nghawng thei a, mi thenkhat chu nasa takin a nghawng thei bawk.

• Mild Social Anxiety : Heng mite hian a hmaa kan sawi tawh ang khan taksa leh rilru lam natna lanchhuahna an nei a.An hriat pawhin khawtlang dinhmunah an tel a, engtin emaw tak chuan an tuar chhuak thin. A châng chuan he hlauhna hi khawtlâng dinhmun chi khatah chauh an tawng thei bawk. Entîr nân, mi hmaa chaw ei chu an hlau mai thei a, mahse thil dang chu a pângngai takin an ti ṭhîn.
• Moderate Social Anxiety: Heng mite hian symptoms an nei bawk. Khawtlang dinhmun thenkhatah an tel a, thenkhat erawh chu an pumpelh thung. Entîr nân, office-a pâwl tê tête nên an inbia thei a, mahse inkhâwmpui lian takah thu sawi chu an hlau hle mai thei.
• Extreme Social Anxiety: Heng mite hian khawtlang dinhmunah hian symptom na tak tak, a chang chuan panic attack pawh an nei thei. Chumi avang chuan khawtlang dinhmunte chu a theih ang angin an pumpelh thin. Heng mite hian khawtlang inpawhna zawng zawngah te hian he hlauhna hi an nei fo thin.

Ngaihtuah teh, party-a tel tura sawmna i dawn chuan, party hma ni engemaw zatah lungkhamna i nei ṭan a, “Eng nge ka tih ang, tumahin min ngaihsak lo ang em?” Hei hi `Anticipatory Anxiety` an ti a. Hei hi ` Social Anxiety Disorder` -ah pawh a tel ve a ni.

Heng level te hi i dam chhung zawngin a danglam thei. Mahse, eng level-ah pawh he natna hi nei mah la, i nun hlimna leh hlawhtlinna a nghawng theih avangin damdawi lam thurawn leh enkawlna lak a pawimawh hle.

Social anxiety leh zakzum mai mai hi eng nge a danglamna?

Hei hi mi tam tak buaina hmun a ni. Mualphona hi a chang chuan kan hre vek a ni. Hmun thara kal leh mi hriat loh hmaa i hlauhthawn deuh hi thil pangngai a ni.

Mahse, `Social Anxiety Disorder` hi chu aia hla zawka kal a ni.

• Nitin nunah inrawlhna: `Social Anxiety Disorder` avanga hlauhna i neih hian i nitin hnathawhnaah a tibuai chhunzawm zel a. Entîr nân, dawrah thil lei tûra kal theih loh khawpin a nghawng thei che a, bus-ah chuan i chuang thei lo va, mi dangte nêna inbiakna neih mai mai theih loh khawpin a nghawng thei che a ni.
• Hlauhna nasa tak: `Social Anxiety Disorder`-a hlauhna hriat hi zakzum awlsam taka hlauhna hriat aiin a chak zawk a, thunun a harsa zawk bawk.
• Avoidance: He hlauhna hian tumruh takin khawtlang dinhmun tam tak a pumpelh tir thin.

A awlsam zawngin, a hun hunah zakzum taka inhriatna hian i zirna, hnathawh leh mimal inlaichinnaah nghawng lian tak a nei dawn lo. Mahse Social Anxiety Disorder hian heng zawng zawng hi a tichhe thei a ni.

Mi tam tak chuan hei hi an “mizia,” an mizia peng pakhat chauh niin an ngai a, chuvangin tanpuina an zawng lo. Mahse heng natna khirh tak takte hi i neih chhunzawm zel chuan doctor pan a pawimawh.

Hei hi eng chhan nge ni?

Researcher leh doctor-te chuan Social Anxiety Disorder awm chhan dik tak chu an la chhui chhuak mek a, mahse a hnuaia thilte hian hmun a chang thei niin an ngai a ni.

• Chhungkaw chanchin (`Genetics`): I chhungkuaa mi tu emaw chuan he natna hi a nei tawh a nih chuan nang pawhin i vei theihna a sang deuh hlek a ni. Mahse chu genetic link chu engtin nge a thawh tih erawh a la chiang lo.
• Brain function : Hei hi hlauhna leh lungkhamna thununtu kan thluak peng hrang hrangte hnathawh dan inthlak danglamna thenkhat nen a inzawm thei a ni.
• Environment factors leh experiences: Hei hi naupan laia nu leh pate thununna nasa lutuk avanga lo awm thei a ni. Nun chhunga thil thleng lungchhiatthlak tak takte pawh a awm thei bawk.

