Ingabe nawe uhlushwa yimicabango yocansi? Ingabe lokhu kumayelana nokulutha kocansi?

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukulawula imicabango, izifiso, noma imisebenzi ethile yocansi efika engqondweni yakho, nokuthi lezi zinto ziyajikeleza ekhanda lakho, nokuthi usuku lwakho lonke, impilo yakho yonke, zijikeleza kuzo? Uma lokhu kukubangela ukucindezeleka okukhulu, ukudabuka, kanye namahloni, futhi uma kuphazamisa imisebenzi yakho yansuku zonke, ubudlelwano nomndeni, kanye nomsebenzi, khona-ke namuhla sikhuluma ngesihloko esingaba sibalulekile nakuwe.

Kuyini umlutha wocansi?

Kalula nje, ukulutheka ngokocansi kuwukukhathazeka okungalawuleki ngemicabango yocansi, izifiso, noma imisebenzi. Lesi simo singakubangela ukucindezeleka futhi singalimaza impilo yakho, ubudlelwano bomndeni, umsebenzi, noma ezinye izici zempilo yakho. Iningi labantu lisebenzisa igama elithi "ukulutheka ngokocansi" ukuze lichaze. Kodwa-ke, odokotela noma ochwepheshe bezempilo yengqondo bangase bakubize ngokuthi "Ukuziphatha Kocansi Okuphoqelekile", "Ukuziphatha Kocansi Okuyinkinga", "Ukuziphatha Kocansi Okuyingozi", "Ukuphazamiseka Kocansi Okuyingozi", "Ukuphoqeleka Ngokocansi", noma "Ukuphoqeleka Ngokocansi". Ngokuvamile kuhlobene nezinto ezingatholakala empilweni yocansi. Lokho kusho izinto ezifana nokushaya indlwabu, ukubuka izithombe zobulili ezingcolile, ucansi ngocingo, ucansi lwe-inthanethi, ukuba nabalingani bocansi abangaphezu koyedwa. Kodwa-ke, uma imicabango nemisebenzi yakho yocansi ihlasela impilo yakho yonke, khona-ke sicabanga ukuthi kungaba ukulutheka ngokocansi.

Ingabe lokhu kufana nezinye izinhlobo zokulutha?

Yebo, ngempela. Lowo "muzwa wokulutha" ukhona nakulokhu. Njengoba nje umuntu omlutha wotshwala noma izidakamizwa ezizwa enesifiso esinamandla salezo zinto, nansi indlela azizwa ngayo ngocansi. Akulawuleki, kuyacasula, akunakwenzeka ukwaneliseka kungakhathaliseki ukuthi wenza kangakanani, kufana nemoto ehamba nge-'autopilot'. Uyazi ukuthi lokhu kuzoba nemiphumela emibi, kodwa uphendukela ekuziphatheni okufanayo ngokuphindaphindiwe. Cabanga, uma abanye abantu becabanga ngocansi kusukela ngesikhathi bevuka ekuseni kuze kube yilapho belala ebusuku, bekhohlwa umsebenzi wabo nomndeni wabo ngakho, ukuthi kuyacindezela kangakanani.

Sivame kangakanani lesi simo? Ubani othinteka kakhulu?

Ngokwezibalo zaseMelika, lesi simo sithinta phakathi kuka-3% no-10% wabantu bonke. Sivame kakhulu kubafana kunamantombazane. Kuwo wonke amadoda amabili ane-hypersexuality, owesifazane oyedwa kwabahlanu uyathinteka. Lesi simo sivame ukuqala cishe eminyakeni eyi-18. Kodwa-ke, abantu abaningi bafuna usizo lochwepheshe cishe eminyakeni engama-37. Lokho kusho ukuthi balwa nale nkinga bodwa isikhathi eside.Ngaphezu kwalokho, kutholakale ukuthi cishe abantu abangu-88% abanalesi simo banezinye izinkinga zempilo yengqondo. Ezinye zalezi zinkinga zifaka:

• Izinkinga zemizwa, njenge-Bipolar Disorder.
• Izinkinga Zokukhathazeka .
• Ngike ngazama ukuzibulala ngaphambili.
• Ukuphazamiseka Kobuntu.
• Ezinye izinto eziluthayo .
• Ukuphazamiseka Kokulawula Umfutho.
• Isifo Sokukhathazeka Okungapheli ( i-OCD ) yisifo esibonakala ngemicabango nezenzo eziphazamisayo.
• Isifo Sokungakwazi Ukunaka ( ADHD ).

