Kodi nthawi zina zimakuvutani kulamulira malingaliro anu? Kodi mumamva chisoni kwambiri ndi zinthu zazing'ono kwambiri, kapena mumamva ngati mukuyamba kukwiya kuposa momwe mukuganizira? Kukhala ndi malingaliro amphamvu chonchi sikophweka. Koma pali nkhani yabwino. Pali chithandizo chapadera chomwe chingathandize pamavuto awa. Lero tikambirana za izi. Chimatchedwa DBT, kapena Dialectical Behavior Therapy.
Mwachidule, kodi DBT ndi chiyani?
DBT, kapena Dialectical Behavior Therapy, ndi mtundu wa psychotherapy womwe umaperekedwa kudzera mukulankhula. Kwenikweni umachokera ku chithandizo china chodziwika bwino, Cognitive Behavioral Therapy (CBT) , ndipo wapangidwira makamaka anthu omwe amamva chisoni kwambiri.
Mawu akuti "Dialectical" m'mawu awa amatanthauza "kusonkhanitsa pamodzi malingaliro awiri otsutsana." Tangoganizirani, njira iyi yochiritsira imakuthandizani, kumbali imodzi, kuvomereza chowonadi cha moyo wanu ndi machitidwe anu momwe alili (kutsimikizira/kuvomereza). Ndipo, kumbali ina, imakuthandizani kusintha makhalidwe omwe akukubweretserani mavuto ndikuwongolera moyo wanu (kusintha). Kusunga bwino pakati pa malingaliro awiriwa a kuvomereza ndi kusintha ndiye mfundo yaikulu ya DBT.
Njira yochiritsira iyi idapangidwa m'zaka za m'ma 1970 ndi katswiri wa zamaganizo waku America dzina lake Marsha Linehan.
Kodi chithandizo cha DBT chimathandiza kwambiri ndani?
Aliyense amene ali ndi vuto lolamulira ndi kulamulira malingaliro awo angapindule kwambiri ndi DBT. Kafukufuku wasonyeza kuti njira yochiritsira imeneyi ndi yothandiza kwambiri pamavuto osiyanasiyana amisala.
- Matenda a Borderline Personality (BPD)
- Makhalidwe odzivulaza
- Maganizo kapena zoyesayesa zodzipha (Khalidwe lodzipha)
- Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD)
- Matenda ogwiritsira ntchito mankhwala osokoneza bongo
- Matenda okhudzana ndi kudya, makamaka kudya mopitirira muyeso komanso bulimia
- Kuvutika maganizo
- Nkhawa
Chofunika kwambiri ndichakuti kulimbitsa zinthu zonsezi kulephereka ndipo kuyesetsa kosayenera kulamulira malingaliro oipa komanso amphamvu. DBT imakuphunzitsani njira zabwino komanso zathanzi zothetsera mavuto, m'malo mongoyambitsa mavutowo.
Kodi chithandizo cha DBT chimagwira ntchito bwanji?
Mu chithandizo cha DBT, cholinga chachikulu cha katswiri wanu wa matenda amisala ndikupanga mgwirizano pakati pa kuvomerezani inu ndi mavuto anu momwe alili (kutsimikizira) ndikukulimbikitsani kuti musinthe (kusintha) bwino. Njira yochiritsira iyi nthawi zambiri imakhala ndi magawo anayi akuluakulu.
1. Kuwunika DBT Pasadakhale: Musanayambe kulandira chithandizo, katswiri wa zamaganizo adzakulankhulani kuti aone ngati DBT ikukuyenererani. Akafotokoza zonse, ndipo ngati mukuvomereza, adzakufunsani kuti mupereke chithandizochi kwa nthawi inayake.
2. Chithandizo cha munthu payekha: Mu izi, mudzakumana ndi katswiri wanu wa zamaganizo kamodzi pa sabata kwa mphindi pafupifupi 40-60 nokha. Mungapemphedwenso kuti mulembe buku la momwe mukumvera komanso makhalidwe anu. Izi zikuthandizani nonse kuzindikira mavuto omwe mukukumana nawo.
3. Kuphunzitsa luso m'magulu: Uku si kuchiritsa m'magulu. Monga momwe zilili m'kalasi, katswiri wa zamaganizo amaphunzitsa luso lofunika kwambiri kwa gulu. M'malo molankhula za mavuto anu, cholinga chachikulu apa ndi kuphunzira luso limeneli.
4. Kuphunzitsa anthu pa nthawi yamavuto pafoni: Iyi ndi gawo lofunika kwambiri. Ngati mwakumana ndi maganizo ovutitsa mwadzidzidzi, monga kudzivulaza, panthawi ya chithandizo, mutha kuyimbira katswiri wanu wa zamaganizo ndikupeza thandizo mwachangu. Komabe, pali nthawi ndi zoletsa zomwe zakhazikitsidwa pa izi.
