Kei te raru koe ki te whakahaere i ō kare ā-roto? Me kōrero tātou mō te DBT (Dialectical Behavior Therapy)!

E whakaaro ana koe i ētahi wā ahakoa ngā mea iti rawa ka tino pouri koe, ka riri, ka pōuri rānei? Kāore e taea e koe te whakahaere i aua kare ā-roto, ā, ka noho korekore koe? He tino uaua te noho me ēnei kare ā-roto kaha. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake tino angitu kua hangaia hei āwhina i te hunga pēnei. Ko te DBT te ingoa, arā, ko te Dialectical Behavior Therapy.

He aha te DBT?

He momo kōrero whakaora te DBT. E ahu mai ana i te CBT, kua rongo katoa tātou, arā, te Whakaora Whanoke Hinengaro . Heoi, he mea hanga motuhake te DBT hei āwhina i te hunga e pāngia ana e ngā kare ā-roto tino kaha me te kino.

Ki te kī māmā noa, ka āwhina te rongoā CBT i a tātou ki te mārama ki te pānga o ō tātou whakaaro ki ō tātou kare ā-roto me ō tātou whanonga. He nui ake te mahi a te DBT i tērā.

Ko te tikanga o te kupu "dialectical" ko te "whakakotahi i ngā whakaaro e rua e whakahē ana." Koinei te mea e tupu ana i roto i te whakaora DBT. Arā:

1. Te Whakaae: "Āe, koinei taku kare ā-roto i tēnei wā, kei a au tēnei raruraru, koinei te pono." Ka āwhina i a koe ki te whakaae ki tō āhuatanga.

2. I taua wā anō, me mahi ki te huringa pai (Huringa) : I muri i te whakaae ki te āhuatanga, ka āwhina mātou i a koe ki te wikitoria, ki te whakarerekē i ngā whanonga kino, me te whakapai ake i tō oranga.

I whakawhanakehia tēnei tikanga maimoatanga i te tekau tau atu i 1970 e tētahi tohunga hinengaro o Amerika ko Marsha Linehan tōna ingoa.

Ko wai ka āwhina i te rongoā DBT?

He tino whai hua te DBT hei rongoā mā te hunga e uaua ana ki te whakahaere me te whakahaere i ō rātou kare ā-roto. Kua whakaatuhia e ngā rangahau he nui te whakaoranga e puta mai ana, inā koa mā te hunga e whai ana i ēnei āhuatanga hauora hinengaro:

Ko te mea nui, kotahi te mea e rite ana i roto i ēnei āhuatanga katoa. Arā, ka whakamahia e rātou ngā huarahi hauora kore, kore hauora hei whakahaere i ō rātou kare ā-roto kino, kino hoki. Mā te whakaora DBT rātou e ako ki te whakahaere i ō rātou kare ā-roto i roto i te huarahi hauora, kaua ki te whakamahi i ngā huarahi kino kore.

Me pēhea te mahi a te rongoā DBT?

Ko te whāinga matua o te kaiwhakaora hinengaro DBT he waihanga i te taurite i waenga i te whakaae me te huringa i kōrerotia i mua ake nei. Ka āwhina te kaiwhakaora hinengaro i a koe ki te ako i ngā pūkenga hou hei whakahaere pai ake i ō kare ā-roto.

Ko te maimoatanga DBT e whā ngā wāhanga:

1. Aromatawai-mua mō te DBT

2. Te rongoā takitahi

3. Te whakangungu pūkenga i roto i ngā rōpū

4. Te whakangungu waea mō ngā āhuatanga ohorere

Kia tirohia takitahitia ia wāhanga.

1. Aromatawai-mua mō te DBT

I mua i tō tīmatanga o te maimoatanga, ka kōrero tō kaiwhakaora hinengaro ki a koe kia kite ai mēnā he pai tēnei maimoatanga māu. Ka pātai atu rātou ki a koe, ka whakamārama hoki i te mahi a te DBT. Mena kei te hiahia koe ki tēnei maimoatanga, ka tono atu rātou kia whakapau kaha koe ki tēnei maimoatanga mō tētahi wā kua whakaritea.

2. Whakaora Takitahi

I tēnei, ka tūtaki koe ki tō kaiwhakaora hinengaro kotahi i te wiki. E 40-60 meneti te roa o ia wā. He maha ngā whāinga matua o ēnei hui takitahi:

• Mena kei a koe ngā whakaaro whakamomori, ngā whanonga whara rānei i a koe anō, me āwhina koe ki te whakaiti i aua whakaaro me te pupuri i tō haumaru .
• Te whakawhāiti i ngā whanonga e whakararuraru ana i te maimoatanga.
• Hei āwhina i a koe ki te whakatutuki i ō whāinga oranga me te whakapai ake i te kounga o tō oranga.
• Te whakaako i a koe i ngā pūkenga hou ka taea e koe te whakamahi hei whakakapi i ō whanonga kino.

He maha ngā wā, ka tono atu tō kaiwhakaora hinengaro kia pupuri koe i tētahi pukapuka rātaka o ō kare ā-roto me ō mahi. Ka kiia tēnei he "kāri rātaka." He rite ki tētahi pukapuka rātaka iti e tuhia ai ō kare ā-roto me ō mahi mō te rā. Me kawe e koe tēnei ki ia wāhanga. Kātahi ka taea e kōrua ko tō kaiwhakaora hinengaro te whakatau he aha te mea nui hei kōrero mō taua rā.