Khawtlang lungkhamna (social anxiety) chhinchhiahnate chu engte nge ni?

`Social Anxiety Disorder` vei chuan midang hmaa thil tih emaw, mipui tamna hmuna awm emaw a hmachhawn hian symptom, nungchang leh ngaihtuahna chi hrang hrang a nei thei a ni.

Taksa lama natna lan chhuah dan:

• Hmai a sen a, i thawmhnaw a chhuak nasa hle a, i kut leh ke a khur a, i heart rate pawh nasa takin a sang bawk.
• Pum natna leh rilru hahna hriat.
• Midang biak hian midang mitmenga en a har khawp mai.
• Ka taksa chu a nghet lo va, a nuam lo hle a, lungpuiin a rawn deng ang maiin ka hria.

Ngaihtuahna leh nungchang nena inzawm mizia: 1.1.

• Midang hmaa an awm lai hian mahni inngaihtuah lutuk (mahni inhriatthiamna an nei nasa hle).
• Ka zak a, ka mualpho a, ka tling tawk lo bawk.
• Ka rilru chu a blank a, sawi tur ka ngaihtuah thei lo.
• “Midangin min rel ang a, min hnawl ang a, ka âah min ngai ang” tih ang chi ngaihtuahna tha lo tak tak a lo thleng fo thin.
• Midang, a bik takin mi hriat lohte awmna hmuna kal a, anmahni biak hi ka hlauthawng a, ka hreh hle bawk.
• Mipui tamna hmun a theih ang tawkin pumpelh rawh.

Engtin nge he dinhmun hi kan hriat theih ang?

He natna hi doctor, psychologist, psychiatrist emaw, counselor thiam tak emaw chuan a hriat theih a ni. American Psychiatric Association-in a tihchhuah Diagnostic and Statistical Manual of Mental Disorders (DSM-5) aṭanga tehfung an hmang a ni.

Chutiang tehfung thenkhat chu:

• Midangin a tha lo zawngin an rel ang che emaw, an mualpho ang che emaw tih hlauhna avanga khawtlang dinhmun hlauhna nghet tak, nasa tak.
• Khawtlang dinhmun hlauhawm tak takte pumpelh emaw, hlauhna leh lungkhamna nasa tak nena hmachhawn emaw.
• Lungkhamna lo chhuak chu dinhmun nena inmil aiin a nasa zawk hle.
• He hlauhna leh lungkhamna hian i nitin nun (zirna, hnathawh, inlaichinna) a tibuai thin.
• He hlauhna leh lungkhamna hi taksa dinhmun dang, damdawi leh ruihhlo hman avanga lo awm a ni lo.

Doctor chuan i symptoms te, i medical history te, i damdawi ei te, leh medical condition dang i neih leh neih loh te a zawt ang che. A tlangpuiin thla 6 tal symptom awm tawh chu Social Anxiety Disorder anga ngaih a ni.

Hei hi hriat theihna tur test bik a awm em?

Hei hi thisen test bik leh scan bik a awm lo. Mahse, doctor leh psychologist-te chuan i thil tawn chu hriatthiamna thuk zawk an neih theih nan zawhna bik an hmang a ni. Chu zawhna i chhanna atang chuan `Social Anxiety Disorder` i vei leh neih loh chu an thutlukna siam thei a ni.

Hei hi enkawl dan tur a awm em?

A ni tak zet! `Social Anxiety Disorder` hi a enkawl theih em em a ni. Enkawlna kawng hrang hrang pahnih a awm a, chungte chu:

1. Thil hriatna hmanga thil tih dan (`Cognitive Behavioral Therapy – CBT`) .

2. Damdawi – a bik takin antidepressant leh a chang chuan beta-blockers te.

`(Cognitive Behavioral Therapy – CBT)` tih hi eng nge ni?

CBT hi psychological treatment method a ni a, trained psychologist emaw counselor emaw chuan i ngaihtuahna leh nungchang hrisel lo, \angkai lo tak takte thlak danglam turin a pui che a ni

Hei hi zan khata thil thleng a ni lo. Kar tam tak chhûng, thla tam tak chhûngin session engemaw zât i tel a ngai ang. I counselor chuan a bia che ang a, zawhna a zawt ang che a, i harsatnate chu kawng dangin a en theih nan a pui ang che. Hei hmang hian lungkhamna, lungkhamna, leh khawtlang nun harsa tak takte hmachhawn leh enkawl dan tha zawk i zir ang.

