Me ako tātou mō te OCD: Me pēhea te whakakore i ngā whakaaro pukuriri me ngā mahi kāore e taea te aukati?

Kei te kite koe i a koe anō e mahi ana i te mea kotahi i roto i tō oranga o ia rā, kei te awangawanga rānei koe e taua whakaaro kotahi? Whakaarohia, tirohia te tatau i mua i te wehenga atu i te whare kia tino raka, momotu i te rino, momotu i te rorohiko , whakaweto i te oumu hau, horoi pinepine rānei i ō ringaringa, ka pā mai ēnei momo mea ki a tātou i ētahi wā. He tirotiro noa ēnei me ngā mahi ārai. Engari ki te kore e taea te whakahaere i ēnei mea, ka hoha, ka taumaha hoki i te roanga o te rā, ka whakararuraru i tō mahi o ia rā? Kātahi pea he mate kino e kiia nei ko te OCD (Obsessive-Compulsive Disorder), e pā ana ki tō oranga. Kia titiro tātou he aha tēnei, he aha i puta ai, me pēhea te whakakore atu.

He aha te OCD (Obsessive-Compulsive Disorder)? Ngā whakaaro āwangawanga me ngā mahi kāore e taea te aukati!

He mate hinengaro te OCD. I roto i ngā kupu māmā, ka puta he whakaaro kore e taea te whakahaere, he whakaaro urutomo (e kiia nei ko ngā obsessions ) ka tino manukanuka koe. Kātahi ka rongo koe i te hiahia ki te mahi i ētahi mea (e kiia nei ko ngā compulsions ) hei whakaiti i te manukanuka , nā te mea rānei kei pā mai tētahi mea kino ki a koe.

Ngā āwangawanga (ngā whakaaro āwangawanga, whakararuraru):

He whakaaro, he whakaahua, he ruarua rānei ēnei e puta ake ana ki tō hinengaro me te kore ōu whakaae, e puta pinepine mai ana, e whakararuraru ana i a koe, e meinga ai koe kia mataku nui, kia manukanuka rānei. Ahakoa kāore koe e hiahia ki ēnei whakaaro, kāore e taea e koe te whakakore atu, ā, e whakararuraru ana i a koe.

Ētahi tauira:

• Whakaarohia, ina puta mai a Nimali , e rite ana ia ki ngā wāhi katoa.Ngā iroriki , ka pāngia rātou e te mate. Kāore e taea e ia te aro atu ki taua whakaaro, ka nui tōna manukanuka, ka whakaaro, "Ka pāngia ahau e te mate, ka pāngia hoki tōku whānau e te mate."
• Ki te ruarua a Sameera mēnā i whakawetohia e ia te oumu hau, i raka rānei i te tatau, i kati rānei i te matapihi i mua i tana wehenga atu i te whare, kāore e taea e ia te tango i taua ruarua i roto i tōna hinengaro. Kei te haere tonu mai ngā whakaaro mataku pēnei i te, 'Ki te kore au e mahi tika, ka mura te whare, ka tae mai ngā tahae, ka whakangaromia ngā mea katoa nāku te he'.
• E hiahia ana a Kasuni kia tika te rārangi o ngā pukapuka, ngā pene, me ngā kōnae i runga i tana tēpu, kia rite te raupapa, kia ōrite te āhua . Mēnā ka neke haere, ka whakarerekē rānei tetahi i te raupapa, ka tino pōuri ia, ka whakaaro, 'Kua pōrearea katoa, kei te tupu tetahi mea kino inaianei, kāore e taea e au te whakahaere i tēnei.'
• I ētahi wā ka whakaaro a Ravi ka whara ia i tētahi e arohaina ana e ia, ka kōrero/ka mahi rānei ia i tētahi mea hē, i tētahi mea kāore i te tika, i tētahi mea rānei ka whara i tētahi tangata kāore e taea te whakahaere. Ina puta ake ēnei whakaaro ki a ia, ka tino whakama ia, ka mataku, ka kino hoki ki a ia anō.
• E whakapono ana a Chamari he 'pōuri' ētahi tau (hei tauira, te 13) me ngā tae (hei tauira, te mangu). Mēnā ka kite rātou i taua tau, me te mea rānei me mau kākahu o taua tae, ka nui te mataku me te manukanuka kei pā mai tētahi mea kino ki a rātou, ki tō rātou whānau rānei i taua rā.

