Ngaba nawe uneengxaki zempilo yengqondo kunye nokusebenzisa iziyobisi? Masifunde ngeDual Diagnosis!

Ngaba ngamanye amaxesha uziva ngathi ngokungazi uguqukele etywaleni okanye kwezinye iziyobisi ukuze unciphise uxinzelelo lwakho kunye nokuxhalaba? Okanye uvakalelwa kukuba eminye yemikhwa yakho ichaphazela impilo yakho yengqondo? Ezi meko zixhaphakile phakathi kwethu. Namhlanje, siza kuthetha ngendlela yokubona ezi ngxaki zimbini zidibeneyo kunye nento onokuyenza ngazo.

Yintoni iDual Diagnosis? Masiyiqonde ngokulula!

Ngamafutshane, ukuxilongwa kabini kuthetha ukuba unemeko yempilo yengqondo (efana nokudakumba okanye ixhala) kunye nengxaki yokusebenzisa iziyobisi ngaxeshanye. Oku ngamanye amaxesha kuthiwa yingxaki eyenzeka kunye . Into ebalulekileyo kukuba ukuxilongwa kabini akusiyo imeko entsha, yindibaniselwano yeemeko ezimbini ezikhoyo.

Khawucinge nje, umntu unengxaki yokuxhalaba kakhulu. Engakwazi ukumelana nayo, uqala ukusebenzisa utywala ukuze afumane isiqabu. Ekuhambeni kwexesha, uba likhoboka lotywala. Emva koko uba neengxaki zokuxhalaba kunye nokusetyenziswa kotywala. Yiloo nto siyibiza ngokuba yingxaki yokuxilonga kabini.

Okwenzekayo apha kukuba imeko enye inefuthe kwenye. Kufana nomjikelo ombi. Iingxaki zempilo yengqondo ezinganyangwanga zinokwenza kube mandundu ukusetyenziswa kweziyobisi, kwaye njengoko ukusetyenziswa kweziyobisi kusanda, iingxaki zempilo yengqondo nazo zinokwanda.

Ixhaphake kangakanani le meko (Dual Diagnosis)?

Le meko ixhaphake kakhulu kuluntu kunokuba unokucinga. Uphando lufumanise ukuba malunga nama-50% abantu abanengxaki yokusebenzisa iziyobisi nabo baneengxaki zempilo yengqondo ngaxa lithile ebomini babo. Ngokufanayo, ama-50% abantu abanengxaki yokusebenzisa iziyobisi nabo baneengxaki zokusebenzisa iziyobisi. Cinga nje, ngo-2020 kuphela, abantu abadala abayi-17 yezigidi eMelika babeneengxaki zempilo yengqondo kunye neengxaki zokusebenzisa iziyobisi. Le meko inokubonwa ngokubanzi okanye kancinci eSri Lanka.

Zithini iimpawu ze-(Dual Diagnosis)?

Oku kuyinkimbinkimbi kancinci, kuba iimpawu zakho ezinxulumene nengxaki yakho yokusebenzisa iziyobisi zahlukile kwiimpawu zakho ezinxulumene nengxaki yakho yempilo yengqondo. Ngoko ke, iimpawu ozibonisayo xa uxilongwa kabini zixhomekeke kuhlobo lwento oyisebenzisayo kunye nemeko yempilo yengqondo onayo. Kunokubakho indibaniselwano eyahlukeneyo, ngoko ke iimpawu zinokuhluka kakhulu.

Ezinye zeempawu eziqhelekileyo zengxaki yokusebenzisa iziyobisi:

• Ukuzama ukuhlala kude nosapho nabahlobo.
• Kwinto ethileUbunzima bokugxila.
• Ukubonisa utshintsho olukhulu ngequbuliso kwindlela yokuziphatha .
• Ukuzibandakanya rhoqo kwimisebenzi enobungozi (umz., ukuqhuba unxilile).
• Ukuba nomonde omkhulu kwiziyobisi (oko kuthetha ukuba ubungakanani obusele ngaphambili abusabonakali kwanele) kunye/okanye ukuba neempawu zokurhoxa xa ungaseli.
• Ukuziva ngathi iziyobisi zibalulekile ebomini nasekusebenzeni.

