ʻO kaʻaoʻao pouli o Antidepressants

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He aha inā inā ʻoi aku ka ʻeha o kou poʻo i ka aspirin i kekahi manawa, hoʻomaka ʻoe i ka hacking cough syrup, a i ʻole nā ​​​​antacids i hoʻoulu i kou puʻuwai?

Ma ka liʻiliʻi hoʻokahi lāʻau hiki ke loaʻa kokoke i ka ʻaoʻao o kā lākou hopena i manaʻo ʻia-SSRI, kahi ʻano maʻamau o nā antidepressants. I kekahi mau hihia, hoʻonui kēia mau lāʻau i nā manawa āu e makemake ai e hōʻeha iā ʻoe iho. ʻO ka ʻōpio ʻoe a ʻoi aku ka kiʻekiʻe o kāu dosage, ʻoi aku ka nui o kou pilikia, kahi haʻawina hou. [Tweet i kēia!]

Ua ʻike nā kauka e pili ana i kēia hopena ma kahi o ʻumi mau makahiki. ʻO ka ʻoiaʻiʻo, ʻo nā antidepressants e like me Prozac, Zoloft, a me Paxil e lawe i kahi ʻōlelo aʻo koʻikoʻi ma ka lepili e hōʻike ana i ka pilikia o nā manaʻo suicidal a me nā ʻano i nā keiki, ʻōpio, a me nā ʻōpio.

ʻO ka haʻawina hou, i paʻi ʻia ma JAMA Lapaau Kuloko, kau i kekahi mau helu paʻakikī ma nā mea weliweli. Hoʻohālikelike nā kānaka noiʻi i ka poʻe i hoʻomaka i nā lāʻau haʻahaʻa o nā lāʻau i ka poʻe i lawe i nā kiʻekiʻena kiʻekiʻe (akā aia nō i loko o nā kauka kauka i kuhikuhi pinepine ʻia).

No nā keiki a me nā mākua i piha i ka makahiki 24 a ʻoi aʻe, ʻoi aku ka pālua o ka poʻe ma luna o ka nui o ka nui o ka hōʻeha iā lākou iho. Hoʻohui kēia i hoʻokahi manawa hou o ka hōʻeha iā ia iho no kēlā me kēia 150 poʻe e lawe ana i ka lāʻau.(ʻO ka poʻe i ʻoi aku ma mua o 24 mau haumāna aʻo a hiki i ka makahiki 65-ʻaʻole i ʻike i ka hoʻoweliweli like.)

ʻAʻole i hoʻolālā ʻia ke aʻo ʻana e ʻike i ke kumu o kēia, wahi a ka mea kākau noiʻi ʻo Matthew Miller, M.D., Sc.D., o ke kula ʻo Harvard School of Public Health. Akā, he mau manaʻo ko ka poʻe ʻepekema.

"ʻO kekahi o nā hopena ʻokoʻa i ka poʻe maʻi ʻōpio loa i mālama ʻia me nā antidepressants, ʻo ia ka disinhibition, ʻo ia hoʻi ka hana ʻana i nā manaʻo e kūʻē ʻia e kekahi," wahi a Rachel E. Dew, M.D., M.HSc., he psychiatrist ma Duke Medicine. No laila, ʻoiai hiki i kou puʻuwai ke kumu i kou manaʻo suicidal, hiki i ka lāʻau lapaʻau ke hao i kou mana e pale aku i kēlā mau koi.

ʻAʻole manaʻo kēia mau hopena ʻaʻole pono ʻoe e ʻimi i ka lāʻau lapaʻau no ke kaumaha. ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o ka loaʻa ʻana o ke kōkua, wahi a Cleveland Clinic psychiatrist Joseph Austerman, D.O. ʻO nā hōʻailona haʻahaʻa-e like me ke kaumaha mau, hoʻololi i ka hiamoe a i ʻole ka ʻai ʻana, a ʻaʻole ʻoluʻolu i nā mea āu i leʻaleʻa mau ai-hiki ke mālama ʻia me ka ʻōlelo aʻo wale nō. A inā ʻōlelo kāu kauka i ka lāʻau lapaʻau?

1. Hoʻomaka haʻahaʻa. Hoʻonui ka hoʻomaka ʻana o ka nui i kou pilikia no ka nui o nā hopena ʻaoʻao. Eia kekahi, ʻaʻole lākou e hana maikaʻi a wikiwiki paha i ka mālama ʻana i ke kaumaha, wahi a Miller. E noi i kāu kauka e kuhikuhi iā ʻoe i ka haʻahaʻa haʻahaʻa loa.

2. E nānā me kou ʻohana. ʻO ka moʻolelo pilikino a ʻohana paha o ka maʻi maʻi bipolar hiki ke hoʻonui i kou hiki ke makemake e hōʻeha iā ʻoe iho. A inā i loaʻa i kou mau mākua a i ʻole mau kaikunāne kahi ʻike maikaʻi ʻole me nā antidepressants, ʻoi aku ka nui o kou pilikia, wahi a Austerman. E haʻi i kāu kauka inā pili kekahi o kēia iā ʻoe.

3. E nīnau e pili ana i ka hahai ʻana. Pono kāu kauka e kiaʻi pono iā ʻoe, ʻoi aku hoʻi i loko o nā mahina mua ʻekolu (ʻo ia ka manawa i loaʻa ai ka hapa nui o nā pilikia o ke aʻo ʻana). E hoʻonohonoho i kahi papa manawa no ka nānā ʻana, ma ke kelepona a i ʻole ke kanaka, ʻōlelo ʻo Austerman.

4. Mai kali. "Ke haʻi aku nei au i koʻu poʻe maʻi ʻōpio e noʻonoʻo i nā manaʻo suicidal a i ʻole nā ​​manaʻo e hōʻeha iā lākou iho e like me nā pilikia, e like me ka ʻike ʻana i ke ahi," wahi a Dew. "Ke hoʻohaʻahaʻa nei lākou i ka manaʻo ʻaʻole mālama kekahi, akā ke hoʻoikaika nei au e haʻi koke lākou i kekahi."

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