Nā mea āpau āu e makemake ai e ʻike e pili ana i ka maʻi kūpilikiʻi obsessive

Anter

• Hōʻike Overview
• He aha ka OCD?
• Nā ʻōuli
• Kahaulelio
• Nā koi koi
• Lapaʻau
• Laau Lapaʻau
• Lapaʻau kino
• He aha ke kumu o ka OCD?
• Nā ʻano o ka OCD
• OCD i nā keiki
• OCPD vs. OCD
• ʻIkioma OCD
• Nā kumu weliweli o OCD

Hōʻike Overview

ʻO ka maʻi obsessive-compulsive maʻi (OCD) kahi ʻano olakino olakino hoʻomau e hōʻike ʻia e nā pulakaumaka e alakaʻi ai i nā ʻano koʻikoʻi.

Pālua ka manawa o ka poʻe e hōʻoia i ka laka ʻana i ka puka o mua a i ʻole ka ʻaʻa mau ʻana i kā lākou mau kākini laki i nā lā pāʻani - nā hana maʻalahi a i ʻole nā ​​ʻano maʻamau e ʻike ai lākou i ka palekana.

Hele ʻo OCD ma ʻō aku o ka pālua ʻana i ka nānā ʻana i kekahi mea a hoʻomaʻamaʻa paha i kahi ʻano lā pāʻani. Manaʻo ʻia kekahi e hōʻike ʻia me ka OCD e koi pinepine i kekahi mau loina, ʻoiai inā ʻaʻole lākou e makemake - a ʻoiai inā pilikia ia i ko lākou ola me ka ʻole.

He aha ka OCD?

Hoʻomaopopo ʻia ka maʻi obsessive-compulsive (OCD) e nā manaʻo hou ʻole, makemake ʻole ʻia (obsessed) a me nā noʻonoʻo ʻole, nā koi nui e hana i kekahi mau hana (compulsions).

ʻOiai paha ʻike ka poʻe me OCD i ka noʻonoʻo ʻole o ko lākou mau manaʻo a me nā ʻano, ʻaʻole hiki iā lākou ke hoʻokū iā lākou.

Nā ʻōuli

ʻO nā manaʻo obsessive a i ʻole nā ​​hana koʻikoʻi e pili ana me ka OCD i ʻoi aku ma mua o hoʻokahi hola i kēlā me kēia lā a keakea i ka nohona o kēlā me kēia lā.

Kahaulelio

ʻO kēia mau manaʻo hoʻonāukiuki a i ʻole impulses e hana pinepine ʻia.

Hiki paha i ka poʻe me ka OCD ke hoʻāʻo a nānā ʻole iā lākou, akā makaʻu paha lākou i ka ʻoiaʻiʻo o nā manaʻo.

ʻO ka hopohopo e pili ana i ka kaomi hiki ke lilo i mea nui loa e hoʻomanawanui, e hoʻokomo iā lākou i nā ʻano koʻikoʻi e hoʻemi i ko lākou hopohopo.

Nā koi koi

ʻO kēia nā hana hou e hoʻomaha iki i ke kaumaha a me ka hopohopo i lawe ʻia e kahi pulakaumaka. ʻO ka manawa pinepine, ka poʻe i loaʻa nā koi koi i kēia mau ʻano hana e kāohi i kahi mea maikaʻi ʻole e hana ʻia.

E heluhelu hou aʻe i nā ʻokoʻa ma waena o nā pulakaumaka a me nā koi.

Lapaʻau

ʻO kahi hoʻolālā maʻamau maʻamau no ka OCD e hoʻopili maʻamau i nā psychotherapy a me nā lāʻau. ʻO ka hoʻohui ʻana i nā kuʻina ʻelua ka mea maikaʻi loa.

Laau Lapaʻau

Kau ʻia nā Antidepressants e kōkua i ka hōʻemi ʻana i nā ʻōuli o OCD.

ʻO kahi mea hoʻoliʻiliʻi serotonin reuptake (SSRI) kahi antidepressant i hoʻohana ʻia e hōʻemi i nā hana obsessive a me nā koi.

Lapaʻau kino

Kūkākūkā kūkākūkā me kahi ʻoihana olakino hiki ke kōkua iā ʻoe e hāʻawi iā ʻoe i nā pono hana e ʻae ai i nā loli i ka noʻonoʻo a me nā ʻano hana.

ʻO ka Cognitive behaviour therapy (CBT) a me ka hōʻike ʻana a me ka hoʻōla ʻana he ʻano like ia o ka therapy therapy e maikaʻi no nā poʻe he nui.

ʻO ka hōʻike ʻana a me ka pale ʻana i ka pane (ERP) ka mea i ʻae ʻia i kahi kanaka me OCD e hana i ka hopohopo e pili ana i nā manaʻo pulakaumaka ma nā ʻano ʻē aʻe, ma mua o ke komo ʻana i ka hana koʻikoʻi.

He aha ke kumu o ka OCD?

ʻAʻole maopopo ke kumu kūpono o ka OCD, akā manaʻo ka poʻe noiʻi ʻaʻole hiki i kekahi mau wahi o ka lolo ke pane maʻamau i ka serotonin, kahi kemika e hoʻohana ai kekahi mau pūnana nerve e kamaʻilio pū kekahi me kekahi.

Manaʻo ʻia nā genetics e hāʻawi i ka OCD, pū kekahi.

