Ingabe nawe uzizwa sengathi awuyena wena? Ingabe indawo ibonakala ingacacile? Ake sixoxe nge-(Depersonalization-Derealization Disorder).

Wake wazizwa kanje? Kufana nokuthi ungaphandle komzimba wakho futhi ukubheka. Noma izinto ezikuzungezile azizizwa zingokoqobo, sengathi ziyiphupho. Lezi zenzakalo ziyamangaza kancane, mhlawumbe ziyesabisa, akunjalo? Namuhla sikhuluma ngesimo sengqondo esenzeka uma uba nalezi zenzakalo ngokuphindaphindiwe.

Uyini lo muzwa wokuzihlukanisa nomuntu kanye nendawo akuyo?

Kalula nje, kulesi simo esibizwa ngokuthi "Depersonalization-Derealization Disorder", ungase uzizwe uhlukene nawe (okubizwa ngokuthi "Depersonalization") futhi uhlukene nendawo okuyo (okubizwa ngokuthi "Derealization").

Cabanga ukuthi uya esitolo ukuyothenga okuthile. Kodwa uzizwa sengathi akuwena, kodwa omunye umuntu uhleli ngaphakathi emzimbeni wakho, esunduza inqola, ekhetha izimpahla, ezikhokhela. Kunjengokungathi ubukela eceleni. Mhlawumbe uma ubona isithombe sakho efasiteleni lesitolo, uzizwa uhlukanisiwe kangangokuthi awukwazi nokusibona. Yilokhu esikubiza ngokuthi ``(Depersonalization)`` noma uzizwa uhlukanisiwe nawe . Yilapho uzizwa sengathi imicabango yakho, imizwa, ngisho nomzimba wakho akusikho okwakho.

Ngakolunye uhlangothi `(Derealization)`. Okusho ukuthi, indawo okuyo, indawo okuyo, kuzwakala sengathi akuzona izinto zangempela kuwe . Kungazwakala sengathi ubheka umhlaba ngefasitela elinenkungu, noma sengathi ubuka ifilimu emnyama nemhlophe. Ngezinye izikhathi ukuma nobukhulu bezinto kungabonakala kushintsha. Ungazizwa sengathi ziyashintsha njengoba uzibuka. Cabanga ukuthi uma uhamba emgwaqweni, zonke izindlu nezihlahla kubukeka sengathi zenziwe ngekhadibhodi, njengamathoyizi. Leso yisimo esibizwa ngokuthi `(Derealization)`.

Umuntu one-Depersonalization-Derealization Disorder angase abhekane nakho kokubili lokhu okuhlangenwe nakho, noma okukodwa kuphela. Into ebalulekile ukuthi uqaphele ukuthi lezi zinto azikho ngempela . Awukaphambani. Kodwa ukwazi ukuthi lezi zenzakalo azikho ngempela futhi ukungakwazi ukuzibalekela kungabangela ukucindezeleka nokukhathazeka okukhulu.

Odokotela bahlukanisa lesi simo ngokuthi "i-Dissociative Disorder" esigabeni "se-DSM-V" sezifo zengqondo. Izimo ezifana "ne-Dissociative Identity Disorder" (okuyisimo lapho umuntu enobuntu obuningi) kanye ne-"Dissociative Amnesia" (okuyisimo lapho inkumbulo ilahleka khona) nazo zingaphansi kwalesi sigaba.

Sivame kangakanani lesi simo?

Eqinisweni, sonke sizizwa sengathi asikho kuleli zwe ngesinye isikhathi empilweni yethu. Kuyinto evamile. Kubizwa ngokuthi "ukungabi namuntu okwesikhashana". Kusho umuzwa wesikhashana . Kodwa lokho esikhuluma ngakho "ukungabi namuntu okwesikhashana-ukungabi namuntu okwesikhashana". Lokhu akusona isimo sesikhathi eside, noma isimo esifika sidlule . Lesi simo sivame ukuthinta oyedwa noma ababili kwabayikhulu (1%-2%). Kodwa sivame kakhulu phakathi kwentsha kanye nezingane ezithombile.Ungakubona lokhu kancane.

Ziyini izimpawu zalokhu?

