Aia kekahi ʻano o ka OCD?

Anter

• He aha nā hōʻailona o ka OCD?
• Ka hoʻomaʻemaʻe a me ka hoʻohaumia
• Symmetry a me ke kauoha ʻana
• Nā manaʻo pāpā
• Hoarding
• Pehea e ʻike ʻia ai ka OCD?
• He aha ke kumu o ka OCD?
• Mōʻaukala ʻohana
• Nā kumu biological
• Nā kūlohelohe
• Pehea e mālama ʻia ai ʻo OCD?
• He aha ka manaʻo no ka poʻe me OCD?
• Ke laina lalo

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ʻO ka maʻi obsessive-compulsive (OCD) kahi ʻano olakino noʻonoʻo e pili ana:

• Kahaulelio. Pili kēia mau ʻōuli i nā manaʻo a i ʻole nā ​​manaʻo makemake ʻole e hōʻino i kou ola a paʻakikī iā ʻoe e kau i nā mea ʻē aʻe.
• Nā koi koi. Pili kēia mau ʻōuli i nā mea āu e manaʻo ai e hana i kahi ʻano kikoʻī i ka pane ʻana i nā pulakaumaka.

Hiki i ka OCD ke hōʻike i nā ʻano ʻokoʻa. ʻOiai ʻaʻohe hoʻonohonoho kūlana a i ʻole subtypes o OCD, manaʻo i ka poʻe ʻike i nā ʻōuli OCD i nā ʻāpana nui ʻehā:

• ka hoʻomaʻemaʻe a me ka hoʻohaumia
• symmetry a me ke kauoha ʻana
• kapu, ʻino, a kapu paha nā manaʻo a me nā impulses
• hoarding, ke pono ka ʻohiʻohi a mālama ʻana paha i kekahi mau mea e pili ana i nā pulakaumaka a i ʻole nā ​​koi

Hōʻike ʻia kēia mau pūʻulu hōʻailona i ka mana hou o ka Diagnostic and Statistics Manual of Mental Disorder (DSM-5). Hiki i nā loea olakino noʻonoʻo ke kuhikuhi iā lākou e like me nā ʻōuli o nā ʻōuli ma mua o nā subtypes OCD.

ʻAʻole ʻike kēlā me kēia kanaka e noho nei me OCD i ke ala like. Kūlike paha nā ʻōuli kikoʻī ma waena o kekahi poʻe. Eia nō naʻe, hiki i nā ʻōuli ke loli ākea. Hiki paha iā ʻoe ke loaʻa nā ʻōuli ma mua o hoʻokahi ana.

Heluhelu e aʻo hou aʻe e pili ana i nā ana o ka OCD, me nā ʻōuli, ka ʻike, nā kumu, a me ka lāʻau.

He aha nā hōʻailona o ka OCD?

Me OCD, loaʻa iā ʻoe nā manaʻo a i ʻole nā ​​koi koi e hoʻonāukiuki iā ʻoe a hōʻeha i ka pilikia. E hoʻāʻo paha ʻoe e nānā ʻole iā lākou a hoʻolei paha iā lākou mai kou manaʻo, akā paʻakikī kēia a hiki ʻole ʻole paha.

ʻOiai inā ʻaʻole ʻoe e noʻonoʻo e pili ana iā lākou no kekahi manawa, hoʻi pinepine lākou.

Inā noho ʻoe me OCD, loaʻa paha iā ʻoe kahi pae o nā ʻōuli like ʻole. Hiki mai kāu mau hōʻailona ma ka hapanui mai kahi hui a ʻoi aku paha ma mua o hoʻokahi hui.