Ngā Āheinga (Ngā tikanga – ngā mahi e hiahia ana koe ki te mahi, ā, e kore e taea te whakamutu):

Koinei ngā mahi, ngā kawa hinengaro rānei e mahia ana e koe hei whakaiti i te manukanuka i puta mai i aua whakaaro pōuri , i aua mataku, hei ārai rānei i ngā mea kino e whakaaro ana koe kei te tupu, ahakoa i ētahi wā ka whakaaro koe kāore e tika ana, engari e hiahia ana koe kia mahia.

Ētahi tauira:

• E wehi ana a Nimali i ngā huakita, ā, ka horoi ia i ōna ringa kia tekau mā rima ngā wā i te rā hei whakaiti i taua manukanuka , i ētahi wā mō ētahi meneti, kia maroke rā anō ōna ringa. Ki te kore ia e mahi i tēnā, kāore ia e rongo i te whakamarie. Ina hoki mai ia i waho, ka horoi anō hoki ia i tōna tinana, ā, ka horoia e ia ngā kākahu katoa i kakahuria e ia.
• Ko Sameera , e whakapae ana mō te oumu hau me te tatau, ka wehe atu i te whare ka eke ki te pahi, me te whakaaro, "I whakawetohia e au te oumu?" I tana taenga ki te kāinga, ka tirohia e ia te oumu, ngā tatau, me ngā matapihi. I ētahi wā ka tomuri ia ki te mahi, ki tētahi haerenga nui rānei nā tēnei.
• Kāore a Kasuni e tuku i tana tēpu kia paru. Ka whakarite ia i ngā pukapuka mā te teitei, mā te tae, mā te ahunga reta. Ka roa pea tēnei mahi. Kāore ia e hiahia ki te mahi i tētahi atu mea kia "tika" rā anō.
• Ina puta aua whakaaro kino ki a Ravi , ka whakahua ia i roto i tōna hinengaro, "Kaua e pena, he tangata pai ahau" tata ki te kotahi rau ngā wā ( karakia hinengaro ). Mēnā rānei, ka mahi ia i tētahi mea pai hei tikanga māna (hei tauira, te whakahua i te whiti Itipiso) i ētahi wā hei "whakakore" i taua whakaaro.
• Ki te kite koe i te tau pōuri, ka raru koe., me te whakaaro ki te 'whakakore', ka kīia e ia i roto i tōna hinengaro te tau e whakaaro ana ia ko tana tau waimarie e whitu ngā wā, ki te kore ka tuwhera ngā rori me taua tau, ahakoa te tawhiti.

I roto i te OCD, ka honoa ēnei whakaaro ( ngā āwangawanga ) me ngā mahi ( ngā akiaki ) ki roto i tētahi huringa ahotea e nui ai te pēhanga ki te hinengaro. He rerekē rawa tēnei i te tirotiro , te whakapaipai rānei i ngā mea noa. Nā te mea he nui te whakararuraru a te OCD i te oranga o ia rā, i te mahi, me ngā whanaungatanga o te tangata, ā, ko te nuinga o te rā e pau ana ki te aro ki ēnei mea.

Ko te rongo pai, ka taea e ngā maimoatanga pēnei i te Cognitive Behavioral Therapy ( CBT ) te āwhina ki te wawahi i tēnei huringa. Tērā pea me whakamahi rongoā ētahi tāngata.

Ki te mea kei te whakaaro koe kei a koe ēnei tohu, ā, ki te mea kei te whakararuraruhia tō koiora e ngā whakaaro whakararuraru, kāore e taea te whakahaere, me ngā hiahia e puta mai ana ki te mahi i ngā mea, ko te mea tuatahi me mahi e koe ko te kōrero ki tētahi matua, ki tētahi pakeke rānei e whakawhirinaki ana koe, ki tētahi tākuta , ki tētahi kaiwhakatakoto whakaaro hauora hinengaro rānei, kia kitea ai te take.