Ingabe ukulutheka ngokocansi kubhekwa njengesifo sengqondo?

Kusenempikiswano ethile ngalokhu. I-American Psychiatric Association yenqabe isiphakamiso sokufaka i-Hypersexual Disorder ku-Diagnostic and Statistical Manual yabo ye-Mental Disorders, uhlelo lwesihlanu (DSM-5). Bathi isizathu salokhu kwakuwukuntuleka kobufakazi obanele kanye nokukhathazeka ngemiphumela engaba khona yokubiza ucansi ngokweqile ngokuthi “isifo.”

Yiziphi izinto umuntu onjengalo acabanga futhi azizwayo?

Umuntu onomlutha wocansi angase abe nemizwa efana nalokhu:

• Umuzwa wecala, amahloni, noma ukuzisola.
• Umuzwa wokuphelelwa yithemba mayelana nokuziphatha okuluthekayo, umuzwa wokungakwazi ukukulawula.
• Ukucindezeleka , isizungu.
• Ukwesaba, ukukhathazeka.
• Akumangazi ukuthi abantu bazizwa befuna ukuzibulala.

Cabanga nje, bekuyoba usizo kangakanani uma uzizwa unamahloni futhi udabuke ngento oyenzayo, kodwa ungakwazi ukuyivimba?

Ziyini izimpawu zokulutha ngokocansi?

Nakuba kungekho zindlela ezithile zokuxilonga ubungqingili, kunezici eziningana ezivamile ezingabonakala kumuntu onalesi simo:

• Uthanda kakhulu ucansi . Ucabanga ngezifiso zocansi, uziphathe kabi ngokocansi. Lokhu kuthatha isikhathi esiningi sosuku lwakho.
• Ungashaya indlwabu kanye noma kaningana ngosuku.
• Uvame ukubukela izithombe zobulili ezingcolile. Lokho kusho amavidiyo, omagazini abadala, amawebhusayithi ku-inthanethi, ama-webcam, njll. Uvame ukushaya indlwabu ngenkathi ubuka izithombe zobulili ezingcolile.
• Uchitha isikhathi esiningi uhlela imisebenzi yocansi. Uchitha isikhathi esiningi ucabanga ukuthi ungayithola kuphi futhi kanjani "injabulo" yakho elandelayo yocansi.
• Usebenzisa izinsizakalo zocansi njalo. Lesi yisimo esibucayi kancane, ngoba manje umuntu usehilelekile emisebenzini yakho. Kungaba izinto ezifana nokuthumelelana imiyalezo yocansi ngocingo, ukuxhumana ngamakamelo okuxoxa e-inthanethi, ukukhokhela ucansi, ukuya emakilabhini okukhumula izingubo, ukuba nobusuku obubodwa njalo, ukuba nabalingani abaningi.
• Ukuziphatha kwakho kuya ngokuya kukhula kube yisenzo socansi esinganaki. Mhlawumbe isenzo socansi sihambisana nokuziphatha okuyingozi njengokusebenzisa izidakamizwa, ulaka locansi, noma "ukufutha ngokweqile" (ukuzincisha amandla ngenxa yokuvuselela ucansi ).
• Ukuzibandakanya ekuziphatheni ngokocansi okuphambene nezindinganiso zakho, izinkolelo zenkolo, noma lokho umphakathi okukuvumelayo.
• Uvame ukubhekisela ezimweni ezibizwa ngokuthi `(Paraphilia)`. Lezi yizindlela zokuziphatha ngokocansi ezibangela ukucindezeleka kwengqondo, ukulimala, noma ngisho nokufa komunye umuntu. Isibonelo: `(Exhibitionism)`, `(Voyeurism)`, `(Sadomasochism)`, kanye `(Pedophilia)`.
• Awukwazi ukuyeka lokhu kuziphatha kocansi, noma ngabe kunemiphumela emibi emalini yakho, ebudlelwaneni bakho, empilweni yakho nasemphefumulweni wakho.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ukulutheka ngokocansi kungabangela izinkinga ezifana nalezi:

• Ulahlekelwa ubudlelwano obujwayelekile nobunempilo nomlingani wakho wezocansi kanye namalungu omndeni.
• Ngenxa yokuthi awukwazi ukugxila emsebenzini wakho ngendlela efanele, ukubuka izithombe zobulili ezingcolile emsebenzini kungabangela ukuthi umsebenzi wakho uhlupheke futhi ungase ulahlekelwe ngisho nomsebenzi wakho.
• Ukusebenzisa imali emisebenzini yocansi kubangela izinkinga zezimali.
• Izinkinga zempilo. Ukukhulelwa, izifo ezithathelwana ngocansi (STI) njenge-HIV, i-Hepatitis B no-C, i-Syphilis, kanye ne-Gonorrhea kungenzeka.
• Ukuphendukela ekusebenziseni izidakamizwa noma ukuphuza utshwala ngokweqile.
• Izimo zempilo yengqondo ezifana nokucindezeleka, ukukhathazeka, ukucindezeleka, kanye nemicabango yokuzibulala.
• Uma uhilelekile emacaleni ocansi, kungadingeka ukuthi uye ejele.
• Ukuzwa umthwalo osindayo engqondweni ngenxa yezinto ezifana nomuzwa wecala, amahloni, nokudumazeka.

Yiziphi izimbangela zokulutheka ngokocansi?

Ososayensi abakakazi kahle ukuthi yini ebangela lokhu, kodwa eminye imibono iphakamisa ukuthi kungenzeka ukuthi kubangelwa yilokhu okulandelayo:

• Ukungalingani kwamakhemikhali athile ebuchosheni bakho.Amazinga noma umsebenzi owandisiwe wamakhemikhali abizwa ngokuthi "ama-neurotransmitters", njenge-"Dopamine", "Norepinephrine", kanye ne-"Serotonin", athwala imiyalezo ebuchosheni, angandisa isifiso sobulili nokuziphatha.
• Izifo noma umonakalo ezingxenyeni zobuchopho ezilawula ukuziphatha kocansi. Lesi simo singabangelwa futhi yizifo ezifana `(Dementia)`, `(Epilepsy)`, `(Bipolar Disorder)`, noma umonakalo ezingxenyeni zobuchopho ezifana `(Frontal lobe)`, `(Amygdala)`, `(Prefrontal cortex)`.
• Ukushintsha kokusebenza kobuchopho, okudala izindlela ezintsha zemizwa zokuziphatha okuluthayo.
• Ukusetshenziswa kwezidakamizwa, ikakhulukazi i-cocaine, ama-amphetamine, kanye notshwala.
• Njengomphumela ongemuhle weminye imithi. Isibonelo umuthi othi "Levodopa" osetshenziselwa isifo sikaParkinson.

Ungasibona kanjani lesi simo?

Uma ubona udokotela noma umeluleki wezempilo yengqondo , bazokubuza izinto ezinjengalezi:

• Mayelana nesimo sakho sempilo samanje, izifo ezikhona, izifo emndenini wakho, kanye nemithi, amavithamini, kanye nemikhiqizo yamakhambi oyiphuzayo.
• Ingabe usebenzisa izidakamizwa noma utshwala?
• Bazokubuza ngemicabango yakho yocansi, izifiso zakho, kanye nokuziphatha kwakho, izinga lokulawula onalo phezu kwazo, kanye nanoma yiziphi ezinye izimpawu zobulili.

