Ingabe nawe unezinkinga zempilo yengqondo kanye nokusebenzisa izidakamizwa? Ake sifunde nge-Dual Diagnosis!

Ingabe ngezinye izikhathi uzizwa sengathi uphendukele otshwaleni noma kwezinye izidakamizwa ngokungazi ukuze unciphise ukucindezeleka nokukhathazeka kwakho? Noma uzizwa sengathi eminye yemikhuba yakho ithinta impilo yakho yengqondo? Lezi zimo empeleni zivamile phakathi kwethu. Namuhla, sizoxoxa ngendlela yokubona lezi zinkinga ezimbili ezixhumene nokuthi yini ongayenza ngazo.

Kuyini Ukuxilongwa Okubili? Masikuqonde kalula!

Kalula nje, ukuxilongwa okubili kusho ukuthi unesifo sengqondo (njengokucindezeleka noma ukukhathazeka) kanye nesifo sokusebenzisa izidakamizwa ngesikhathi esisodwa. Lokhu ngezinye izikhathi kubizwa ngokuthi isifo esihambisanayo . Into ebalulekile ukuthi ukuxilongwa okubili akuyona into entsha, kuyinhlanganisela yezimo ezimbili ezikhona.

Cabanga nje, umuntu unenkinga yokukhathazeka okukhulu. Engakwazi ukubhekana nakho, uqala ukusebenzisa utshwala ukuze athole impumuzo. Ngokuhamba kwesikhathi, uba umlutha wotshwala. Bese kuba nezinkinga zokukhathazeka kanye nokusetshenziswa kotshwala. Yilokho esikubiza ngokuthi ukuxilongwa okubili.

Okwenzekayo lapha ukuthi isimo esisodwa sithonya esinye. Kufana nomjikelezo omubi. Izinkinga zempilo yengqondo ezingelashwanga zingabhebhethekisa ukusetshenziswa kabi kwezidakamizwa, futhi njengoba ukusetshenziswa kwezidakamizwa kwanda, izinkinga zempilo yengqondo nazo zinganda.

Sivame kangakanani lesi simo (Ukuxilongwa Okubili)?

Lesi simo sivame kakhulu emphakathini kunokuba ungacabanga. Ucwaningo luthole ukuthi cishe abantu abangu-50% abanenkinga yokusebenzisa izidakamizwa nabo banenkinga yempilo yengqondo ngesikhathi esithile empilweni yabo. Ngokufanayo, abantu abangu-50% abanenkinga yempilo yengqondo nabo banenkinga yokusebenzisa izidakamizwa. Cabanga nje, ngo-2020 kuphela, abantu abadala abayizigidi ezingu-17 e-United States babenenkinga yempilo yengqondo kanye nenkinga yokusebenzisa izidakamizwa. Lesi simo singabonakala ngezinga elikhulu noma elincane eSri Lanka.

Ziyini izimpawu ze-(Dual Diagnosis)?

Lokhu kuyinkimbinkimbi kancane, ngoba izimpawu zakho ezihlobene nenkinga yakho yokusebenzisa izidakamizwa zihlukile kunezimpawu zakho ezihlobene nenkinga yakho yempilo yengqondo. Ngakho-ke, izimpawu ozibonisayo ekuxilongweni okubili zincike ohlotsheni lwento oyisebenzisayo kanye nesimo sempilo yengqondo onayo. Kungaba nokuhlanganiswa okuhlukene, ngakho izimpawu zingahlukahluka kakhulu.

Ezinye izimpawu ezivamile zesifo sokusetshenziswa kwezidakamizwa:

• Ukuzama ukuhlala kude nomndeni nabangane.
• Entweni ethileUbunzima bokugxilisa ingqondo.
• Kubonisa izinguquko ezinkulu ezisheshayo ekuziphatheni .
• Ukuzibandakanya njalo emisebenzini eyingozi (isb., ukushayela uphuzile).
• Ukubekezelela kakhulu umuthi (okusho ukuthi inani owawulithathe ngaphambilini alisazwakali lanele) kanye/noma ukuba nezimpawu zokuhoxa uma ungawuthathi umuthi.
• Ukuzizwa sengathi izidakamizwa zibalulekile ekuphileni nasekusebenzeni.