Ezinye zeempawu eziqhelekileyo zesifo sengqondo:

• Utshintsho olukhulu lweemvakalelo.
• Ndiziva ndididekile kakhulu .
• Ubunzima bokugxila .
• Ukungakwazi ukwenza imisebenzi ngokufanelekileyo emsebenzini okanye esikolweni.
• Ukuphepha ukunxibelelana nabanye abantu .
• Iingcinga zokuzibulala .

Kubalulekile: Ukuba wena okanye umntu omaziyo unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha.

Ngowuphi kwezi meko zimbini oza kuqala?

Oku kufana nombuzo othi "Nguwuphi ofike kuqala, yinkukhu okanye liqanda?" Kunzima ukutsho ngqo ukuba zeziphi kwezi meko zimbini ezifike kuqala . (Ukuxilongwa kabini) Nokuba enye ikhona kunye, akuthethi ukuba enye ibangele enye.

Nangona kunjalo, nangona iingxaki zokusebenzisa iziyobisi zingabangeli ngqo iingxaki zempilo yengqondo (kwaye ngokuchaseneyo), kukho unxibelelwano olucacileyo phakathi kwezi zimbini. Utywala neziyobisi zinokwenza iimpawu zempilo yengqondo zibe mandundu. Kwaye, ukuqhubeka nokusebenzisa ezi zinto kunokunyusa umngcipheko wokufumana isifo sengqondo.

Zithini izizathu zeDual Diagnosis?

Abaphandi banikezela ngeengcamango ezahlukeneyo malunga nokuba kutheni ukusetyenziswa kweziyobisi neengxaki zempilo yengqondo zisenzeka kunye.

Izinto ezinobungozi ezifanayo ezixhaphakileyo

Kukho izinto ezithile ezinokubangela ukugula ngengqondo kunye nokusetyenziswa kweziyobisi.

• I-genetics: Njengesifo sengqondo, ukusetyenziswa gwenxa kweziyobisi kunokwenzeka kwiintsapho. Oku kuthetha ukuba ukuba umntu kusapho lwakho ukhe waba nale meko, usemngciphekweni omkhulu kancinci. Uphando lubonisa ukuba kukho ii-genes ezininzi ezinegalelo kuzo zombini ezi meko.
• Izinto ezisingqongileyo: Ezinye izinto ezikwindawo esikuyo, ezinje ngoxinzelelo kunye nokulimala (ezinje ngokulimala kwasebuntwaneni okanye ukuxhatshazwa), zinokubangela zombini ezi meko. Ngamanye amaxesha, la mava abuhlungu anokuba nefuthe kuzo zonke izizukulwana.

Ukusetyenziswa gwenxa kweziyobisi ngenxa yokugula ngengqondo

Ukuba unesifo sengqondo, unokulingeka ukuba "uzinyange." Oku kuthetha ukuba usebenzisa utywala okanye iziyobisi ukuze unciphise iimvakalelo zakho zentlungu, ixhala, okanye ukudakumba okwethutyana. Nangona ezi zinto zinokunciphisa iimpawu zakho okwethutyana, zinokwenza zibe mandundu ekuhambeni kwexesha . Kwakhona, ezinye izifo zengqondo zinokutshintsha ukusebenza "kweziko lemivuzo" yengqondo yakho. Oku kunokunyusa umngcipheko wakho wokuba likhoboka leziyobisi.

Isifo sengqondo esibangelwa kukusetyenziswa kweziyobisi

Xa usebenzisa utywala, iziyobisi, nezinye izinto ezibangela umlutha, zinokuchaphazela ulwakhiwo kunye nokusebenza kwengqondo yakho . Olu tshintsho lunokunyusa umngcipheko wokuba nesifo sengqondo. Umzekelo, ezinye iziyobisi zinokubangela i-paranoia okanye ukukhohlisa, okanye ukubona izinto ezingekhoyo okanye ukukhohlisa.

Indlela yokuqaphela (Ukuxilongwa kabini)?

Njengoko besitshilo ngaphambili, ukuxilongwa kabini akusiyonto intsha, yindibaniselwano yokuxilongwa kabini. Iimpawu zezi meko zombini zinokufana kwaye ziyafana, ukwenza ukuxilongwa ngokuchanekileyo ngamanye amaxesha kunokuba ngumceli mngeni, nokuba ngugqirha.