3. Te Whakangungu Pūkenga i roto i ngā Rōpū

He rerekē tēnei. I roto i tēnei, ka ako te kaiwhakaora hinengaro i ngā pūkenga hou ki a koe me tētahi rōpū o ētahi atu tāngata. Engari ehara tēnei i te "whakaora rōpū". Arā, ehara i te wāhi e kōrero ai koe mō ō raruraru whaiaro ki te katoa. He rite ki te whakaako i roto i te akomanga, he wāhi e ako ai koe i ngā mea hou.

E whā ngā pūkenga matua e whakaakona ana i roto i te whakaora DBT. He tino whai hua ēnei i roto i tō oranga o ia rā.

4. Te Whakangungu Ārai Mate Waea

Ko tētahi atu āhuatanga nui tēnei o te DBT. Ko tōna tikanga ka taea e koe te waea atu ki tō kaiwhakaora hinengaro mō te āwhina i roto i tētahi āhuatanga ohorere, i waenganui i ō wā maimoatanga.

Hei tauira:

• Ki te mea ka puta whakarere mai te hiahia ki te whara i a koe anō.
• Ki te mea kei te raru koe i te whakamahi i tētahi pūkenga kua akohia e koe i roto i tō oranga o ia rā, rapua he tohutohu mō te aha e mahi ai i taua wā.

Heoi anō, ka whakatakoto te kaiwhakaora hinengaro i ngā here mārama mō te wā me ngā ture ka taea e koe te kōrero ki a rātou. He poto noa iho ēnei waea, ā, ehara i te mea hei whakakapi mō ngā wā takitahi, wā rōpū rānei.

Me pēhea te kimi i tētahi kaiwhakaora DBT pai?

He wā roa pea te kimi i tētahi kaiwhakaora pai, ā, he uaua hoki. Kaua e manukanuka. Ko te mea pai rawa atu māu ko te pātai atu ki tō tākuta whānau , e whakawhirinaki ana koe, mō tēnei mea. Māna koe e tuku atu ki tētahi e tika ana.

Hei tāpiri, ki te mea he kaiwhakaora hinengaro tāu e hiahia ana koe ki te mahi, he mea pai kia pātai atu koe ki a rātou i ētahi pātai pēnei i ēnei:

• "He aha tāu whakangungu i roto i te DBT?"
• "Kei te mahi koe i te maimoatanga DBT katoa? He putanga whakarerekētanga rānei?"
• "He mema koe nō tētahi rōpū tohutohu DBT?"
• "He aha tāu kaupapa here mō ngā waeatanga waea, īmēra rānei i ngā mutunga wiki?"
• "Kia pēhea te roa o te wā e tumanakohia ana e koe kia whakatapua e au ki tēnei tukanga maimoatanga katoa?"

He aha ngā painga me ngā wero o te rongoā DBT?

Kua whakaatuhia e ngā rangahau he tino āwhina te rongoā DBT mō te hunga whai BPD. Ko ngā painga ko:

• Te whakaiti i ngā whanonga whara i a koe anō me te riri.
• Te whakaiti i te maha o ngā rā e noho ana i te hōhipera.
• Te whakaiti i te whakamahinga o ngā raau taero me te waipiro.
• Te whakaiti i ngā tohu pouri.

Heoi, ehara te DBT i te mea mā te katoa, ā, ehara i te mea ngāwari.

Ka tino angitu te DBT māu mēnā kua rite koe mō ēnei mea:

• Ki te hiahia pono koe ki te hanga i tētahi huringa pai .
• Kia tino whakapau kaha koe ki te maimoatanga, kia rite hoki koe ki te mahi i ō mahi kāinga .
• Ki te mea kua rite koe ki te arotahi ki nāianei me te heke mai , kaua ki te noho tonu ki ngā wā o mua.
• Ki te taea, whai wāhi atu ki ngā wānanga ā-rōpū me ētahi atu.

Kia pēhea te roa o tēnei maimoatanga?

Ko te maimoatanga DBT e ono marama ki te tau te roa. Engari he rerekē te katoa. He uaua ngā take hauora hinengaro. Nō reira kaua e tumanako ka ngaro katoa ō raruraru i roto i te tau. Ko ngā āhuatanga pēnei i te BPD, inā koa, ka roa pea te wā e rongoatia ai.

Kaua e manukanuka ki te wā. Ko te mea nui ko te rapu āwhina. Ahakoa he iti noa te whakapainga, he whakapainga nui.

Me aha i roto i tētahi āhuatanga ohorere?

He mea tino nui kia haere tonu koe ki ō wā maimoatanga.

Mena he āhuatanga ohorere tāu, pērā i te whakaaro whakamomori, kōrero ki tō kaiwhakaora hinengaro mēnā ka taea e koe.

Ki te kore e taea e koe te whakapā atu ki tō kaiwhakaora hinengaro, kaua e mataku. Waea atu ki te NIMH Mental Health Helpline i te 1926 tonu. Kei te wātea rātou mō ngā hāora 24 o te rā hei āwhina i a koe. Mēnā rānei, haere ki te Tari Ohotata (ETU) o te hōhipera tata ki a koe.

He tino whai hua te maimoatanga DBT mō te hunga e raru ana ki ngā kare ā-roto kino, kino hoki. He uaua, he roa hoki te kimi i tētahi kaiwhakaora hinengaro e tika ana mōu. Engari kaua e mutu. Ko te wawe o te tīmatanga o te maimoatanga me te whakapau kaha ki te rongoā, ko te wawe hoki o te tīmatanga o te oranga pai ake.