Inā ʻo ʻoe, kou makua, a he kaikaina paha he OCD, aia ma kahi o 25 pākēneka ka manawa e loaʻa ai i kahi ʻohana ʻē aʻe.

Nā ʻano o ka OCD

Aia kekahi mau ʻano obsession a me nā koi. ʻO ka mea i ʻike nui ʻia e hoʻopili ʻia:

• nā pulakaumaka e pili ana i ka makaʻu i ka haumia (g germ) me nā koi pili o ka hoʻomaʻemaʻe a me ka holoi ʻana
• nā pulakaumaka e pili ana i ka symmetry a i ʻole ke perfectism me nā koi o ka hoʻonohonoho ʻana a i ʻole hana hou ʻana

Wahi a Kauka Jill Stoddard, ka mea kākau o "Be Mighty: A Woman's Guide to Liberation from Anxiety, Worry, and Stress using Mindfulness and Acceptance," ʻo kekahi mau mea hilahila ʻē aʻe:

• nā manaʻo moekolohe komohewa a makemake ʻole ʻia
• makaʻu i ka hōʻino iā ʻoe iho a i kekahi mea ʻē aʻe
• makaʻu i ka hana impulsively (e like me ka hoʻopuka ʻana i kahi hua ʻōlelo hōʻino i ka wā o ka noho mālie). Hoʻopili kēia i nā koi e like me ka nānā ʻana, ka helu ʻana, ka pule ʻana, a me ka hana hou ʻana, a hiki pū ke hōʻalo (ʻokoʻa i nā koi) e like me ka hōʻalo ʻana i nā mea ʻoi.

E aʻo hou aʻe e pili ana i nā ʻano like ʻole o OCD.

OCD i nā keiki

Hoʻomohala maʻamau ʻo OCD i nā keiki ma waena o ʻelua mau makahiki: waena waena (8-12 mau makahiki) a ma waena o ka wā ʻōpio a me ke kū ʻana o ke kanaka makua (18-25 mau makahiki), wahi a Dr. Steve Mazza, kahi hoa postdoctoral lapaʻau ma ka Columbia University Clinic for Anxiety and Nā maʻi kūlike.

"Hoʻolālā nā kaikamahine e hoʻomohala i ka OCD i ka nui o nā makahiki ma mua o nā keikikāne," wahi a Mazza. "ʻOiai ʻoi aku ka nui o ka OCD i nā keikikāne ma mua o nā kaikamahine i ka wā kamaliʻi, aia nā helu like o ka OCD ma waena o nā kāne a me nā wahine makua."

OCPD vs. OCD

ʻOiai he ʻano like nā inoa, ʻokoʻa loa nā ʻano pilikino obsessive-compulsive (OCPD) a me OCD.

Pili pū ka OCD i nā pulakaumaka e ukali ʻia e nā ʻano koʻikoʻi. Hōʻike ʻo OCPD i kahi ʻano o ke ʻano pilikino e hiki ke hoʻopilikia pinepine i nā pilina o ke kanaka.

Hoʻohālikelike ʻia ʻo OCPD e kahi makemake nui no ka hoʻonohonoho ʻana, hemolele, a me ka kaohi, e like me loko o ka pilina kanaka, wahi a Mazza. ʻOiai ʻo OCD ka mea maʻa mau i ka paʻa o nā manaʻo pulakaumaka a me nā koi koi e pili ana.

"ʻOi aku paha ka poʻe [i loaʻa iā] OCD e ʻimi i ke kōkua no ka mea ua kaumaha lākou a pīhoihoi paha e nā ʻōuli," i ʻōlelo ʻo ia. "ʻAʻole paha ʻike ka poʻe me OCPD i ko lākou ʻano paʻakikī a me ka pono no ka maikaʻi e like me ka pilikia, ʻoiai nā hopena luku i kā lākou pilina a me ko lākou olakino."

E heluhelu hou aʻe e pili ana i nā ʻōuli a me nā hōʻailona o OCPD.

ʻIkioma OCD

ʻIke ʻia ʻo OCD e kekahi ʻoihana olakino noʻonoʻo e hoʻohana ana i kahi kaʻina ninaninau semi-struktured, e like me kā Mazza.

ʻO kekahi o nā mea hana i hoʻohana nui ʻia ʻo ka Yale-Brown Obsessive Compulsive Scale (Y-BOCS), kahi e loiloi ai i nā ʻano ʻano like ʻole o ka pulakaumaka a me nā koi, a me ke kekelē a nā ʻōuli OCD e hoʻonāukiuki ai ke kanaka. kā lākou hana.

Nā kumu weliweli o OCD

He kuleana ko nā Genetics i ka OCD, no laila e hoʻomohala paha ke kanaka iā ia inā loaʻa ka maʻi OCD i kahi mea pili koko, wahi a Mazza.

Hoʻonui pinepine ʻia nā ʻōuli e ke koʻikoʻi, ke kumu ʻia e nā pilikia me ke kula, ka hana, ka pilina, a i ʻole nā ​​hanana hoʻololi i ke ola.

Ua ʻōlelo pū ʻo ia e kū pinepine ʻo OCD me nā kūlana ʻē aʻe, e like me:

• ka maʻi hyperactivity deficit attention (ADHD)
• Tourette maʻi pale
• maʻi kaumaha nui
• maʻi pīhoihoi pili kaiaulu
• nā maʻi ʻai