Udokotela angase acele nomndeni wakho nabangane imvume yokucela ulwazi. Udokotela uzozama nokususa ezinye izimo, njenge-bipolar disorder, i-hyperandrogenism, ukukhathazeka, izinkinga zobuntu, i-obsessive-compulsive disorder (OCD), kanye ne-Tourette's disorder, njengoba i-hypersexuality ingaba uphawu lwezinye izimo. Njengamanje, azikho izimiso ezivunyelwene ngazo zokuxilonga i-hypersexuality. Kodwa-ke, ochwepheshe bezempilo yengqondo abangochwepheshe ekuluthekeni bangathola ukuziphatha kocansi okuthinta impilo yakho futhi bangancoma ukwelashwa okufanele.

Iphathwa kanjani?

Ukwelashwa kokulutheka ngokocansi, noma ukucwasana ngokocansi , kuhilela inhlanganisela yemithi, ukwelashwa kwengqondo, kanye nokuhlanganyela emaqenjini okuzisiza.

Imithi

Ayikho imithi ethile evunyelwe ukulutheka ngokocansi. Kodwa-ke, ungazama imithi ethinta ama-hormone namakhemikhali ebuchosheni alawula "izifiso nokuziphatha," kanye nemithi yezimo zezokwelapha ezifanayo. Udokotela wakho uzocabangela nezinye izimo zakho zempilo yengqondo futhi akunikeze imithi efanele kakhulu.

• Ama-antidepressants: Imithi esesigabeni sama-SSRI (Selective Serotonin Reuptake Inhibitors) ibhekwa njengokwelashwa kokuqala kokulutheka ngokocansi.
• Imithi elawula ama-hormone wesilisa (Ama-Anti-androgens):Lokhu kusebenza ngokugxila kuma-hormone ocansi wesilisa. Kuwusizo ekunciphiseni imicabango engapheli. Ungazama lokhu uma unemikhuba yocansi eyeqisayo kangangokuthi ingaba yingozi kwabanye.
• I-Naltrexone (i-Vivitrol®, i-Revia®): Lo muthi, osetshenziselwa ukwelapha umlutha wotshwala kanye ne-opioid, utholakale futhi uwusizo ekuluthweni ukugembula. Ungasiza futhi ekuluthweni ucansi.
• Iziqinisi zemizwa: Lezi zingaba usizo uma unesifo esifana nesifo sokuphazamiseka kwengqondo esihambisana nokuhlanya noma ukungaziphathi kahle, futhi ukucwasana ngokobulili kuyisici salesi simo. Izibonelo zifaka phakathi i-lithium, i-valproate (i-Depakote®), kanye ne-carbamazepine (i-Tegretol®).
• Imithi yokulwa nokukhathazeka: Uma ukukhathazeka kuyimbangela yokuziphatha kwakho ngokocansi, ungazama le mithi. I-Buspirone iyisibonelo esisodwa esingasiza.
• Eminye imithi: Uma unezinkinga zokucabanga noma ukucasuka okukhulu, ungase uthande ukucabangela ama-antipsychotics. Le mithi inganciphisa isifiso socansi, ukuvuka, kanye nokuvuthwa. Uma une-Attention Deficit Hyperactivity Disorder (ADHD) (ehlotshaniswa nokuthatha ingozi yocansi), imithi efana ne-methylphenidate kanye ne-dextroamphetamine ingaba usizo.

Ukwelapha ngengqondo

Ukwelashwa kwengqondo kuyindlela enezici eziningi. Kulokhu, ukhuluma nomeluleki wezempilo yengqondo . Ukusiza ukuthi ubone futhi uphathe izici ezibangela futhi zibhebhethekise ukuziphatha kwakho okunobungqingili. Lokhu kwelashwa kunikezwa abantu ngabanye, imindeni, kanye nemibhangqwana, kanye nabanye. Ngoba ukulutheka komuntu ngokocansi kuthinta wonke umuntu.

