Koho mutism: he aha ia, ʻano a pehea e mālama ai

Anter

• Nā hiʻohiʻona nui o ka mutism koho
• No ke aha e hana ai
• Pehea e hana ai i ka lāʻau

Selism mutism kahi maʻi psychological psychological laha ʻole e pili pinepine i nā keiki ma waena o 2 a me 5 mau makahiki, ʻoi aku ka maʻamau o nā kaikamahine. Hiki i nā keiki me kēia maʻi maʻi ke kamaʻilio wale me nā poʻe kokoke iā lākou, me ka paʻakikī e kamaʻilio me nā keiki ʻē aʻe, nā kumu a i ʻole nā ​​lālā o ka ʻohana.

Hana pinepine ʻia ke kuhi o ka mutism koho ma hope o 3 mau makahiki, mai ia makahiki mai ua loaʻa i ke keiki ka hiki ke ʻōlelo a hoʻomaka e hōʻike i ka paʻakikī e hana i nā hana kaiaulu. ʻO ka maʻamau hiki i ke keiki ke kamaʻilio maikaʻi me nā mākua, nā kaikaina, a me nā hoahānau pili, akā, paʻakikī ʻo ia e kamaʻilio me nā poʻe ʻē aʻe, a me ka hoʻokumu ʻana i ka maka maka, a hiki ke hopohopo nui.

He mea nui e ʻike ʻia ka mutism koho a mālama ʻia me ke kōkua o kahi psychologist a me psychiatrist, no ka mea ma kēia ala e hiki ai ke ʻike inā aia kekahi pilikia pili ʻē aʻe e hana ana i ka maʻi, e like me nā pilikia o ka hoʻolohe ʻana a i ʻole nā ​​maʻi lolo. ʻae e hoʻopili pono i ke ʻano o ka lāʻau.

Nā hiʻohiʻona nui o ka mutism koho

Hiki i ke keiki me ka mutism wae ke kamaʻilio maikaʻi i ke ʻano o ka ʻohana, akā loaʻa iā ia nā pilikia i kahi ʻano me nā poʻe ʻike ʻole ʻia, a manaʻo ʻo ia e mālama ʻia kāna ʻano. No laila, kekahi mau hiʻohiʻona e kōkua ai e ʻike i ka mutism koho ʻē aʻe:

• Ka launa pū ʻana me nā keiki ʻē aʻe;
• Ka nele o ke kamaʻilio ʻana me nā kumu;
• Ka paʻakikī e hōʻike nei iā ʻoe iho, ma o nā hōʻike pū;
• Hilahila nui loa;
• Hoʻokaʻawale kaiapili;
• Ke hele nei i ka lua i ka lua i kahi lumi kamaʻāina ʻole, kaʻi ʻana i kou mau lole wāwae, a i ʻole ke ʻai ʻana i ke kula.

ʻOiai ʻoi aku ka pinepine i nā keiki, hiki ke ʻike ʻia ka mutism wae i nā mākua a, i kēia mau hihia, ua kapa ʻia ʻo phobia kaiaulu, kahi e hopohopo nui ai ke kanaka i nā kūlana maʻamau o kēlā me kēia lā, e like me ka ʻai ʻana i ka lehulehu. ke noʻonoʻo nei e pili ana i ka hoʻokumu ʻana i kekahi ʻano o ke kamaʻilio. E aʻo pehea e ʻike ai i ka phobia pili kaiaulu.

No ke aha e hana ai

ʻAʻohe kumu kikoʻī o ka mutism selective, akā hiki i kēia ke hoʻoulu ʻia e kekahi mau hanana, e pili ana paha i kekahi ʻike maikaʻi ʻole a i ʻole trauma i hele ai ke keiki, e like me ke komo ʻana i kahi kula hou, ka noho ʻana i kahi ʻohana pale loa a i ʻole. he makua makua loa.

Hoʻohui ʻia, pili paha ka hoʻomohala ʻana o kēia maʻi i nā kumu kūlohelohe, no ka mea he mea maʻamau ia i nā keiki a nā mākua i loaʻa i ka naʻau a me / a i ʻole nā ​​ʻano lawena, a i ʻole pili i nā ʻano o ke keiki e like me ka hilahila, hopohopo nui, makaʻu. a me ka hoʻopili, no ka laʻana.

Hiki ke hoʻohuli ʻia kēia kūlana i ka hoʻomaka ʻana o ke ola kula a i ʻole ka loli o ke kūlanakauhale a i ʻole ka ʻāina, no ka laʻana, ma muli o ka haʻalulu moʻomeheu. Eia nō naʻe, i kēia mau hihia he mea nui e ʻike ʻia ka ulu ʻana o ke keiki, ʻoiai pinepine ʻole ka nele o ke kamaʻilio ma muli o ka mutism koho, akā kūlike i kahi wā o ka hoʻololi ʻana o ke keiki i kahi wahi hou. No laila, i mea e noʻonoʻo ʻia ai ka mutism, pono e ʻike ʻia nā ʻano o kēia hoʻololi ma mua o ka loli a i ʻole ka awelika hope o 1 mahina.

Pehea e hana ai i ka lāʻau

ʻO ka lāʻau lapaʻau no ka mutism koho e pili ana i nā kau psychotherapy, kahi e hōʻike ai ka psychologist i nā hoʻolālā e hoʻoulu ai i ke kamaʻilio ʻana o ke keiki, a me ka ʻimi ʻana i nā ʻenehana e loiloi i kāna hana. No laila, hiki i ka psychologist ke hōʻoluʻolu i ke keiki i ke kaiapuni i makemake ʻia kāna kamaʻilio.

I kekahi mau hihia, koi ʻia e ka psychologist e hele pū ke keiki me kahi psychiatrist keiki a i ʻole e mālama ʻia nā kau me ka ʻohana.

Eia hou, alakaʻi ka psychologist i nā mākua i hoʻomau ʻia ka hoʻomaʻamaʻa ʻia ʻana ma ka home, e paipai nei i nā mākua:

• Mai hoʻoikaika i ke keiki e ʻōlelo;
• Hōʻalo i ka pane ʻana no ke keiki;
• Halelu ke hōʻike ke keiki i ka holomua i kā lākou mākau kamaʻilio;
• E paipai i ke keiki e hana i nā mea ʻoi aku ka paʻakikī, e like me ke kūʻai ʻana i ka berena, no ka laʻana;
• E hōʻoluʻolu i ke keiki ma nā wahi, i mea e pale ai iā ia mai ka manaʻo ʻo ia ke kikowaena o ka nānā.

I kēia ala hiki i ke keiki ke loaʻa ka hilinaʻi hou aku e kamaʻilio a ʻaʻole ʻoluʻolu ʻole i nā wahi ʻano ʻē.

Ke loaʻa ʻole ka pane i ka hoʻomaʻamaʻa a me nā hoʻomaikaʻi hou paha, hiki i ka psychiatrist ke kuhikuhi i ka hoʻohana ʻana o nā mea hōʻoki serotonin reuptake, SSRI, e hana ma ka lolo. E hoʻohana wale ʻia kēia mau lāʻau me ke alakaʻi a ke kauka a ma nā hihia loiloi maikaʻi loa, no ka mea ʻaʻole nui nā noiʻi e hōʻoia i ko lākou hopena i ka mālama ʻana i nā keiki me kēia maʻi.