I chhungte emaw, i thiante emaw zingah hian rintlak taka hlim leh thahnemngai tak, darkar 24 chhung hnathawk, ngaihtuahna lian tak tak sawi thin, mahse ni dangah chuan an lungngai em em a, khum atanga tho pawh an tho thei lo va, engmah ngaihven lo an awm tih i hmu tawh em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? Chutiang nungchang inhnialna kan hmuh hian, "Engvangin nge hetiang hian a awm?" Hei hi rilru lam hriselna lama harsatna bipolar disorder an tih chhinchhiahna a ni thei . Chuti a nih chuan hetiang hunah hian tute nge tanpuina kan dil ang? Eng ang doctor nge kan pan ang? Hei hi mi tam takin zawhna an neih a ni. Vawiin hian kan sawi dawn nia.
Mi pawimawh: Psychiatrist
Bipolar disorder enkawlna atana kan tawn thin medical specialist pawimawh leh bulpui ber chu psychiatrist a ni.
Psychiatrist hi rilru lam hriselna khawvela engineer angin han ngaihtuah teh. General medical degree (MD) nei tawh a ni a, chutah chuan kum tam tak chhung rilru lam natna leh rilru lam hriselna lama specialized training nei tawh a ni. Chumi avang chuan kan thluak hnathawh dan te, an chemical inthlak danglamna te, leh an tana tha ber damdawi te chu an hrethiam thuk hle a ni.
Bipolar disorder enkawlnaah hian damdawi hian hmun pawimawh tak a chang a ni. Psychiatrist chauh hi mood-stabilizing damdawi chi hrang hrang pek tur hriat theihna tur te, a dose siam tur te, leh damdawi ei tur side effects te tehna leh enkawl tur te hian a thiam ber a ni.
Chumi awmzia chu, rilru lam doctor chuan Bipolar Disorder dik taka hriatchhuah theihna tur leh a damdawi mamawh tur a pek theihna tur thiltihtheihna leh hriatna famkim a nei tihna a ni.
Kan chhungkaw doctor (Primary Care Doctor) chanvo .
A tam zawkah chuan khawsik emaw, pum na emaw kan neih pawhin kan chhungkaw doctor (General Practitioner/Family Doctor) hnenah kan tlan phei thin. Mi tam tak chuan rilru lam harsatna an neih chuan an kal hmasa thin. Chu chu a pawi lo khawp mai.
General practitioner chuan medical school-ah rilru lam hriselna lama zirtirna bulpui a dawng a, chuvangin lungngaihna emaw lungkhamna emaw ang chi natna tlanglawn tak takte chu an hmuchhuak thei a, enkawlna bulpui an tan thei a ni.
Mahse Bipolar Disorder hi chu ai chuan a buaithlak zawk. A châng chuan damlo chu a rilru a hah a, a lungngaih laiin doctor hnenah a kal ṭhin. Doctor chuan, "Hei hi depression pangngai mai a ni," tiin a ngaihtuah mai thei. Mahse, doctor tawnhriat ngah tak chuan damlo chu zawhna a zawh a, chutiang manic emaw hypomanic episode emaw a hriat chuan hei hi Bipolar Disorder a ni thei tih a ringhlel mai thei.
Chutiang a nih chuan, a tha ber chu general practitioner-in damlo chu specialist psychiatrist hnenah enkawl belh turin a refer hi a ni. Hei hi thil tih dan tur dik ber a ni.
Heng pahnih hi eng nge an danglamna? Psychiatrist vs Psychologist te an ni
Hei hi mi tam tak buaina hmun a ni. " Psychiatrist ? Psychologist? Eng ber nge kan pan ang?" I ngaihtuah mai thei. An pahnih hian rilru hriselna kawngah pui mah se, an chanvo a inang lo. He danglamna hi table awlsam tak hmangin i hrethiam ang u.