Maluso anayi akuluakulu ophunzitsidwa mu DBT
Chithandizo cha DBT chimayang'ana kwambiri pa maluso anayi ofunikira omwe amakuthandizani kuyendetsa bwino moyo wanu watsiku ndi tsiku. Awa ndi maziko a chithandizochi.
| Luso | Mwachidule... (Tanthauzo lake) |
|---|---|
| Kusamala | Kukhalapo mokwanira ndikudziwa zomwe zikuchitika pakadali pano, popanda kudandaula ndi zakale kapena kuopa zamtsogolo. Kuchita zinthu motsatira maganizo ndi malingaliro anu popanda kuweruza. |
| Kulekerera Mavuto | Kuphunzira kumvetsetsa ndikuwongolera malingaliro anu munthawi zovuta, zopweteka, kapena zopsinjika popanda kugwiritsa ntchito machitidwe oipa kuli ngati kuphunzira momwe mungathanirane ndi mkwiyo wadzidzidzi. |
| Kuchita Bwino Pakati pa Anthu | Kuphunzira kulankhula momveka bwino zomwe mukufuna ndi zomwe simukufuna (malire) m'njira yodzilemekeza nokha komanso ena. Izi zikuphatikizapo kutha kunena kuti "Sindingathe" pamene mukufunikira kutero. |
| Kulamulira Maganizo | Kudziwa bwino momwe mukumvera, kuwamvetsa, komanso kukhala ndi luso lowongolera. Kuphunzira kulamulira malingaliro m'malo mokhala kapolo wawo. |
Kodi ndingapeze bwanji munthu woyenera kulandira chithandizo cha DBT?
Izi zitha kukhala zovuta pang'ono, koma musataye mtima. Njira yabwino yochitira izi ku Sri Lanka ndikufunsa dokotala wa banja lanu kapena dokotala amene mumamudalira za izi, kenako ndikutumizani kwa dokotala wa zamaganizo kapena katswiri wa zamaganizo.
Onetsetsani kuti katswiri wa zamaganizo amene mukumuwona ndi wovomerezeka ndi boma komanso wovomerezeka ndi boma . Onaninso ngati ali ndi luso lochiza matenda anu (monga BPD, matenda osadya bwino).
Kodi chithandizo cha DBT chimatenga nthawi yayitali bwanji?
Chithandizo cha DBT nthawi zambiri chimatenga miyezi 6 mpaka chaka chimodzi . Koma kumbukirani kuti aliyense ndi wosiyana, ndipo mavuto amisala ndi ovuta. Nthawi zina, makamaka pa matenda monga BPD, chithandizo chingatenge zaka zingapo.
Chofunika si nthawi yomwe chithandizocho chimatenga, koma kuti mwapempha thandizo ndipo mwayamba ulendo. Kusintha kulikonse pang'ono ndi kupambana kwakukulu.
Ndiyenera kupita kwa dokotala liti?
Musaphonye nthawi iliyonse yolandira chithandizo. Ndikofunikira kwambiri kupezekapo pa nthawi iliyonse.
Ngati mwadzidzidzi mwakumana ndi kuvutika maganizo kwambiri, monga kuganiza zodzipha , lankhulani ndi katswiri wanu wa matenda ngati n'kotheka. Ngati simungathe kulankhula naye, musakhale nokha. Lankhulani ndi munthu amene mumamudalira nthawi yomweyo, kapena pitani ku Dipatimenti Yothandiza Anthu Odwala Matenda Adzidzidzi (ETU) ya chipatala chapafupi.
DBT ndi mankhwala othandiza kwambiri kwa anthu omwe akuvutika ndi malingaliro amphamvu. Zingatenge khama kuti mupeze katswiri wothandiza omwe ali oyenera kwa inu, koma ndizofunika. Mukayamba chithandizo mwachangu ndikudzipereka ku chithandizocho, mumayamba kukhala ndi moyo wabwino mwachangu.
Uthenga Wopita Nawo Kunyumba
- DBT ndi njira yapadera ya psychotherapy yomwe imathandiza kuthetsa malingaliro amphamvu.
- Izi zikuphatikizapo kulinganiza mbali ziwiri za "kuvomereza" mkhalidwe wanu ndi "kusintha" kuti ukhale wabwino.
- Maluso anayi othandiza angaphunzire kudzera mu izi, monga Kusamala ndi Kulekerera Mavuto.
- Kudzipereka ndi kuleza mtima ndizofunikira kwambiri pa chithandizo cha DBT. Zingatenge nthawi kuti muwone zotsatira zake.
- Ngati muli ndi vuto ngati ili, musavutike nokha. Lankhulani ndi dokotala wodalirika ndipo mutumizidwe kwa katswiri wodziwa bwino ntchito.
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