Ngā momo noa o ngā āwangawanga

Ehara i te mea ko ngā āwangawanga anake ngā whakaaro, engari he whakaaro e whakararuraru ana, e whakaohooho ana i te manukanuka , ā, he uaua ki te whakahaere. Mā te OCD ka puta tonu mai ēnei whakaaro ki te hinengaro. Ka pā pea ki ngā mea katoa, engari ko ngā āwangawanga tino noa ko:

• Te wehi nui rawa atu ki ngā iroriki , ki ngā mate, ki ngā whara i a ia anō, i ētahi atu rānei, me ngā aituā.
• Ngā whakaaro auau mō ngā mea e kiia ana he kino, he morare, he hē, he hara rānei mai i te tirohanga whakapono, matatika rānei.
• Te nui rawa o te āwangawanga mō te āhua o ngā mea katoa, mehemea rānei he ōrite, he tika , he raupapa rānei, he " tika " rānei.
• Te whakaaro he kino, he pōuri rānei ētahi tae, ētahi tau rānei, te whakapono rānei he tikanga pūrākau motuhake ō rātou.
• He mataku kāore e taea te whakahaere kei tupu tētahi mea kino e whakaaro ana koe ka tupu (hei tauira, ka pāngia tētahi e tētahi aituā).

Ngā momo noa o ngā akiakinga

Ko ngā akiaki he whanonga, he kawa hinengaro rānei e whakaarohia ana e te tangata whai OCD me mahi e rātou, e puta ai te hiahia nui ki te mahi i aua mea. Ka taea ēnei te mahi tūturu, te mahi hinengaro rānei.

Ētahi tauira:

• Te horoi anō i ngā mea (ringa, tinana, kākahu), te horoi.
• Te muku i ngā mea kua tuhia e koe, te tuhi anō, te tīmata anō mai i te tīmatanga.
• Te whakahua anō i ngā kupu, i ngā rerenga kōrero, i ngā pātai rānei i roto i te hinengaro, i te reo nui rānei.
• Te tirotiro tonu mēnā kua kati te tatau, kua tineia ngā rama, kua tineia te oumu hau, kua ma tetahi mea, ā, kua oti tika te mahi.
• Te pā atu, te patopato, te takahi rānei i tētahi mea i tētahi ara motuhake, i te maha rānei o ngā wā kua whakaritea.
• Te whakarite i ngā mea "kia tika" i roto i tētahi raupapatanga motuhake, te mahi i ngā mea katoa kia rite ki tētahi kawa motuhake.
• Te karo i ngā tau, ngā tae, ngā wāhi, me ngā tāngata e kiia ana he kore waimarie.

He aha te āhua o tēnei ki te tangata whai OCD?

He tokomaha te hunga whai OCD e mārama ana he koretake noa iho ēnei āwangawanga me ngā mahi e mahia ana e rātou. Engari nā te OCD, he nui te ruarua me te koretake o te whakaaro. He kaha te hiahia ki te mahi i te mahi. E whakaaro ana rātou ka puta he mea kino ki te kore rātou e mahi. Ahakoa i te tīmatanga ka paku marino te ngākau i a rātou e mahi ana i te mahi, ka piki haere ngā mahi, ka piki haere te wā me te kaha e pau ana ki aua mahi. Engari ka hoki mai anō aua whakaaro whakararuraru. Koinei te huringa ahotea o te OCD. Engari ko te aukati i te OCD kei puta, ka kino haere.

Tērā pea ka pāngia te tangata whai OCD e ēnei whakaaro me ngā mahi whakararuraru mō te neke atu i te kotahi hāora i te rā. Ka tirohia , ka waihanga, ka muku, ka tatau, ka tīmata anō, kia tae rā anō ki te wā e whakaaro ana rātou "kei te pai ngā mea katoa." Kāore rātou e hiahia ki te whakaaro ki ēnei mea, ki te mahi rānei i ēnei mahi. Engari nā te OCD ka tino uaua te wareware i ēnei whakaaro, me te kore e mahi i runga i aua whakaaro.

Ka pā pea te OCD ki te nuinga o ngā āhuatanga o ō rātou oranga. Ahakoa ngā mea māmā noa pēnei i te kakahu, te kai parakuihi, me te mahi i ngā mahi kura, ka taea tonu te whakararuraru.Ka raru pea te whakatau. Ka taea e te OCD te whakaaro mā tētahi whakatau ka ārai i tētahi mea kino kei puta, mā tētahi atu whakatau rānei ka puta he mea kino.

Tērā pea kāore te tangata whai OCD e mārama he aha rātou i whakaaro ai, i kare ā-roto ai, i mahi ai rānei pērā. Tērā pea ka ngana rātou ki te huna i ēnei wehi me ēnei mahi i ētahi atu. Tērā pea ka wehi rātou i ngā whakaaro o ētahi atu. Tērā pea ka whakaaro rātou kei te "porangi" rātou – engari kāore. Nā te OCD ēnei mea katoa i puta ai.