| Specialty a ni | Rilru lam doctor | Psychologist a ni |
|---|---|---|
| Basic qualification nei tur a ni | Damdawi thiam, medical degree (MD) nei leh rilru lam natna lama specialized training nei a ni. | Psychology lama advanced degree nei tawh (PhD, PsyD). Doctor an ni lo. |
| Damdawi pek dan tur | Awle. Natna an hmuchhuak thei a, damdawi an pe thei bawk. | No. Dan anga damdawi pek phal a ni lo. |
| Enkawl dan tlangpui | Damdawi enkawl dan hi a pawimawh ber a ni. | Talk therapy (Psychotherapy / Talk Therapy) leh rilru lam testing neihpui. |
| Engvangin nge kan inhmuhkhawm ang? | Bipolar Disorder ang chi natna dik tak hriatchhuah a, damdawi hmanga enkawlna dawng tur. | Natna nena nunpui tur, i rilru put hmang enkawl dan tur leh rilru chakna siam tura puitu tur counselling leh therapy. |
Thusawi hmanga enkawlna (Psychotherapy) pawimawhzia .
Damdawi chauh hmanga bipolar disorder hi enkawl kim a harsa hle. Damdawi hmanga ramngaw kal tlanga kawngpui tihfai ang maiin han ngaihtuah teh. Mahse chu kawngpuiah chuan motor khalh dan dik tak i zir a ngai a ni. Chu chu `Psychotherapy` tih awmzia chu a ni.
Psychologist emaw counselor thiam tak emaw nena inbiakna hmang hian i rilru natna hriatthiam dan i zir thei a, stress i enkawl thei a, symptoms te chu a lo lang leh hmaa i hriat theih (relapse prevention), chhungkua leh khawtlang nena in inzawmna pawh i tichak thei bawk.
A awlsam zawngin, rilru lam doctor chuan i thluak a enkawl a , rilru lam doctor erawh chuan i rilru leh nungchang a enkawl thung. An pahnih hian an thawh dun chuan a rah chhuah chu a hlawhtling hle.
Enkawlna tha ber chu teamwork atanga lo chhuak a ni.
Bipolar disorder enkawlna tur ruahmanna tha ber chu mi pakhat chauhin a tih tur a ni lo. Team thawhrimna a ni.
1. Psychiatrist: Team hruaitu ang bawkin damdawi leh damdawi lam enkawlna ruahmanna zawng zawng a pe ang.
2. Psychologist /Counselor: `Psychotherapy` hmangin rilru lama chak zawk turin a pui thin.
3. Chhungkaw Doctor: Damlo taksa hriselna lama harsatna dang (e.g. zunthlum, thisen sang) a awm leh awm loh a enfiah thin, a chhan chu rilru hriselna leh taksa hriselna a hran theih loh avangin.
4. Damlo leh chhungte: He team-a mi pawimawh ber i ni.I natna lan chhuah dan te, i damdawi ei avanga inthlak danglamna i hriat te, a hun taka i damdawi ei te, leh therapy session-a tel te hi i doctor nen rinawm taka inbiakna neih a pawimawh hle. I chhungte thlawpna leh hriatthiamna pawh hi he zinkawngah hian chakna ropui tak a ni.
Chuvangin, bipolar disorder i nei tih i hriat chuan hlauthawng suh. A tha ber chu specialist team dik tak hmuh a, enkawlna dik tak neih hi a ni.
Take-Home Thuchah a ni
- Bipolar Disorder hi natna khirh tak a ni a, specialist medical treatment a ngai a ni.
- Psychiatrist hi damdawi pe tur leh enkawl dan tur kaihruaitu tha ber a ni. Doctor a ni a, rilru lam hriselna lama specialised training nei a ni.
- Psychologist chu doctor a ni lo va, damdawi pawh an pe lo. An hna ber chu talk therapy hmanga damlo rilru lam puihna pek hi a ni.
- Nangmah emaw, i hriat emaw chuan Bipolar Disorder symptoms a neih chuan i chhungkaw doctor rawn hmasa phawt ang che . Specialist dik takah a refer ang che.
- Team approach, psychiatrist, psychologist leh family doctor te telna hi result tha ber tur chuan a pawimawh hle. Ṭanpuina dil chu hlau ngai suh.
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