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

He uaua ki a koe te whakahaere i ō kare ā-roto i ētahi wā? Kei te pouri rawa koe mō ngā mea iti rawa, kei te riri nui atu rānei koe i tō whakaaro? Ehara i te mea ngāwari te noho me ēnei kare ā-roto kaha. Engari he rongo pai tēnei. He maimoatanga motuhake hei āwhina i ēnei āhuatanga. I tēnei rā ka kōrero tātou mō tēnei. Ko te ingoa o tēnei ko te DBT, ko te Dialectical Behavior Therapy rānei.

He aha te DBT?

Ko te DBT, e kiia ana ko te Dialectical Behavior Therapy, he momo hinengaro e tukuna ana mā te kōrero. He mea hanga mai i tētahi atu maimoatanga rongonui, ko te Cognitive Behavioral Therapy (CBT) , ā, he mea hanga motuhake mō te hunga e pāngia ana e ngā kare ā-roto kaha.

Ko te kupu "Dialectical" i roto i tēnei ko te tikanga "te whakakotahi i ngā whakaaro e rua e whakahē ana." Whakaarohia, ka āwhina tēnei tikanga whakaora i a koe, i tētahi taha, ki te whakaae ki te pono o tō oranga me ō whanonga e rite ana ki tō rātou āhua (whakamana/whakaae). Ā, i tētahi atu taha, ka āwhina i a koe ki te whakarerekē i ngā whanonga e whakararuraru ana i a koe, me te whakapai ake i tō oranga (huringa). Ko te pupuri i te taurite i waenga i ēnei whakaaro e rua o te whakaae me te huringa te mauri o te DBT.

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 te mea tino āwhina i te rongoā DBT?

Ka taea e te hunga e raru ana ki te whakahaere me te whakahaere i ō rātou kare ā-roto te whai hua nui mai i te DBT. Kua whakaatuhia e ngā rangahau he tino whai hua tēnei tikanga maimoatanga mō te whānuitanga o ngā take hauora hinengaro.

• Mate Tūākiri Rohe (BPD)
• Ngā whanonga whara i a koe anō
• Ngā whakaaro, ngā ngana rānei ki te whakamomori (ngā whanonga whakamomori)
• Te Mate Auau i Muri i te Whara (PTSD)
• Te mate whakamahi matū
• Ngā mate kai, inā koa ko te kai nui me te bulimia
• Te pouri
• Manukanuka

Me pēhea te mahi a te rongoā DBT?

I roto i te maimoatanga DBT, ko te whāinga matua a tō kaiwhakaora hinengaro he waihanga i te taurite i waenga i te whakaae ki a koe me ō wero e pā ana ki a rātou (whakamana) me te whakatenatena i a koe ki te hanga huringa pai (huringa). E whā ngā wāhanga matua o tēnei tikanga maimoatanga.

1. Aromatawai i mua i te DBT: I mua i te tīmatanga o te maimoatanga, ka kōrero te kaiwhakaora hinengaro ki a koe kia kite mēnā he pai te DBT mōu. Whai muri i te whakamārama i ngā mea katoa, ā, ki te whakaae koe, 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 kotahi i te wiki mō te 40-60 meneti anake. Tērā pea ka tonoa koe kia pupuri i tētahi pukapuka tuhi o ō kare ā-roto me ō whanonga. Mā tēnei ka āwhina i a kōrua ki te tautuhi i ngā tauira raruraru.

3. Te whakangungu pūkenga i roto i ngā rōpū: Ehara tēnei i te whakaora rōpū. Pērā i roto i te akomanga, e whā ngā pūkenga nui e whakaakona ana e te kaiwhakaora hinengaro ki tētahi rōpū. Engari ko te ako i ēnei pūkenga te arotahi ki te kōrero mō ō raruraru.

4. Te whakangungu waea mō ngā āhuatanga ohorere: He wāhanga tino nui tēnei. Mēnā ka puta he whakaaro whakararuraru ohorere ki a koe, pērā i te whara i a koe anō, i te wā o te wā whakaora hinengaro, ka taea e koe te waea atu ki tō kaiwhakaora hinengaro me te tiki awhina tonu. Heoi anō, he wā me ngā here kua whakaritea mō tēnei.

Ngā pūkenga matua e whā e whakaakona ana i roto i te DBT

E arotahi ana te whakaora DBT ki ngā pūkenga matua e whā hei āwhina i a koe ki te whakahaere angitu i tō oranga o ia rā. Koinei ngā kaupapa matua o te whakaora.

Me pēhea te kimi i tētahi e tika ana mō te rongoā DBT?

He uaua pea tēnei, engari kaua e ngākau māhaki. Ko te huarahi pai ki te mahi i tēnei i Sri Lanka ko te pātai atu ki tō tākuta whānau , ki tētahi tākuta rānei e whakawhirinaki ana koe mō tēnei mea, kātahi ka tuku atu i a koe ki tētahi tohunga hinengaro, ki tētahi tohunga hinengaro rānei.

Me whakarite ko te kaiwhakaora hinengaro e toro atu ana koe he kaiwhakatakoto whakaaro hauora hinengaro kua whai tiwhikete ā-motu, kua raihana hoki . Tirohia hoki mēnā he wheako tōna ki te rongoā i tō mate (hei tauira, BPD, ngā mate kai).

Kia pēhea te roa o te maimoatanga DBT?

Ko te maimoatanga DBT e ono marama ki te tau te roa . Engari kia maumahara, he rerekē te katoa, ā, he uaua ngā take hauora hinengaro. I ētahi wā, inā koa mō ngā āhuatanga pēnei i te BPD, ka roa pea te maimoatanga mō ētahi tau.

Āhea ahau me kite i te tākuta?

Kaua e mahue tetahi o ō wā maimoatanga. He mea tino nui kia tae atu koe ki ia wā, ia wā rānei.

Ki te pāngia koe e te pouri nui, pērā i te whakaaro whakamomori , kōrero ki tō kaiwhakaora hinengaro mēnā ka taea. Ki te kore e taea e koe te whakapā atu ki a ia, kaua e noho ko koe anake. Kōrero tonu atu ki tētahi e whakawhirinaki ana koe, haere rānei ki te Tari Urupare (ETU) o te hōhipera tata.

He tino whai hua te DBT hei rongoā mā te hunga e raru ana i ngā kare ā-roto nui. Tērā pea ka nui te whakapau kaha ki te kimi i tētahi kaiwhakaora hinengaro e tika ana māu, engari he pai te hua. Ko te wawe o te tīmatanga o te rongoā me te whakapau kaha ki te rongoā, ko te wawe hoki o te tīmatanga o te oranga pai ake.