Ezinye izimpawu ezivamile zesifo sengqondo:

• Ukushintsha kwemizwa okukhulu .
• Ngizizwa ngididekile kakhulu .
• Ubunzima bokugxilisa ingqondo .
• Ukungakwazi ukwenza imisebenzi kahle emsebenzini noma esikoleni.
• Ukugwema ukuxhumana nabantu .
• Imicabango yokuzibulala .

Okubalulekile: Uma wena noma othile omaziyo enesinye salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Yisiphi kulezi zimo ezimbili esiza kuqala?

Lokhu kufana nombuzo othi "Yikuphi okufike kuqala, inkukhu noma iqanda?" Empeleni kunzima ukusho ukuthi yisiphi kulezi zimo ezimbili esifike kuqala . (Ukuxilongwa Okubili) Ngisho noma esinye sikhona ndawonye, ​​akusho ukuthi esinye sibangele esinye.

Kodwa-ke, yize izinkinga zokusebenzisa izidakamizwa zingabangeli ngqo izinkinga zempilo yengqondo (futhi okuphambene nalokho), kukhona ukuxhumana okucacile phakathi kwalokhu okubili. Utshwala nezidakamizwa kungenza izimpawu zempilo yengqondo zibe zimbi kakhulu. Futhi, ukuqhubeka nokusebenzisa lezi zinto kungandisa ingozi yokuthola isifo sengqondo.

Yiziphi izimbangela Zokuxilongwa Okubili?

Abacwaningi banikeza imibono ehlukene mayelana nokuthi kungani ukusetshenziswa kwezidakamizwa nezinkinga zempilo yengqondo zenzeka ndawonye.

Izici ezivamile zengozi ezihlanganyelwe

Kunezici ezithile eziyingozi ezingaba nomthelela kokubili ekuguleni kwengqondo nasekusetshenzisweni kwezidakamizwa.

• Izakhi zofuzo: Njengokugula ngengqondo, ukusetshenziswa kabi kwezidakamizwa kungangena emindenini. Lokhu kusho ukuthi uma othile emndenini wakho eke waba nalesi simo, usengozini enkulu kancane. Ucwaningo lubonisa ukuthi kunezakhi zofuzo eziningana ezifaka isandla kuzo zombili lezi zimo.
• Izici Zemvelo: Ezinye izinto endaweni esikuyo, njengokucindezeleka kanye nokulimala (njengokulimala kwasebuntwaneni noma ukuhlukunyezwa), zingabangela zombili lezi zimo. Ngezinye izikhathi, lezi zenzakalo ezibuhlungu zingaba nomthelela kuzo zonke izizukulwane.

Ukusetshenziswa kabi kwezidakamizwa ngenxa yokugula kwengqondo

Uma unesifo sengqondo, ungase ulingeke ukuba "uzenzele imithi." Lokhu kusho ukuthi usebenzisa utshwala noma izidakamizwa ukuze unciphise imizwa yakho yobuhlungu, ukukhathazeka, noma ukucindezeleka okwesikhashana. Nakuba lokhu kungase kunciphise izimpawu zakho okwesikhashana, empeleni kungenza zibe zimbi kakhulu ngokuhamba kwesikhathi . Futhi, ezinye izifo zengqondo zingashintsha ukusebenza "kwezikhungo zemivuzo" zobuchopho bakho. Lokhu kungandisa ingozi yakho yokuba umlutha wezidakamizwa.

Isifo sengqondo esibangelwa ukusetshenziswa kwezidakamizwa

Uma usebenzisa utshwala, izidakamizwa, nezinye izinto eziluthayo, zingathinta isakhiwo kanye nokusebenza kobuchopho bakho . Lezi zinguquko zingandisa ingozi yakho yokuthola isifo sengqondo. Isibonelo, ezinye izidakamizwa zingabangela ukwesaba noma ukukhohlisa, noma ukubona izinto ezingekho noma ukukhohlisa.

Ungayibona kanjani (Ukuxilongwa Okubili)?

Njengoba sishilo ngaphambili, ukuxilongwa okubili akuyona into entsha yokuxilonga, kuyinhlanganisela yokuxilonga okubili. Izimpawu zazo zombili izimo zingafana futhi zihambisane, ukwenza ukuxilongwa okunembile ngezinye izikhathi kungaba yinselele, ngisho nakudokotela.