He aha te take e whanake ai te OCD? Te hononga i waenga i te roro me ngā ira.

Ngā ira me te awe tuku iho

Pērā i te maha o ngā āhuatanga hauora hinengaro, ko te OCD pea ka pāngia e ngā ira o te tangata. Koia te take e noho tahi ai te OCD i roto i ngā whānau. Ka pāngia e ngā ira ngā matū, te hanganga, me te mahi a ngā wāhanga rerekē o tō tātou roro . I roto i te OCD, ka "mau" ngā whakaaro kāore e hiahiatia ki roto i ō tātou hinengaro, ā, kāore e ngaro.

Ngā huringa o te mahi roro

Kua kitea e ngā rangahau he rerekē te mahi a ētahi wāhanga o te roro i roto i te hunga whai OCD. Hei tauira, ko te Orbitofrontal Cortex (OFC) , te kawenga mō te "whakatau i te tika me te hē," ko te Anterior Cingulate Cortex (ACC) , te kawenga mō te " tohu ina he tetahi mea," me te Striatum (ina koa ko te Caudate Nucleus ), te kawenga mō te "hanganga tikanga," e whakaarohia ana kei roto i te OCD. E whakaarohia ana ka hangaia e ēnei he "porowhita manukanuka".

Te pānga o ngā neurotransmitters

Ko te neurotransmitter serotonin te mea tino whai pānga ki te OCD. Tērā pea ka whai wāhi ngā panonitanga o ngā taumata serotonin ki te mate. Tērā pea ka whai wāhi atu hoki ngā neurotransmitter dopamine me te glutamate ki ngā "pōrearea" me ngā akiaki .

Ka whakapakari ake ngā tikanga i te OCD

Ina mahi tātou i tētahi mea, ina whiwhi tātou i tētahi utu mōna, ka taunga tō tātou roro ki te mahi tonu. I roto i te OCD, ina mahi tātou i te akiaki , ka whiwhi tātou i te whakamarie wā poto. Koinei te utu . Nō reira ka whakaaro te roro, "Āe, ka pai tēnei mēnā ka mahi tātou." Nō reira ka hihiri te roro ki te mahi i taua mahi, ka nui ake. Mā tēnei ka kaha ake te OCD.

Maimoatanga mō te OCD: He huarahi hei whakawātea i tō hinengaro!

Ko te rongoā matua, me te rongoā tino whai hua mō te OCD ko te Whakaora Whanoke Hinengaro (CBT). I ētahi wā, ka whakamahia anō hoki he rongoā hei tāpiri atu ki tēnei.

He aha ngā mea ka tupu i te CBT?

He tikanga maimoatanga te CBT e uru ana ki te kōrero ki tētahi kaiwhakaora hinengaro me te ako i ō whakaaro, ō kare ā-roto, me ō whanonga.

• He "tinihanga" te OCD o te roro, arā, ka meinga koe kia whakaaro ka pā mai tētahi mea kino ki te kore koe e mahi, ahakoa kāore he mea kino e pā mai.
• E whakamāramahia ana ko te mahi i aua mahi ( ngā akiaki ) ka kaha ake te OCD, ā, ko te taunga ki te kore e mahi i aua mahi ka ngoikore te OCD.
• Ahakoa kua akohia ēnei mea, ehara i te mea ngāwari te whakamutu i aua whanonga i te wā kotahi. Koia te take e whakaakona ai e te CBT ngā pūkenga pēnei i ēnei:
  • Ngā pūkenga whakatau me te whakamarie hei whakatau i te manukanuka ina puta.
  • Me pēhea te whakatau i ngā whakaaro apo/āwangawanga .
  • Me pēhea te tū atu ki ngā mataku me te haumaru (Te Ārai i te Whakaaturanga me te Urupare – ERP). He wāhanga motuhake te ERP o te CBT mō te OCD. I roto i tēnei, me te āwhina a te kaiwhakaora hinengaro , ka tū atu koe ki ngā āwangawanga e whakamataku ana i a koe, engari ka ako koe kia kaua e mahi i runga i aua āwangawanga ( ngā āwangawanga ).
  • Me pēhea te ātete i te hiahia nui ki te mahi i aua mea ( ngā akiaki ).