Ka hoʻomaʻemaʻe a me ka hoʻohaumia

Pili paha kēia ʻano ʻōuli i:

• hopohopo mau e pili ana i nā g germ a i ʻole nā ​​maʻi
• mau manaʻo e pili ana i ka manaʻo haumia a haumia paha (ma ke kino a ma ka noʻonoʻo paha)
• ka makaʻu mau e pili ana i ka pili ʻana i ke koko, nā mea ʻona, nā mea ʻino, a i ʻole nā ​​kumuwaiwai haumia ʻē aʻe
• ka hōʻalo ʻana i nā kumu kūpono o ka haumia
• nā koi e hemo ai i nā mea āu i manaʻo ai he haumia (ʻoiai inā ʻaʻole haumia)
• nā koi e holoi a hoʻomaʻemaʻe paha i nā mea i hoʻohaumia ʻia
• kahi hoʻomaʻemaʻe kikoʻī a holoi ʻana paha, e like me ka holoi ʻana i kou mau lima a i ʻole ka ʻānai ʻana i kahi papa i kekahi mau manawa

Symmetry a me ke kauoha ʻana

Pili paha kēia mau ʻōuli:

• kahi pono no nā mea a i ʻole nā ​​mea e hoʻopili ʻia i kekahi ʻano
• kahi pono loa no ka symmetry a i ʻole ka hoʻonohonoho ʻana i nā huahana
• kahi pono no ka symmetry i nā hana (inā ʻoe e ʻūlū i kou kuli hema, pono ʻoe e ʻānai i kou kuli ʻākau)
• kahi koi e hoʻonohonoho i kāu mau mea a i ʻole nā ​​mea ʻē aʻe a hiki i ka wā e manaʻo ai lākou he "kūpono"
• manaʻo piha ʻole inā ʻaʻole kikoʻī nā mea
• helu ʻana i nā loina, e like me ka pono e helu i kahi helu kikoʻī i kekahi mau manawa
• ka noʻonoʻo kilokilo, a i ʻole ka manaʻoʻiʻo ʻana i kahi mea maikaʻi ʻole inā ʻaʻole ʻoe e hoʻonohonoho a hoʻonohonoho i nā mea i ke ala kūpono
• hoʻonohonoho i nā loina a i ʻole nā ​​ala kikoʻī o ke kaulike ʻana i nā mea

Nā manaʻo pāpā

Pili paha nā ʻōuli:

• mau manaʻo hoʻohuihui pinepine i ka moekolohe a kolohe paha i ke kūlohelohe
• hewa, hilahila, a me nā pilikia ʻē aʻe e pili ana i kou mau manaʻo
• ka ninaninau mau ʻana i kāu moe kolohe, nā makemake, a i ʻole nā ​​makemake moekolohe
• hopohopo mau e hana ʻoe i kāu mau manaʻo hoʻopilikia a i ʻole ke loaʻa ʻana iā lākou e lilo ai ʻoe i kanaka maikaʻi ʻole
• hopohopo pinepine e hōʻino ʻoe iā ʻoe iho a i kekahi mea ʻē aʻe me ka ʻole o ka manaʻo
• nā pulakaumaka e pili ana i nā manaʻo haipule e manaʻo hōʻino a hewa paha
• nā manaʻo kūpaʻa o ke kuleana no ka hoʻokumu ʻana i nā mea maikaʻi ʻole
• nā koi e hūnā i nā mea hiki iā ʻoe ke hoʻohana ma ke ʻano he mea kaua
• e ʻimi nei i ka hōʻoiaʻiʻo ʻaʻole ʻoe e hana ma nā manaʻo intrusive
• e ʻimi nei i ka hōʻoiaʻiʻo ʻaʻole ʻoe he kanaka maikaʻi ʻole
• hana kuʻuna e hoʻopau a hoʻopau ai i kou mau manaʻo
• loiloi pinepine i kāu mau hana i kēlā me kēia lā e hōʻoia ʻaʻole ʻoe i hōʻeha i kekahi, inā hoʻi i ka noʻonoʻo a me ke kino e hoʻi hou ai i kāu mau kaupae

Ke wehewehe nei ka poʻe i kēia manawa i kahi "ʻano" o OCD a lākou i kapa ai ʻo "pure O," i wehewehe ʻia e pili ana i ka pulakaumaka a me nā manaʻo hoʻopulapula o ke ʻano moekolohe a hoʻomana paha me ka ʻole o nā koina kūwaho.

