Ka maʻi kūpilikiʻi laulā - mālama iā ʻoe iho

ʻO ka maʻi ʻōlohelohe laulā (GAD) kahi ʻano noʻonoʻo kahi āu e hopohopo pinepine ai hopohopo ai paha i nā mea he nui. ʻAʻole paha i kāohi ʻia kou hopohopo a hele i ke ala o nā hana o kēlā me kēia lā.

Hiki i ka lapaʻau kūpono ke hoʻomaikaʻi pinepine iā GAD. Pono ʻoe a me kāu mea mālama olakino e hana i kahi hoʻolālā lapaʻau e hiki ke hoʻopili i ka therapy therapy (psychotherapy), ka lāʻau ʻana, a i ʻole ʻelua paha.

Kauoha paha kāu mea hāʻawi i hoʻokahi a ʻoi paha nā lāʻau, e like me:

• ʻO kahi antidepressant, hiki ke kōkua me ka hopohopo a me ke kaumaha. Lawe paha kēia ʻano lāʻau i mau pule a mau mahina paha e hoʻomaka ai ka hana. He mālama palekana - no ka mālama lōʻihi no GAD.
• ʻO kahi benzodiazepine, ka mea i ʻoi aku ka wikiwiki ma mua o kahi antidepressant e kāohi i ka hopohopo. Eia nō naʻe, hiki i nā benzodiazepines ke lilo i mea liʻiliʻi a me ka hana maʻamau i ka manawa. Kauoha paha kāu mea hāʻawi i kahi benzodiazepine e kōkua i kou hopohopo ʻoiai ʻoe e kali nei no ka holo ʻana o ka antidepressant.

Ke lawe ʻana i ka lāʻau no GAD:

• E hoʻomaopopo i kāu mea hoʻolako e pili ana i kāu mau ʻōuli. Inā ʻaʻole kaohi ʻia kahi lāʻau i nā hōʻailona, ​​pono paha e hoʻololi i kāna mea hana, a i ʻole pono ʻoe e hoʻāʻo i kahi lāʻau hou.
• Mai hoʻololi i nā mea hana a oki paha i ka lawe ʻana i ka lāʻau me ke kamaʻilio ʻole ʻana me kāu mea hāʻawi.
• E lawe i ka lāʻau i nā manawa i hoʻopaʻa ʻia. ʻO kahi laʻana, lawe ia i kēlā me kēia lā i ka ʻaina kakahiaka. E hōʻoia me kāu mea hāʻawi e pili ana i ka manawa ʻoi loa e lawe i kāu lāʻau.
• E nīnau i kāu mea hāʻawi e pili ana i nā hopena a me nā mea e hana ai inā kū lākou.

Kūkulu kahi kūkā kamaʻilio me kahi mea hoʻomaʻamaʻa hoʻomaʻamaʻa. Kōkua ia iā ʻoe e aʻo i nā ala o ka hoʻokele a me ka hōʻemi ʻana i kou hopohopo. Hiki i kekahi ʻano o ka therapy therapy ke kōkua iā ʻoe e hoʻomaopopo i ke kumu o kou hopohopo.ʻAe kēia iā ʻoe e loaʻa ka mana ʻoi aku ma luna o ia.

Hiki ke kōkua i nā ʻano ʻano ʻōlelo kamaʻilio no GAD. ʻO kahi ʻano maʻamau a me ka maikaʻi o ke olakino kamaʻilio ʻana, ʻo ia ka cognitive-behavioral therapy (CBT). Hiki iā CBT ke kōkua iā ʻoe e hoʻomaopopo i ka pilina ma waena o kou mau manaʻo, kāu lawena, a me kāu mau hōʻailona. ʻO ka pinepine, pili ʻo CBT i kahi helu o nā kipa. Ma CBT hiki iā ʻoe ke aʻo pehea e:

• Hoʻomaopopo a loaʻa ka mālama ʻana i nā manaʻo kekeʻe o nā pilikia koʻikoʻi, e like me ka hana a ka poʻe ʻē aʻe a i ʻole nā ​​hanana ola.
• ʻIke a hoʻololi i nā manaʻo panic-e hoʻonāukiuki iā ʻoe e noʻonoʻo i ka kaohi.
• Hoʻoponopono i ka hoʻoluhi a me ka hoʻomaha ke kū nā ʻōuli.
• Hōʻalo i ka noʻonoʻo ʻana e ulu ana nā pilikia liʻiliʻi i loko o nā mea weliweli.

Hiki i kāu mea hāʻawi ke kūkākūkā me ʻoe i nā koho therapy therapy. A laila hiki iā ʻoe ke hoʻoholo pū inā kūpono ia iā ʻoe.

ʻO ka lawe ʻana i ka lāʻau a me ka hele ʻana e kamaʻilio me ka hoʻōla hiki iā ʻoe ke hoʻomaka i ke ala e maikaʻi ai ka maikaʻi. Hiki i ke mālama ʻana i kou kino a me nā pilina ke kōkua i ka hoʻomaikaʻi ʻana i kou kūlana. Eia kekahi ʻōlelo aʻoaʻo kōkua:

• E lawa ka hiamoe.
• ʻAi i nā meaʻai olakino.
• Mālama i kahi papa hana maʻamau o kēlā me kēia lā.
• E hele i waho o ka hale i kēlā me kēia lā.
• Hoʻomaʻamaʻa i kēlā me kēia lā. ʻOiai kahi hana hoʻoikaika kino, e like me ka hele wāwae he 15 mau minuke, hiki ke kōkua.
• E noho mamao aku i ka waiʻona a me nā lāʻau āpau.
• E kamaʻilio me kou ʻohana a mau hoaaloha paha ke makaʻu ʻoe a makaʻu hoʻi.
• E ʻike e pili ana i nā ʻano hui like ʻole i hiki ke hui pū ʻia.

Kāhea i kāu mea hāʻawi inā ʻoe:

• E paʻakikī e kaohi i kou hopohopo
• Mai hiamoe maikaʻi
• Minamina a manaʻo paha ʻoe e makemake e hōʻeha iā ʻoe iho
• Loaʻa nā hōʻailona kino mai kou hopohopo

GAD - mālama pono iā ia iho; Hopohopo - mālama pono iā ʻoe iho; ʻO ka maʻi pīhoihoi - mālama pilikino

ʻAhahui Psychiatric ʻAmelika. Maʻi maʻi kūlohelohe. Nānā Diagnostic a me Statistic o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 222-226.

Bui E, Pollack MH, Kinrys G, Delong H, Vasconcelos e Sa D, Simon NM. ʻO ka lāʻau lapaʻau o nā maʻi pīhoihoi. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 41.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Nā pilikia kūpilikiʻi. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 32.

Sprich SE, Olatunji BO, Reese HE, Otto MW, Rosenfield E, Wilhelm S. Cognitive-behavioral therapy, behavioral therapy, a me ka cognitive therapy. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 16.

• Hopohopo