Khawtlang lungkhamna damdawi te chu engte nge ni?

Doctor ten `Social Anxiety Disorder` damdawi chi hrang hrang an pe thin.

• SSRIs (`Selective Serotonin Reuptake Inhibitors`): Hengte hi `Antidepressant` chi khat a ni. Hengte hi `Social Anxiety Disorder` damdawi pek hmasak ber a ni fo. Entirnan: `fluoxetine (Prozac®)`, `sertraline (Zoloft®)`, `paroxetine`, `citalopram`, `escitalopram` te hi a ni.
• SNRIs (`Serotonin-Norepinephrine Reuptake Inhibitors`): Hei hi `Antidepressant` chi khat a ni bawk. Entirnan: `venlafaxine`, `duloxetine (Cymbalta®)` tih te hi a ni.
• Benzodiazepines: Hengte hi lungkhamna tihziaawmna damdawi a ni. Mahse, hun rei lote chhung chauh pek an ni. Antidepressant hian hna a thawh tan hma emaw, emergency-a lungkhamna thunun nan emaw pek thin a ni. Hman chhunzawm zel atan an tha lo hle a, ruihhlo ngawlvei an nih theih avangin. Entirnan: lorazepam, alprazolam .
• Beta-blockers : Hetiang damdawi chi hi thisen sang tan chuan pek a ni tlangpui. Mahse, `Social Anxiety`-ah hian thinlung na chak tak leh kut khur ang chi symptoms a thlen thei bawk.Chungte chuan taksa lama natna lan chhuah dan control nan a pui thin. Entirnan: `propranolol`, `metoprolol` tih te hi a ni.

I tana damdawi leh dose dik tak zawn nan hun engemaw chen a ngai mai thei. Mahse a pawimawh ber chu enkawl tan hi a ni. Zawi zawiin i dam chho zel dawn tih hre reng ang che.

Damdawi hian side effect a nei em?

Ni e, damdawi dang ang bawkin heng damdawi te hian side effect engemaw zat a nei thei a ni. Damdawi i ei leh i taksain a chhan danah a innghat a ni. Damdawi eng pawh i ei tan hmain i doctor nen inbiakna neih hmasak a pawimawh hle.

Damdawi hian eng chen nge hna a thawh theih?

• Antidepressant (SSRI leh SNRI) te hian hna an thawh theih nan kar engemaw zat (4-6 vel pawh a ni mai thei) a ngai thei. Chuvangin, damdawi i ei tan tirh hian inthlak danglamna lian tak beisei nghal suh. Dawhthei taka awm a, doctor-in a tih angin damdawi ei chhunzawm zel a pawimawh.
• Anti-anxiety damdawi `Benzodiazepines` te hian hna a thawk rang hle. Mahse, a hmaa kan sawi tawh ang khan hun rei tak chhunga hman an ni lo.
• Beta-blockers hian taksa lama natna lan chhuahnaah nghawng a nei rang hle bawk.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

Sawi tawh ang khan a chhan dik tak chu chhui chian mek a ni. Mahse, a hnuaia mite hian Social Anxiety Disorder vei theihna a tipung tih hmuhchhuah a ni:

• Genetic: Chhungkaw zinga mi pakhatin hetiang dinhmun hi a neih chuan.
• Nu leh pa thiltih: Naupan laia nu leh pate’n nu leh pate an thunun lutuk emaw, an invasive lutuk emaw a nih chuan.
• Nun chhunga thil thleng stressful leh hlauhawm tak takte.

Hetiang dinhmun hi eng nge a thlir ang? `(Prognosis)`

Social Anxiety Disorder vei te hian enkawlna an dawng tha hle. Chumi awmzia chu CBT emaw, damdawi emaw, a pahnih emaw hmangin danglamna nasa tak an siam thei tihna a ni. Mi thenkhat chuan an dam chhung zawng damdawi tlemte ei a ngai mai thei. Mi dangte chuan hun rei lote chhung chauh damdawi emaw, counselling emaw an mamawh mai thei.