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lokhu kwelashwa kwengqondo kancane kancane kuthatha indawo yemicabango yakho emibi kanye nokuziphatha ngezinye izindlela zokunciphisa izifiso zakho zocansi nokubhekana nazo kangcono.
• Ukwelashwa Kokwamukela Nokuzibophezela (ACT): Lokhu kusebenzisa amasu okwamukela nokuqaphela. Umgomo uwukusiza abantu bamukele ukucindezeleka abakuzwayo futhi bashintshe ubudlelwano babo naleyo micabango, kunokushintsha imicabango yabo.
• Ukuxoxisana Okushukumisayo: Lokhu kwelashwa kwengqondo kukuqondisa ekuhloleni kwakho umlutha wakho wocansi maqondana nemigomo yakho kanye nezindinganiso zakho.

Amaqembu okusekela abantu abazisizayo

Lezi zihlelwe ngokulandela uhlelo lwezinyathelo ezingu-12 lwe-Alcoholics Anonymous. Kunezinhlobo eziningana zamaqembu, njenge-Sex Anonymous, i-Sex Addicts Anonymous, i-Sex and Love Addicts Anonymous, kanye ne-Sexual Compulsives Anonymous. Ungahlola amawebhusayithi alezi zinhlangano ukuthola igatsha eliseduze nawe.

Ingabe lokhu kungavinjelwa?

Ukuthi ungakwazi yini ukuvimbela umlutha wocansi noma cha kuncike ezimbangela eziyisisekelo. Ngezinye izikhathi kungaba ukungalingani kwamakhemikhali ebuchosheni. Noma, kungaba umphumela ongemuhle noma uphawu lwesinye isimo sempilo. Kunezici eziningi ezifaka isandla ekuthuthukisweni komlutha wocansi. Kodwa-ke, yize ungakwazi ukuzilawula zonke, ungalawula ezinye zezinto ezingavusa imicabango yakho, izifiso, izifiso, kanye nezenzo. Lokhu kufaka phakathi:

• Funda ngokulutha ngokocansi noma ukuxhashazwa ngokocansi. Usuvele uthathe isinyathelo sokuqala ngokufunda lesi sihloko!
• Bona udokotela wakho noma umeluleki wezempilo yengqondo . Bakhona ukukusiza, kusukela emfundweni.
• Shintsha izinto owaziyo ukuthi ziyakushukumisa. Vimba amawebhusayithi ezithombe zobulili ezingcolile kanye namanye amawebhusayithi ezocansi kukhompyutha yakho. Gwema imigwaqo enamaqembu okudansa bese uthatha indlela ehlukile. Cabanga ngezinye izinguquko ongazenza.
• Thola usizo ngezinkinga zokusebenzisa kabi izidakamizwa. Uma usebenzisa utshwala noma izidakamizwa, ikhono lakho lokulawula izifiso zakho zobulili lingase linciphe. Cela usizo kudokotela wakho ekuyekeni lezi zinto.
• Phatha kahle ezinye izimo zempilo yengqondo. Uma unezinye izimo zempilo yengqondo, njengokucindezeleka, ukukhathazeka, noma isifo sokuphazamiseka kwengqondo, qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho yokulawula lezo zimo. Uma unomuzwa wokuthi isimo sakho sesishintshile, hlela i-aphoyintimenti yokubonana nodokotela.
• Gxila amandla akho ezintweni ezinempilo. Uma umzimba wakho ugxile kokunye, ingqondo yakho ingashintsha futhi igxile. Yiba matasa. Dlala imidlalo, ujoyine amaqembu, qala umsebenzi wokuzilibazisa, volontiya ezinhlanganweni ezisiza abanye, ukuzivocavoca umzimba, ukuzindla, ukwenza i-yoga, noma uzame ezinye izindlela zokunciphisa ukucindezeleka.
• Yiba nesineke, hlala ugxile emigomweni yakho. Ukuphatha ukuluthwa ucansi kuyisibopho sokuphila konke. Kukuwe ukugxila ezintweni ezibaluleke kakhulu empilweni yakho nokulungisa ubudlelwano obonakele. Ungakwenza lokhu. Lonke ithimba lakho lezempilo lilapha ukuzokusiza. Vumela bakusize.