ʻOiai ua lilo kēia i huaʻōlelo kaulana, ʻaʻole ia he kau maʻi a diagnostic paha. Hiki ke ʻōlelo ʻia ua like ia me nā ʻōuli ʻē aʻe e pili ana i nā manaʻo pāpā ʻia.

Hoarding

Hoʻopili pinepine nā ʻōuli o kēia mahele:

• hopohopo mau i ka hoʻolei ʻana i kahi mea i hiki ke hōʻeha iā ʻoe a i kekahi mea ʻē aʻe paha
• pono e hōʻiliʻili i kahi helu o nā mea e pale aku iā ʻoe iho a i kekahi mea ʻē aʻe mai ka hōʻeha
• makaʻu loa i ka hoʻolei ʻana i kahi mea nui a koʻikoʻi paha e ka ulia (e like me ka leka me ka ʻike koʻikoʻi a i ʻole e pono ai)
• kahi koi e kūʻai i nā lehulehu o ka mea like, ʻoiai ʻaʻole ʻoe e pono i kēlā mau mea he nui
• pilikia i ka hoʻolei ʻana i nā mea no ka mea ʻo ka pā ʻana iā lākou ke kumu o ka haumia
• manaʻo piha ʻole inā ʻaʻole hiki iā ʻoe ke loaʻa kahi waiwai a i ʻole nalowale a hoʻolei ʻia paha
• kahi koi e nānā a loiloi paha i kāu mau waiwai

ʻOkoʻa ka mālama ʻana i ka pōʻaiapili o ka OCD i ka maʻi hoarding, kahi ʻano olakino olakino ʻokoʻa. ʻO ka ʻokoʻa nui ma waena o nā mea ʻelua ka pilikia e pili ana i ka OCD e pili ana i ka hoarding.

Inā loaʻa iā ʻoe ka OCD, ʻaʻole ʻoe makemake i nā mea āpau āu e hōʻiliʻili ai, akā manaʻo paha ʻoe e koi ʻia lākou e mālama iā lākou ma muli o nā manaʻo pulakaumaka a koʻikoʻi paha.

ʻO kekahi subtype o OCD e pili ana i nā ʻano lawena, e like me:

• ʻūhā
• hoʻomaʻemaʻe puʻu
• ʻālohilohi
• mimilo

Hiki i kēia mau tics ke kōkua i ka hoʻopakele ʻana i nā pulakaumaka i makemake ʻole ʻia a me nā manaʻo kaumaha a i ʻole piha ʻole i hiki ke hana ʻia me OCD. Hiki i nā mākua a me nā keiki ke loaʻa kahi OCD e pili ana i ka tic. ʻO ka manawa pinepine ke hoʻomaka ʻo OCD i ka wā kamaliʻi.

ʻAʻole ʻike mau nā keiki iā OCD e like me ka hana a nā mākua. Hiki i nā koi ke hoʻopili i nā pane i ʻike maopopo ʻole ʻia, e like me ka hōʻalo ʻana i ka pili a i ʻole ka pilina kanaka, akā ʻike ʻia nō naʻe lākou.

ʻAʻole paha maopopo iki ka nānā ʻana. ʻO kahi laʻana, ka noʻonoʻo kilokilo, e ʻimi nei i ka hōʻoiaʻiʻo, a me ka nānā ʻana i nā lawena e like paha me nā hanana ulu maʻamau.

ʻIke pinepine nā keiki i kahi ʻano o nā ʻōuli ma mua o nā mākua.

Pehea e ʻike ʻia ai ka OCD?

Inā loaʻa iā ʻoe a i ʻole kahi mea aloha i nā ʻōuli OCD, e kamaʻilio me kahi mea mālama ola noʻonoʻo. Hiki iā lākou ke diagnose iā OCD a hana pū me ʻoe e ʻike i ke ʻano kūpono o ka mālama ʻana.

E nīnau kahi mea mālama ola noʻonoʻo iā ʻoe e pili ana i nā ʻano o nā hōʻailona āu e ʻike ai, inā pilikia lākou, a me ka manawa a lākou e lawe ai i kēlā me kēia lā.