Nangona kunjalo, ugqirha wakho uza kusebenzisa izixhobo ezikhethekileyo zokuvavanya ukukuvavanya zombini ezi meko. Kubalulekile ukuba uthembeke kangangoko xa uthetha nogqirha wakho ngeli xesha. Ngokusekelwe kwiimpendulo zakho, baya kukwazi ukumisela ukuba zeziphi iimeko zempilo onokuba nazo kunye nonyango olulungele wena.

Ziziphi iindlela zonyango zeDual Diagnosis?

Xa unyanga isifo esiphindwe kabini, eyona ndlela isebenzayo kunyango lwengxaki yakho yengqondo kunye nengxaki yokusebenzisa iziyobisi ngaxeshanye . Wena nogqirha wakho kufuneka niqonde indlela ezi meko zimbini ezichaphazela ngayo enye kwenye. Kulapho ke kuphela apho unokukhetha khona isicwangciso sonyango esisebenzayo.

Ukuze uphile ngokupheleleyo emva kokuxilongwa kabini, kufuneka uyeke ngokupheleleyo ukusebenzisa iyeza olikhoboka lalo . Kubantu abaninzi, oku kuqala ngenkqubo ebizwa ngokuba yi -detoxification . Kwi-detoxification yokuhlala, ababoneleli bezempilo bakujonga iiyure ezingama-24 ngosuku kangangeveki. Bakunceda ukuba uzikhuphe kancinci kancinci kwiyeza kwaye bakunike amaqhinga okunciphisa iziphumo ebezingalindelekanga zokungasebenzisi iyeza.

Ngokuxhomekeke kwimeko yakho, unyango lweDual Diagnosis lungabandakanya unyango lokuziphatha , amayeza , amaqela enkxaso, okanyeUnyango olusesigulweni lungabandakanywa.

Unyango Lokuziphatha

Kukho iindlela ezahlukeneyo zonyango zokuguqula indlela yokuziphatha eziye zabonisa impumelelo ekunyangeni ezi meko zihambisanayo:

• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): (CBT) luhlobo lonyango olukufundisa ukuchonga, ukujongana, kunye nokutshintsha iindlela ezingasebenzi kakuhle kwindlela ocinga ngayo. Oku kunokukunceda ufunde iindlela ezintsha zokujongana neengxaki.
• Unyango Lokuziphatha Oludibanisayo (i-DBT): I-DBT yindlela yonyango ekuncedayo ukunciphisa iindlela zokuziphatha ezikwenzakalisayo, ingakumbi ukusebenzisa iziyobisi, ukuzisika, kunye neengcinga okanye izenzo zokuzibulala. Inokukunceda ufunde ukulawula iimvakalelo zakho kwaye ube nolwalamano olungcono nabanye.

Amayeza

Ugqirha wakho unokukunika amayeza kwesinye sezimo zakho okanye zombini. Amanye amayeza anokunceda ekunyangeni iimpawu zezi meko zombini xa kuchongwa kabini. Umzekelo, iyeza le-bupropion livunyiwe yi-FDA ukunyanga ukudakumba (njengeWellbutrin®) kunye nokuxhomekeka kwi-nicotine (njengeZyban®).

Amaqela eNkxaso

Amaqela enkxaso yindawo entle yokufumana inkxaso yeemvakalelo nentlalo oyifunayo ukuze uhlale usela utywala. Abantu abakula maqela ngabantu abaye bakwimeko efanayo nawe. Oontanga banokwabelana ngamava abo nawe baze baphendule imibuzo yakho. Banokukunika neengcebiso malunga nendlela yokujongana nemingeni yobomi bemihla ngemihla. I-Alcoholics Anonymous (AA) kunye ne-Narcotics Anonymous (NA) ngamaqela enkxaso aziwayo.

Unyango lwesigulane ngaphakathi

Ukuba unengxaki enkulu yokusebenzisa iziyobisi kwaye unesifo sengqondo, ungazuza kakhulu xa ufumana unyango lokuhlala kwiziko lonyango lokuxilongwa kabini . Apho, unokufumana iinkonzo zonyango nezengqondo, amayeza, unyango, kunye nenkxaso oyifunayo konke endaweni enye.