Abantu abanalesi simo banenkinga yokuveza imizwa yabo ngamazwi. Abanye abantu banamagama abawashoyo, kodwa abanye bangase bangaqondi noma bacabange ukuthi abanandaba. Kodwa-ke, uphawu oluyinhloko lwe-Depersonalization-Derealization Disorder yilo muzwa wokuhlukana nokungaxhumani . Ungase ubhekane nezinto ezinjengalezi:

• Ukungabi ngumuntu ohlukile kuwukuzizwa sengathi uhlukene nemicabango yakho, imizwa yakho, nomzimba wakho.
• Ukungaqapheli kahle umuzwa wokuzihlukanisa nendawo okuzungezile kanye nendawo okuyo.
• Ukuzizwa njengerobhothi, noma abantu abakuzungezile bazizwa njengamarobhothi.
• Ukuzizwa ungazizwa kahle ngokomzwelo, sengathi ulahlekelwe yimizwa yonke.
• Kuzwakala sengathi uphuma emzimbeni wakho uzibuka.
• Kuzwakala sengathi uhlala ezweni lamaphupho.
• Imizwa efana nokudabuka nokukhathazeka.

Lezi zimpawu zingakubangela ukucindezeleka okukhulu nokukhathazeka. Ungase uqale ukuzibuza, 'Ingabe kukhona engikwenzile okungalungile?' Ungase ulingeke ukucabanga ngalezi zimpawu bese uzama ukuzilawula. Lokhu kungandisa ukukhathazeka nokwesaba kwakho, futhi kwenze izimpawu zakho zibe zimbi kakhulu .

Kungani lokhu kwenzeka? Yiziphi izizathu?

Odokotela abakayazi imbangela eqondile ye-Depersonalization-Derealization Disorder, kodwa ivame ukuhlotshaniswa nokucindezeleka noma isenzakalo esibuhlungu . Isibonelo:

• Ukuhlukunyezwa ngokomzimba.
• Udlame lwasekhaya (olubonwe noma olubonwe).
• Ukubhekana nezingozi noma izinhlekelele zemvelo.
• Izehlakalo eziyingozi ezisongela impilo.
• Ukufa okuzumayo komuntu omthandayo.
• Ukukhula nomzali ohlushwa isifo sengqondo esibi kakhulu.

Cabanga nje, abanye abantu babhekana nesenzakalo esibuhlungu ebuntwaneni babo. Abanye bakholelwa ukuthi lo muzwa wokuhlukana ungavela njengendlela yokuthi ingqondo ibalekele ukucindezeleka kwengqondo okungabekezeleleki okwenzeka ngaleso sikhathi, ukuze izivikele. Okusho ukuthi, ingqondo izama ukuhlala 'ihlukile' kulolo lwazi olubuhlungu.

Ubani osengozini enkulu yalesi simo?

Abanye abantu bangase babe sengozini enkulu yokuba nesifo sokuzihlukanisa, noma isimo sokuhlukana. Kunezici eziningana ezibangela lokhu:

• Ukungazi kahle imizwa yakho (okungukuthi, ukungakwazi ukuqonda kahle ukuthi uzizwa kanjani).
• Ukuba nezinye izinkinga zobuntu noma ezinye izimo zempilo yengqondo.
• Ukuba nezimo zomzimba ezifana nezinkinga zokuxhuzula.

Ukubona kanjani lokhu?

Uma unalezi zimpawu, ungumeluleki wezempilo yengqondo., okusho ukuthi kungcono ukubona udokotela wezifo zengqondo noma umeluleki. Uzokubuza imibuzo embalwa mayelana nezimpawu zakho. Bazobheka nezinye izimo zempilo yengqondo ezingase zibangele izimpawu zakho. Isibonelo:

• Ukucindezeleka
• Ukukhathazeka
• Isifo Sokucindezeleka Okungapheli (OCD)
• Isifo Sokucindezeleka Ngemva Kokuhlukumezeka (PTSD)
• Ukuphazamiseka Kobuntu

Uma ungenazo ezinye izimo zezokwelapha ezinjengalezi, uma lezi zimpawu zingaveli ngemva kokuyeka ukuthatha noma yimiphi imithi, futhi uma lezi zinto zingabangelwa ukusetshenziswa kwezidakamizwa noma utshwala, udokotela wakho angase akuthole ukuthi une-Depersonalization-Derealization Disorder.

Uma ubuza ukuthi yiziphi izivivinyo ezenziwayo ukuze kutholakale lokhu, udokotela wakho uzokubuza imibuzo ukuze athole ukuthi yiziphi izimpawu zakho, ukuthi zivela kangaki, nokuthi zithinta kangakanani impilo yakho yansuku zonke. Ungase futhi unikezwe ezinye izivivinyo ongabhala phansi noma ozenze kukhompyutha. Kungaba nzima ukuchaza ukuthi uzizwa kanjani, kodwa kubalulekile ukucaca ngangokunokwenzeka ngokuhlangenwe nakho kwakho . Lokhu kuzokwenza kube lula ngodokotela wakho ukukusiza.

Yiziphi izindlela zokwelapha lokhu?