Kodwa-ke, udokotela wakho uzosebenzisa amathuluzi okuhlola akhethekile ukuze akuhlolele zombili lezi zimo. Kubalulekile ukuba qotho ngangokunokwenzeka uma ukhuluma nodokotela wakho ngalesi sikhathi. Ngokusekelwe ezimpendulweni zakho, bazokwazi ukunquma ukuthi yiziphi izimo zezokwelapha ongase ube nazo nokuthi yiziphi izindlela zokwelapha ezikulungele kangcono.

Yiziphi izindlela zokwelapha i-Dual Diagnosis?

Uma welapha ukuxilongwa okubili, indlela ephumelela kakhulu ukwelapha kokubili isimo sakho sempilo yengqondo kanye nesifo sakho sokusebenzisa izidakamizwa ngesikhathi esisodwa . Wena nodokotela wakho kudingeka niqonde ukuthi lezi zimo ezimbili zithintana kanjani. Kulapho-ke kuphela lapho ungakhetha khona uhlelo lokwelapha oluphumelela kakhulu.

Ukuze ululame ngokugcwele ekuxilongweni okubili, udinga ukuyeka ngokuphelele ukusebenzisa umuthi owumlutha wawo . Kwabaningi, lokhu kuqala ngenqubo ebizwa ngokuthi i-detoxification . Ekuhlanzweni kokuhlanza umzimba ekhaya, abahlinzeki bezempilo bakuqapha amahora angama-24 ngosuku cishe isonto lonke. Bakusiza ukuthi uzikhiphe kancane kancane umuthi futhi bakunikeze amasu okunciphisa imiphumela emibi yokungawuthathi umuthi.

Kuye ngesimo sakho, ukwelashwa kwe-Dual Diagnosis kungafaka phakathi ukwelashwa kokuziphatha , imithi , amaqembu okusekelana, nomaUkunakekelwa kwesiguli ngaphakathi kungafakwa.

Ukwelashwa Kokuziphatha

Kunezindlela eziningana zokwelapha zokuguqula ukuziphatha eziye zabonisa impumelelo ekwelapheni lezi zimo ezihambisanayo:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): (i-CBT) uhlobo lokwelapha olukufundisa ukubona, ukubhekana, nokushintsha amaphethini angasebenzi kahle ekucabangeni kwakho. Lokhu kungakusiza ufunde izindlela ezintsha zokubhekana nezinkinga.
• Ukwelashwa Kokuziphatha Kokukhuluma (i-DBT): I-DBT iyindlela yokwelapha ekusiza ukunciphisa ukuziphatha okulimazayo, ikakhulukazi ukusebenzisa kabi izidakamizwa, ukuzisika, kanye nemicabango noma izenzo zokuzibulala. Ingakusiza ufunde ukulawula imizwa yakho futhi ube nobudlelwano obuhle nabanye.

Imithi

Udokotela wakho angase akunike imithi yesinye noma zombili izimo zakho. Eminye imithi ingasiza ekwelapheni izimpawu zazo zombili izimo ekuxilongweni okubili. Isibonelo, umuthi i-bupropion uvunyelwe yi-FDA ukwelapha ukucindezeleka (njenge-Wellbutrin®) kanye nokuncika kwi-nicotine (njenge-Zyban®).

Amaqembu Okusekela

Amaqembu okusekelana ayindawo enhle yokuthola ukwesekwa ngokomzwelo nangokwenhlalo okudingayo ukuze uhlale uphilile. Abantu abakula maqembu ngabantu abaye baba sesimweni esifanayo nesakho. Ontanga bangabelana ngolwazi lwabo nawe futhi baphendule imibuzo yakho. Bangakunikeza neseluleko sendlela yokubhekana nezinselele zokuphila kwansuku zonke. I-Alcoholics Anonymous (AA) kanye ne-Narcotics Anonymous (NA) amaqembu okusekelana adumile.

Ukunakekelwa kwesiguli ngaphakathi

Uma umlutha omkhulu wokusebenzisa izidakamizwa kanye nesifo sengqondo, ungazuza kakhulu ngokuthola ukwelashwa okuhlala esikhungweni sokwelashwa okuxilonga izifo ezimbili . Lapho, ungathola izinsizakalo zezokwelapha nezengqondo, imithi, ukwelashwa, kanye nokusekelwa okudingayo konke endaweni eyodwa.