ʻImi pinepine ʻia ka OCD i nā ʻōuli e pili i kāu hana o kēlā me kēia lā a hoʻopau i hoʻokahi hola o kou lā.

E hoʻomaopopo paha kāu kauka olakino noʻonoʻo i ka hui o nā ʻōuli āu e ʻike ai, ʻoiai ʻaʻole nā ​​lawelawe OCD āpau i nā pono like no nā hōʻailona āpau.

E ʻimi pū lākou inā loaʻa iā ʻoe nā tics a i ʻole nā ​​hōʻailona ʻano ʻē aʻe a kūkākūkā i ke kiʻekiʻe o ka ʻike a i ʻole nā ​​manaʻoʻiʻo āu e pili ana i nā pulakaumaka a me nā koi i loaʻa iā ʻoe.

I nā huaʻōlelo ʻē aʻe, makemake lākou e ʻike inā manaʻo ʻoe e pili ana paha nā manaʻo pili i ka OCD, e kū paha, a ʻaʻole paha e kū.

E nīnau pū aku kāu mea hāʻawi i ka lōʻihi o kāu loaʻa ʻana i nā hōʻailona. Nā hualoaʻa o kahi noiʻi 2009 hōʻike i nā ʻōuli OCD e hoʻomaka i ka wā kamaliʻi he pinepine pinepine ka nui.

He aha ke kumu o ka OCD?

ʻAʻole maopopo ka poʻe loea i ke kumu e hoʻomohala ai kekahi poʻe i ka OCD. Loaʻa iā lākou kekahi mau manaʻo e pili ana i nā kumu kūpono, e like me:

Mōʻaukala ʻohana

Loaʻa paha iā ʻoe ka OCD inā loaʻa kekahi lālā o ka ʻohana i ke ʻano. ʻOi aku paha ka holo o ka OCD e pili ana i ka TCD i loko o nā ʻohana.

Manaʻo ka poʻe loea he hiki i kekahi mau ʻāpana ke pāʻani i kahi ʻāpana i ka hoʻomohala ʻana, akā ʻaʻole lākou i ʻike i kekahi mau ʻano kikoʻī e kumu ai i ka OCD. ʻO ka mea hou aku, ʻaʻole ka poʻe āpau i loaʻa ka OCD kekahi lālā ʻohana me ka maʻi.

Nā kumu biological

Hoʻokani paha ka kemika o ka lolo. Hōʻike kekahi mau noiʻi noiʻi i ka hana maikaʻi ʻole i kekahi mau ʻāpana o ka lolo a i ʻole nā ​​pilikia me ka lawe ʻia ʻana o kekahi mau kemika lolo, e like me serotonin a me norepinephrine, hiki ke kōkua i ka OCD.

Nā kūlohelohe

Hiki nō paha ke hōʻeha, hoʻomāinoino, a i ʻole nā ​​hanana koʻikoʻi ʻē aʻe i kahi ulu i ka OCD a me nā kūlana olakino ʻē aʻe.

ʻO kekahi kumu ʻē aʻe e pili ana iā OCD ʻo PANDAS, ka mea kū i nā maʻi neuropsychiatric pēpē autoimmune e pili ana i nā maʻi streptococcal.

Kū kēia kuhi i nā keiki i loaʻa i ka maʻi strep a laila hoʻomohala koke i nā ʻōuli OCD, a i ʻole ke ʻike i nā hōʻailona OCD ʻoi aku ka maikaʻi ma hope o ka maʻi strep.

Aia kekahi mau hōʻike liʻiliʻi e hōʻike ana i kekahi mau mea e hāʻawi i kekahi ʻano o ka OCD. Akā ke nānā aku nei i ka poʻe ʻōpio he 124 me ka OCD e ʻōlelo nei e holo pinepine ʻia ka OCD e pili ana i nā ʻohana.

Pehea e mālama ʻia ai ʻo OCD?