Eqinisweni, abacwaningi basazama ukuthola ukwelashwa okungcono kakhulu kwe-Depersonalization-Derealization Disorder. Ngaphambi kokuba uqale ukwelashwa, udokotela wakho uzokhuluma nawe ngomlando wakho wezokwelapha, izimpawu, kanye nalokho okulindele ekwelashweni. Ngokuvamile, inhlanganisela yemithi kanye ne-psychotherapy inganconywa. Lokhu kungafaka phakathi ukwelashwa kokuziphatha kwengqondo (CBT) noma ukususwa kokunyakaza kwamehlo kanye nokucubungula kabusha (EMDR).

Cabanga ngakho, ukwelashwa kwe-`(CBT)` kukufundisa indlela yokubhekana nale micabango nemizwa yakho engavamile, indlela yokubhekana nayo. Uma uzizwa sengathi ``angisiye mina'', ufundiswa ukuphonsela inselelo lowo mcabango, ukuwubona ngendlela ehlukile. Ukwelashwa kwe-`(EMDR)` kungaba usizo kakhulu, ikakhulukazi uma lesi simo sihlobene nezehlakalo ezibuhlungu.

Imithi

Ukwelashwa nge-Talk kubhekwa njengendlela engcono kakhulu yokwelapha lokhu. Kodwa-ke, udokotela wakho wezifo zengqondo angase futhi ancome umuthi owodwa noma eminingi njengengxenye yokwelashwa kwakho. Isibonelo:

• `(Ama-Selective Serotonin Reuptake Inhibitors - ama-SSRI)` (Lena uhlobo lomuthi olunikezwa ukucindezeleka nokukhathazeka).
• Imithi yokulwa nokukhathazeka.
• Imithi yokuqinisa imizwa.
• Imithi yokulwa nesifo sengqondo iyimithi enikezwa izifo ezithile zengqondo.

Le mithi inikezwa ukusiza ukulawula izimpawu, kodwa kubalulekile ukukhumbula ukuthi le mithi yodwa ayikwazi ukwelapha lesi simo ngokuphelele.

Ingabe ikhona imiphumela emibi yalo muthi?

Njengoba imithi ehlukene isetshenziswa kwi-Depersonalization-Derealization Disorder, imiphumela emibi ingahluka. Kodwa-ke, nansi eminye yemiphumela emibi evame kakhulu:

• Ukuqunjelwa.
• Isiyezi.
• Ukozela.
• Umlomo owomile.
• Ukwanda kwesifiso sokudla.
• Amathuba okusabela okungekuhle ngeminye imithi, izidakamizwa, noma utshwala obuphuzayo.
• Ubunzima bokuchama (Ukugcinwa komchamo).
• Ukwanda kwesisindo.

Ngakho-ke, kubaluleke kakhulu ukwazisa udokotela wakho uma uhlangabezana nanoma yimiphi imiphumela emibi . Udokotela angashintsha umthamo noma anikeze omunye umuthi uma kudingeka.

Lesi simo sizohlala isikhathi esingakanani?

Akukho datha yocwaningo oluningi ngalokhu. Kodwa-ke, uma ingelashwa, i-Depersonalization-Derealization Disorder ingahlala iminyaka . Ngezinye izikhathi ingaze iphele yodwa. Kodwa-ke, ingaba nomthelela omubi ebudlelwaneni bakho kanye nokusebenza kwakho emsebenzini. Ingxenye engcono kakhulu ukuthi ngokwelashwa, izimpawu zivame ukuqala ukuthuthuka phakathi nezinyanga ezimbalwa .

Uzinakekela kanjani?

Uma uqhubeka nokuba nezimpawu ze-Depersonalization-Derealization Disorder, into yokuqala okufanele uyenze kuqala ukufuna ukwelashwa kumeluleki wezempilo yengqondo . Kungase kudingeke ukuthi ubonane nabantu abambalwa ekuqaleni, bese uba nemihlangano ejwayelekile nodokotela wengqondo kanye nemihlangano yesikhashana nodokotela wezifo zengqondo. Udokotela wengqondo angakusiza ukuthi uthole ukwelashwa okufanele futhi akusize uphathe imiphumela emibi yemithi. Umeluleki angakufundisa ukuthi ungabhekana kanjani nezimpawu zakho ngokusebenzisa ukwelashwa kokukhuluma kanye nokuhlonza izimbangela.

Okwamanje, thatha imithi oyinikezwe udokotela ngesikhathi . Yiba nomusa kuwe. Kulungile uma ungakwazi ukuchaza kahle ukuthi uzizwa kanjani. Kuvamile ukuzizwa ukhathazekile ngempilo yakho, kodwa ungagxili kuyo. Unganciphisa ukukhathazeka kwakho ngokwenza izinto ezifana nokuphefumula okusheshayo noma ukuzindla .