Unganciphisa kanjani ingozi (yokuxilongwa okubili)?

Njengezifo zengqondo, izinkinga zokusebenzisa kabi izidakamizwa nazo ziyizifo zobuchopho . Nakuba zingenakuvinjelwa ngokuphelele, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Qaphela umlando womndeni wakho . Okusho ukuthi, thola ukuthi kukhona yini emndenini wakho oke waba nalezi zinhlobo zezifo zengqondo noma izinkinga zokusebenzisa kabi izidakamizwa.
• Uma uphuza utshwala, nciphisa inani .
• Uma unenkinga noma ukungakhululeki kwengqondo, khuluma nodokotela wakho ngayo.Uma kutholakale kusenesikhathi, kulula ukukwelapha.

Yini ongayilindela uma unesifo esiphindwe kabili?

Ngokwelashwa okufanele, unethuba elingcono kakhulu lokululama ekuxilongweni okubili . Ungathuthukisa ikhwalithi yempilo yakho futhi ulindele imiphumela emihle. Kodwa-ke, ukuze ulondoloze lokhu kululama, udinga ukuqhubeka nokusebenzisana nodokotela bakho kanye/noma amaqembu okusekelana . Ungesabi ukucela usizo.

Ungamsiza kanjani othandekayo ngokuxilongwa okubili?

Ukusiza umuntu onesifo esihambisana naso kungaba nzima kakhulu . Othandekayo wakho angase aphike ukuthi unenkinga futhi angase angafuni ukufuna ukwelashwa. Ngisho noma eqala ukwelashwa, uhambo oluya ekululameni lungaba lude.

Qonda ukuthi yini ongayenza nengeke uyenze. Awukwazi ukuphoqa othandekayo wakho ukuba ayeke izidakamizwa, athathe imithi, noma aye kokwelulekwa.

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Kodwa, ungazithathela izinqumo ezinhle . Ungakhuthaza othandekayo wakho ukuthi athole usizo, ungamnika uthando lwakho olungenamingcele kanye nokusekelwa. Mlalele, zama ukumqonda.

Uma unesifo sokuxilongwa okubili, ungase uzizwe sengathi "usehlangothini olungafanele lomgwaqo." Ungase uzizwe sengathi uyakwenza wena ngokwakho. Kodwa-ke, kubalulekile ukukhumbula ukuthi ukugula ngengqondo nokusebenzisa kabi izidakamizwa kuyizifo eziqashelwa ngokwezokwelapha . Ukuthi nje "azibonakali" akusho ukuthi azikho ngempela. Ungesabi ukubona udokotela wakho ucele usizo. Thembeka futhi uvuleleke kubo, futhi bazokwazi ukukusiza uthole ukwelashwa okudingayo. Ukucela usizo kuyisinyathelo sokuqala ohambweni lokululama.

Isifinyezo (Umyalezo Wokuya Nawe Ekhaya)

• Ukuxilongwa okubili kuyisimo sokuba nenkinga yempilo yengqondo kanye nesifo sokusebenzisa izidakamizwa ngesikhathi esisodwa . Lokhu kuvame kakhulu kunalokho ongakucabanga.
• Lezi zimo ezimbili zingathintana futhi zisebenze njengomjikelezo omubi .
• Lokhu kungabangelwa yizimbangela zofuzo, izici zemvelo, ukusetshenziswa kwezidakamizwa ukuze kuncishiswe ukucindezeleka, kanye nemiphumela yezidakamizwa ebuchosheni.
• Kubaluleke kakhulu ukuqonda izimpawu nokufuna iseluleko sezokwelapha .
• Izinketho zokwelapha zifaka phakathi ukwelashwa kokuguqula indlela yokuziphatha, imithi, amaqembu okusekelana, kanye nokwelashwa kwasekhaya . Inhlanganisela yakho kokubili iphumelela kakhulu.
• Ngokwelashwa okufanele kanye nokusekelwa, ukuxilongwa okubili kungaholela ekululameni okuphelele. Ungesabi ukucela usizo, leso yisinyathelo esibaluleke kakhulu.

'Ukuxilongwa Okubili, impilo yengqondo, ukusetshenziswa kabi kwezidakamizwa, umlutha, ukugula kwengqondo, ukwelashwa, ukuphazamiseka okuhambisanayo