I roto i te whakaora hinengaro , ka whakaharatau koe i ēnei pūkenga . Mā te āta haere, ka aro atu koe ki ngā mea e wehi ana koe, takitahi, me te kore e mahi i runga i aua mea. I te tīmatanga, he tino uaua tēnei, ā, tera pea ka rite ki te piki haere o tō manukanuka . Engari mā te whakaharatau , ka māmā haere. Ka nui ake tō taunga ki te kore mahi i runga i aua mea, ka iti haere te heke o aua whakaaro whakararuraru. Ina whakaharatau koe i tēnei ara, ka taea hoki e te mahi a tō roro te huri hei pai ake.

He roa te wā e pau ana mō te whakaora . He rerekē i ia tangata, i ia tangata. Ko te nuinga o te tangata ka tūtaki ki tētahi kaiwhakaora hinengaro kotahi i te wiki mō ētahi marama, neke atu rānei. Ka ako te kaiwhakaora hinengaro i a koe, ka tautoko i a koe, ka whakatenatena i a koe. He maha ngā wā, ka kōrero hoki te kaiwhakaora hinengaro ki ngā mātua, ka hoatu tohutohu ki a rātou mō te āwhina i te kāinga.

Ki te whakaaro ahau he OCD tōku, me aha ahau?

Tuatahi, kōrerotia ō kare ā-roto ki tētahi mātua, ki tētahi atu pakeke rānei e whakawhirinaki ana koe. Ka taea e rātou te tuku i a koe ki tētahi tākuta , ki tētahi kaitohutohu hauora hinengaro rānei. He tino whakamarie te mōhio kei a koe te OCD, ā, kei reira he rongoā mōna.

Ki te kitea e koe he OCD tōu:

• Haere ki te rongoā hinengaro e ai ki ngā tohutohu. Akohia te OCD. Mā te nui o tō ako mō tēnei mea, ka māmā ake te mārama ki a koe.
• Whakaharatauhia ngā pūkenga ka akohia e koe i roto i te whakaora hinengaro . Mā te nui o tō whakaharatau , ka tere ake tō wikitoria i te OCD.
• Rapua he tautoko mai i te hunga e aroha ana ki a koe. Tonoa he āwhina mai i ō mātua ki te whakamahi i ngā mea kua akohia e koe i roto i te whakaora hinengaro .
• Kia manawanui ki a koe anō. He uaua, he ahotea hoki te whakatau i te OCD. He roa te wā me te mahi hei whakaora i te mate. Engari he tokomaha ngā tāngata, pērā i a koe, kua wikitoria i te OCD. Ka taea hoki e koe!
• Kimihia he wā mō ngā mea pai hoki. Whakangāwari , mahia ngā mea e arohaina ana e koe, noho tahi me te hunga e kata ai koe, e pai ai hoki tō wairua. Mā ēnei ka hoatu he kaha ki a koe ki te aro atu ki ngā wā uaua me te wikitoria i te OCD.

Kei hea e whiwhi āwhina ai i Sri Lanka

Kei ngā hōhipera kāwanatanga o Sri Lanka ngā whare hauora hinengaro. Ko NIMH (Angoda) te mea matua. Kei reira anō hoki ngā tākuta me ngā kaiwhakatakoto whakaaro i te rāngai tūmataiti. Kei reira ngā ratonga kua whakaaetia e te kāwanatanga pērā i te raina āwhina " 1926 " mō ngā āwhina ohorere (whakapā atu ki ngā umanga e tika ana mō ngā mōhiohio o nāianei - mai i tēnei rā, Mei 10, 2025, kei te whakahaerehia te ratonga 1926). Waihoki, ka taea te tiki āwhina i ētahi wā mai i ngā whakahaere kāwanatanga kore e mahi ana mō te hauora hinengaro.

He mea nui: I mua i te rapu āwhina i hea atu, tirohia ō rātou tohu me te mana pono.

Hei whakamutunga… te herekoretanga o te hinengaro!

He āhuatanga uaua pea te OCD, engari ehara i te mea kāore e taea te wikitoria. Mā te maimoatanga tika, te tautoko, me ō ake mahi, ka taea hoki e koe te noho i tētahi oranga noa, harikoa, me te kore o aua whakaaro pokanoa me ngā whanonga whakahaurangi.

Ki te kitea e koe he mea nui, he mea whai hua, he mea whai hua rānei tēnei mōhiohio ki ētahi atu, tēnā tohaina ki ētahi atu!

Kaua hoki e wareware ki te tohu i ō hoa tata e whakaaro ana koe me mōhio ki tēnei!