A pawimawh ber chu enkawl loh chuan a pawi thei tih hi a ni. He natna hi enkawl loh chuan i zirna, hnathawhna, mimal inlaichinna leh nunah hlimna kawngah nghawng lian tak a nei thei a ni. A châng chuan major depression emaw, zu insualna emaw a thlen thei bawk. Chuvangin, symptoms nei nia i inhriat chuan doctor thurawn la ngei ngei tur a ni.

Eng chen nge hetiang dinhmun hi ka neih ang?

Enkawl loh chuan mi pakhatin a dam chhung zawng Social Anxiety Disorder a nei thei a ni. Amaherawhchu, inenkawlna mumal tak dawngtute chuan nasa takin an natna lanchhuahna an tihziaawm thei a, an thunun thei bawk. An hlauhna nen nun dan an zir a, chuta tang chuan tlu lut lovin khawtlang an hmachhawn thin.

Khawtlang lungkhamna hi hneh theih a ni em?

`Social Anxiety Disorder` atanga inenkawlna tel lova dam kim chu a harsa hle. A chhan chu, damdawi lam dinhmun a nih vang a ni. Natna dang ang bawkin enkawl a ngai bawk. Sawi tawh ang khan `CBT` leh damdawi hian he natna hi a enkawl tha hle tih finfiah a ni.

Social anxiety ka neih chuan engtin nge ka tih ang?

`Social Anxiety Disorder` symptoms nei nia i inhriat chuan, i tih hmasak ber leh pawimawh ber chu Doctor hnena hrilh hi a ni. Tlem a nuam lo leh hlauhawm deuh pawh a ni thei a, mahse a pawimawh hle.

Doctor-in he natna hi a lo hriat tawh che a nih chuan, i natna lan chhuah dan tur leh dam taka awm theih nan hengte hi i ti thei ang:

• Mut tha la, nitin exercise la.
• Zu leh ruihhlo dang hman loh tur. Chûngte chu rei lo tê chhûnga hahdamna ang maia lang mah se, hun rei tak chhûng chu buaina chu a tizual thei a ni.
• Damdawi pek i nih chuan a hun takah leh a zat tur angin ei thin ang che. Dose hi skip suh.
• `CBT` ang chi counseling session i kal dawn a nih chuan, chu session-ah chuan thupek angin tel ve rawh.
• I chhungte leh i thiante, nangmah hrethiamtute hnen atangin tanpuina dil rawh. I rilru put hmang sawipui rawh.
• Social Anxiety Disorder nei midangte nena inhmuhkhawmna leh inbiakna neih theihna tur leh thil tawn insem theihna tur support group zawng rawh.
• Doctor hmu fo ang che.

Engtikah nge Doctor ka hmuh ang?

`Social Anxiety Disorder` symptom i neih nia i hriat chuan a rang thei ang bera doctor pan la, sawipui rawh. Enkawlna tan hi i dam theihna tur leh i nun a famkima i hman theihna tur kawng tha ber a ni.

Hetiang natna hi i vei tih hmuhchhuah a nih a, enkawl i nih chuan doctor pan fo ang che. I natna lan chhuah dan a zual zel nia i hriat chuan, emaw, i enkawl danin a thawk tha lo a nih chuan, i doctor hnenah hrilh nghal rawh. I damdawi ei kha titawp ngai suh, i doctor nen inbiakna nei lovin nangmah chauhin a dose thlak ngai suh.

Doctor hnenah eng nge ka zawh ang?

I rilru hriselna chungchang doctor nena inbiakna leh tanpuina dil chu a harsa deuh thei a, a nuam lo deuh thei bawk. Mahse, i rilru hriselna chu i taksa hriselna ang bawkin a pawimawh tih hre reng ang che. Chuvangin, i symptoms chungchang hi doctor nen sawipui hlau suh. Zawhna hrang hrang inzawt hi a \angkai thei ang:

• Therapist, psychologist, psychiatrist ka hmuh tur em ni?
• Chutiang mite chu an awm a nih chuan, mi ṭha, tawnhriat ngah tak tak i rawt thei ang em?
• `Social Anxiety Disorder` damdawi ka ei theih tur a awm em?
• Hetiang natna vei te tan hian support group i hria em?
• Hemi chungchang hrechiang tur hian lehkhabu ka chhiar theih a awm em?
• Hetiang dinhmun hi ka nei tih ka hriat hnuah eng nge ka tih leh ang?

Social anxiety disorder leh agoraphobia hi eng nge an danglamna?