Ngingazi kanjani ukuthi nginomlutha wocansi?

Ingabe ukuziphatha kwakho ngokocansi kukwenza uzizwe ungakhululekile noma kuphazamise izici ezibalulekile zempilo yakho? Ingabe lezi zinto ziyakwehlela?

• Awulali yini ngenxa yemicabango noma izenzo zocansi?
• Ingabe ufika sekwephuzile emsebenzini?
• Ingabe uyayigwema imithwalo yakho yemfanelo?
• Uyawaqamba amanga emndenini wakho noma ufihla izimfihlo?
• Ingabe udinga imisebenzi yocansi enamandla kakhulu ukuze uthole izinga elifanayo lokuvuselelwa noma ukwaneliseka ngokocansi?
• Ingabe uhlanganyela emisebenzini yocansi nabantu noma izindawo ongazikhethi ngokujwayelekile ngenxa yesifiso sakho socansi?
• Ingabe uchitha amahora amaningi uvukile ubuka izithombe zobulili ezingcolile?
• Wake waba nezinkinga zomthetho noma ukulahlekelwa ngokwezimali ngenxa yokuziphatha kwakho ngokocansi?
• Ingabe amaphupho akho ocansi, izifiso, noma ukuziphatha kwakho kuyakukhathaza ngokwengqondo, ngokomzwelo, kanye/noma ngokomzimba?
• Ingabe ukuziphatha kwakho ngokocansi kuyangqubuzana nezindinganiso zakho, izinkolelo zenkolo, noma zokuziphatha?
• Ingabe uzizwa unamahloni, uzisola, udumele, unecala, unesizungu, noma ucabanga ngokuzibulala ngemva kokuziphatha kwakho kocansi?

Uma uphendula ngokuthi "yebo" kunoma yimuphi wale mibuzo, kungumqondo omuhle ukwenza i-aphoyintimenti nodokotela. Angakudlulisela kudokotela wezifo zengqondo noma kudokotela wengqondo. Uma unemicabango yokuzibulala, bona udokotela ngokushesha, noma ushayele u-1926 (iNational Mental Health Helpline).

Ingabe kukhona ukuxhumana phakathi kokulutheka ngokocansi nokucindezeleka?

Kungase kube nokuxhumana. Ukuziphatha kocansi ngokweqile kunganda ngezikhathi zokungakhululeki kanye nokucindezeleka. Imithi yokucindezeleka ingasabela futhi ezimpawini zokucindezeleka.

Ngamafuphi, izinto okudingeka sizikhumbule

Uma izifiso zakho zocansi nemisebenzi yakho ikubangela ukucindezeleka, kuthatha impilo yakho, futhi kulimaze impilo yakho yomuntu siqu, yomsebenzi, kanye/noma yomndeni, manje sekuyisikhathi sokukhuluma nodokotela wakho. Abantu abaningi abafuni ukwelashwa ngenxa yamahloni noma umuzwa wecala. Ithimba lakho lezempilo alihluleli ngokuziphatha kwakho ngokocansi. Bakhona ukukusiza.

Khumbula, awuwedwa. Baningi abantu ababhekene nezimo ezinjengalezi, futhi kunezindlela eziningi zokuthola usizo.

Imiphumela emihle kakhulu ivela ekusebenzeni nawo wonke umuntu - umndeni wakho, umlingani wakho, ithimba lakho lezokwelapha, futhi okubaluleke kakhulu, ukwethembeka kuwe ngokwakho. Kunezindlela eziningi zokwelapha ezitholakalayo zokukusiza. Beka eceleni amahloni nokwesaba kwakho bese ucela usizo.

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Umlutha wocansi , ukuxhashazwa ngokocansi, ukuziphatha ngokocansi, impilo yengqondo, ukwelashwa, izimpawu, ukwelulekwa