Ungayinciphisa njani ingozi (yokuxilonga kabini)?

Njengezifo zengqondo, iingxaki zokusebenzisa iziyobisi gwenxa nazo zizifo zengqondo . Nangona zingenakuthintelwa ngokupheleleyo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho:

• Qaphela imbali yosapho lwakho . Oko kukuthi, fumana ukuba kukho umntu kusapho lwakho okhe waba nezi zifo zengqondo okanye iingxaki zokusebenzisa iziyobisi.
• Ukuba usela utywala, nciphisa ubungakanani .
• Ukuba unengxaki okanye unengxaki yengqondo, thetha nogqirha wakho ngayo.Ukuba ifunyenwe kwangethuba, kulula ukuyinyanga.

Yintoni onokuyilindela ukuba unesifo esiphindwe kabini?

Ngonyango olufanelekileyo, unethuba elingcono kakhulu lokuchacha emva kokuxilongwa kabini . Ungawuphucula umgangatho wobomi bakho kwaye ulindele iziphumo ezilungileyo. Nangona kunjalo, ukuze uhlale uphilile, kufuneka uqhubeke usebenza noogqirha bakho kunye/okanye amaqela enkxaso . Ungaze woyike ukucela uncedo.

Unokunceda njani umntu omthandayo ngokuxilongwa kabini?

Ukunceda umntu onesifo esihambisana naso kunokuba nzima kakhulu . Umntu omthandayo usenokuphika ukuba unengxaki kwaye usenokungafuni ukufuna unyango. Nokuba baqala unyango, uhambo oluya ekuchacheni lunokuba lude.

Qonda into onokuyenza nongenakuyenza. Awunakunyanzela umntu omthandayo ukuba ayeke iziyobisi, asele amayeza, okanye aye kwingcebiso.

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Kodwa, ungazenzela izigqibo ezilungileyo . Ungamkhuthaza umntu omthandayo ukuba afumane uncedo, ungamnika uthando lwakho olungenamda kunye nenkxaso. Mphulaphule, zama ukumqonda.

Ukuba unesifo esiphindwe kabini, ungaziva ngathi "ukwicala elingalunganga lendlela." Ungaziva ngathi nawe uyakwenza oko. Nangona kunjalo, kubalulekile ukukhumbula ukuba ukugula ngengqondo kunye nokusetyenziswa gwenxa kweziyobisi ziimeko eziqatshelwayo ngugqirha . Ukuba nje "azibonakali" akuthethi ukuba azikho zokwenyani. Musa ukoyika ukubona ugqirha wakho ucele uncedo. Thembeka kwaye uvuleke kubo, kwaye baya kukwazi ukukunceda ufumane unyango olufunayo. Ukucela uncedo linyathelo lokuqala kuhambo oluya ekuchacheni.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

• Ukuxilongwa kabini yimeko yokuba nengxaki yempilo yengqondo kunye nengxaki yokusebenzisa iziyobisi ngaxeshanye . Oku kuqheleke kakhulu kunokuba unokucinga.
• Ezi meko zimbini zinokuchaphazela enye kwenye kwaye zisebenze njengomjikelo onzima .
• Oku kunokubangelwa zizizathu zemfuza, izinto ezichaphazela imeko-bume, ukusetyenziswa kweziyobisi ukunciphisa uxinzelelo, kunye nemiphumo yeziyobisi engqondweni.
• Kubaluleke kakhulu ukuqonda iimpawu kunye nokufuna iingcebiso zonyango .
• Iindlela zonyango ziquka unyango lokuguqula indlela yokuziphatha, amayeza, amaqela enkxaso, kunye nonyango lwasekhaya . Indibaniselwano yazo zombini iyasebenza kakhulu.
• Ngonyango olufanelekileyo kunye nenkxaso, ukuxilongwa kabini kunokukhokelela ekuchacheni ngokupheleleyo. Musa ukoyika ukucela uncedo, lelo lelona nyathelo libalulekileyo.

"Ukuxilongwa kabini, impilo yengqondo, ukusetyenziswa gwenxa kweziyobisi, umlutha, isifo sengqondo, unyango, isifo esihambisanayo