Heng pahnih hi lungkhamna nena inzawm rilru lam dinhmun ni mah se, an pahnih inkarah hian danglamna a awm.

• `Social Anxiety Disorder` hi a hmaa kan sawi tawh ang khan khawtlang dinhmunah rorelsak, en reng leh mualpho hlauhna nasa tak a ni.
• `Agoraphobia` vei chuan hmun thenkhatah (e.g., mipui tamna hmun, queue, bus, movie theater) emaw, thil engemaw takah (e.g., in atanga mahni chauha chhuah) emaw chuan lungkhamna nasa tak, tanpui theih lohna leh hlauhna a nei thin. Chutiang hmuna thil dik lo a awm chuan (e.g., `panic attack` neih) , tlanchhuah a harsa ang a, tanpuina a awm lo ang tih an hlau ber a ni `agoraphobia` hi lungkhamna (anxiety disorder) a ni a, `panic attack` vawi khat emaw a aia tam emaw hnua lo awm thin a ni.

Social anxiety leh social phobia hi eng nge an danglamna?

A nihna takah chuan an pahnih hian danglamna a awm lo. `Social Anxiety Disorder` tih hming hlui chu `Social Phobia` tih a ni. Kum 1994 hma lam khan mi pakhatin `Social Phobia` a vei tih hmuhchhuah a nih chuan midang hmaa an zai lai (e.g., thusawi, hla sak) an hlauhthawn leh an lungkhamna a kawk ber a ni. Mahse, kum 1994 khan `Diagnostic and Statistical Manual of Mental Disorders (DSM)` chuan a hming chu `Social Anxiety Disorder` tiin a thlak a, he natna hriat theihna tur tehfung pawh a tizau a ni. Chutah chuan mi dangte hmaa zai hlauhna bâkah, rorêlsak leh en reng hlauhna pawh a tel a ni .

Engtin nge social anxiety nei mi i tanpui ang?

I ṭhian emaw, chhungte emaw Social Anxiety Disorder nei nia i hriat emaw, an hrilh che emaw a nih chuan, i ṭanpui theih dan kawng hrang hrang a awm a:

• Social Anxiety Disorder chungchang zir rawh: A thil tawn dik tak hriatthiam theih nan a dinhmun chu chhiar chhuak rawh. Engkim i hre vek ang tih ring suh.
• Lainatna leh hriatthiamna nen enkawl rawh: An rilru put hmang leh thil tawn te chu hmusit suh. "Eng nge chu chu, ka thinlunga hlauhna mai a ni," tih ang chi hi sawi suh. An thusawi ngaithla tur leh thlawp turin i awm tih hriattir rawh. A theih chuan an dinhmunah insiam tum ang che.
• Professional tanpuina leh enkawlna fuih rawh: I hriatthiamna leh i thlawpna hi a hlu hle. Mahse, Social Anxiety Disorder hi damdawi lam natna a ni. Chuvangin, heng mite hian an natna enkawl nan CBT emaw, damdawi emaw, a pahnih emaw an mamawh mai thei. Symptom an neih chuan zawi zawiin doctor biak turin fuih rawh.
• Dawhthei rawh: Mi pakhatin enkawlna a tan hnua a dam theih nan hun rei tak a la ngai thei. Hei hi zan khata damdawi a ni lo. Hei hi hun rei tak, thil buaithlak tak a nih thu leh an natna lan chhuah dan leh an nungchang te chu zawi zawiin a lo tha chho zel dawn tih hrethiam rawh.

He thuziak atanga take-home message hi

Chuvangin, `Social Anxiety Disorder` hi rilru lam natna a ni a, khawvel hmun hrang hrangah mi tam tak a nghawng a, mahse hriatthiam loh a ni fo. He thuziaka kan sawi tak symptoms i neih chuan emaw, i hriat miin he harsatna hi a nei a nih chuan nangmah chauh i ni lo tih hre reng ang che. Khawtlang lungkhamna tawn hi thil hlauhawm tak leh nunna atana hlauhawm tak a ni thei.

Mahse thu lawmawm tak chu hei hi enkawlna tha tak tak a awm a ni. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Chuvangin, i thil tawn chungchang hi doctor nena inbiakna neih chu hlau lo la, zak suh. Ṭanpuina leh enkawlna i dawn ṭan hma chuan i rilru a hahdam thuai ang a, i nun chu i hlim leh thei tawh ang.