Ingabe kukhona izinto ezingalungile ukudla noma ukuphuza?

Uma une-Depersonalization-Derealization Disorder, kungcono ukugwema ukusebenzisa izidakamizwa notshwala . Izidakamizwa notshwala kungabangela izimpawu zokungabi namuntu kanye nokungazazi. Zingaphinde zihlanganyele kabi nemithi oyiphuzayo. Uma usebenzisa izidakamizwa noma utshwala,Thembeka eqenjini lakho lezempilo yengqondo ngakho ukuze bakunike ukwesekwa okudingayo ukuze udlule kukho ngokuphephile.

Kunini lapho udinga ukubonana nodokotela?

Odokotela bakho bazohlela ama-aphoyintimenti okulandelela njalo ukuze bahlole inhlalakahle yakho, izimpawu, kanye nemiphumela emibi yokwelashwa kwakho. Kodwa-ke, ngezinye izikhathi ungase ube nenkinga noma udinga ukwesekwa, kodwa ungase uphuthelwe yi-aphoyintimenti. Uma izimpawu zakho ziba zimbi kakhulu, ungangabazi ukuxhumana nodokotela wakho . Uma unomuzwa wokuthi uzozilimaza wena noma omunye umuntu, thola usizo ngokushesha . ESri Lanka, iya ekamelweni lezimo eziphuthumayo lesibhedlela esiseduze nawe, noma ushayele u-1926 (iNational Mental Health Helpline). (E-US, ungashayela u-988 ukuze uthole usizo lokuzibulala kanye nosizo lwenhlekelele noma u-911 ukuze uthole usizo oluphuthumayo, kodwa eSri Lanka, sisebenzisa izinsizakalo ezitholakala ezweni lethu.)

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Ungesabi noma ungesabi ukubuza udokotela wakho imibuzo. Kuyilungelo lakho. Ngezinye izikhathi lapho udokotela ebuza, "Unemibuzo?", asikwazi ukucabanga nganoma yini ngokushesha. Ngakho-ke, kuwumqondo omuhle ukubhala phansi uhlu lwemibuzo okufanele uyibuze . Ungabuza imibuzo efana nale:

• Kuzongithatha isikhathi esingakanani ukuthi ngizizwe nginjengami futhi?
• Yimiphi imiphumela emibi okufanele ngiyilindele ekwelashweni?
• Kuzodingeka ngithathe imithi isikhathi esingakanani kanye/noma ngiye kokwelashwa ngengxoxo?
• Uma nginemibuzo noma ukukhathazeka, kufanele ngixhumane nawe kanjani?
• Yini okufanele ngiyenze uma izimpawu zami ziba zimbi kakhulu? Kuthiwani uma ziba ngcono ngemva komsebenzi noma ngempelasonto?

Kulula ukuzizwa unesizungu uma une-Depersonalization-Derealization Disorder. Ungase uzizwe uhlukene nawe noma nomhlaba okuzungezile. Noma ungase uzizwe sengathi uphila ephusheni, noma ungase uzizwe sengathi ubheka impilo ngengilazi ebanzi, enenkungu. Le mizwa ingakwenza uzizwe unesizungu. Kodwa khumbula, ithimba lakho lezempilo yengqondo likhona ukukusiza . Nomndeni wakho, abangani bakho... noma ngabe bangase babe nesikhathi esinzima sokuqonda iqiniso lakho, bayakuthanda. Ngeke bayeke ukukusiza ngoba abakwazi ukukuqonda. Batshele ukuthi yini oyidingayo kubo . Khona-ke bazokwazi ukuthi bangakusiza kanjani.

Okokugcina, into ebaluleke kakhulu

Ngakho-ke, kafushane nje, i-Depersonalization-Derealization Disorder yisimo sengqondo esikubangela ukuba ube nemizwa engavamile, engenangqondo ngawe kanye nendawo okuyo. Lokhu akulona iphutha lakho, futhi akulona ubuthakathaka . Lesi yisimo esingelapheka. Awuwedwa . Uma unalezi zimpawu, sicela ufune iseluleko sezokwelapha. Ngokwelashwa okufanele, ungaphila impilo yakho ngendlela evamile futhi.Yiba nomusa kuwe, bekezela, futhi ungesabi ukucela usizo.

Ukuzihlukanisa nobuntu bakho, ukuzihlukanisa nendawo ezungezile, ukungazazi izinto—Ukuphazamiseka kokungaziqondi izinto, impilo yengqondo, ukuphazamiseka kokuzihlukanisa, ukukhathazeka, ukucindezeleka