Manaʻo ka poʻe loea olakino noʻonoʻo i ka lāʻau a me ka lāʻau, a i ʻole ka hui ʻana o nā mea ʻelua, i loaʻa ka pōmaikaʻi nui loa i ka mālama ʻana iā OCD.

ʻO ka hōʻike ākea a me ka pale ʻana i ka pane (ERP), kahi ʻano o ka cognitive behavioral therapy (CBT), ʻo ia ka ʻōlelo maʻamau i ʻōlelo ʻia. Hōʻike mālie kēia ʻano lapaʻau iā ʻoe i nā kumuhana o kāu pulakaumaka a i ʻole nā ​​mea e hoʻonāukiuki ai.

I kahi palekana o ka therapy, hiki iā ʻoe ke aʻo pehea e hana ai me ka hōʻoluʻolu āu e ʻike ai me ka hana ʻole i nā koi. E hoʻolōʻihi paha ʻoe i kahi manawa e hoʻomaʻamaʻa ai i kēia mau mākau ma ka home a i ʻole nā ​​wahi ʻē aʻe ma waho o ka therapy.

Inā loaʻa iā ʻoe nā ʻōuli OCD koʻikoʻi, a inā ʻaʻole paha e pane wale kāu mau hōʻailona i ka lāʻau wale nō, e ʻōlelo paha kāu mea mālama maʻi noʻonoʻo e kamaʻilio me ka psychiatrist e pili ana i ka lāʻau.

Lawe paha ʻoe i ka lāʻau no kahi manawa pōkole ʻoiai ʻoe e aʻo pehea e kū ai i nā ʻōuli ma ka lāʻau. ʻO nā lāʻau i hiki ke loaʻa ke kōkua no nā ʻōuli OCD me nā antidepressants e like me ke koho ʻana i nā mea hōʻoki hou i nā serotonin (SSRI) a i ʻole nā ​​antipsychotics.

ʻO ke kōkua kūpono loa no ka OCD i kekahi manawa hiki ke hilinaʻi i kāu mau ʻōuli. Nānā hoʻokahi hōʻike 2008 i nā noiʻi e kū nei e pili ana i ka hopena o nā hōʻailona OCD i nā ʻano lapaʻau like ʻole. Ua ʻike nā kānaka noiʻi he hōʻike e hōʻike ana i kekahi subtypes hōʻailona, ​​e like me ka hoʻomaʻemaʻe a me nā hōʻailona hoʻohaumia, ʻaʻole paha e pane like me SSRI.

Hōʻike ka mea like noiʻi i ka ERP therapy ʻaʻole paha e maikaʻi no nā manaʻo pulakaumaka. ʻO nā ʻano CBT ʻokoʻa, e like me ka CBT no ka noʻonoʻo ʻana, i ʻoi aku paha ka pōmaikaʻi.

Eia nō naʻe, hiki i nā hopena noiʻi ke ʻokoʻa. ʻAʻole pane mau ka poʻe ʻelua i ka lapaʻau ma ke ʻano like, ʻoiai inā he ʻano like ko lākou mau ʻōuli.

ʻO ka stimulate o ka lolo hohonu kahi ʻano lapaʻau hou e hiki ke kōkua i ka hoʻomaikaʻi ʻana i nā ʻōuli o OCD i ka poʻe ʻike ʻole i ka hoʻomaikaʻi me nā ʻano lāʻau ʻē aʻe.

ʻAʻole i noiʻi piha ʻia kēia lāʻau ʻana. Hiki paha iā ia i kekahi mau pilikia olakino. Inā hoihoi ʻoe i ka hoʻonāukiuki ʻana o ka lolo, hiki i kāu kauka mālama mua a i ʻole ka mea mālama maʻi noʻonoʻo ke hāʻawi i ka ʻike hou aku.

ʻIke ka hapa nui o ka poʻe i nā ʻōuli obsessive a koʻikoʻi paha mai kēlā me kēia manawa. ʻAʻole nō hoʻi he mea maʻamau ke loaʻa nā manaʻo intrusive a hoʻopaʻa paha i ka mea a lākou e manaʻo ai. Akā hiki paha i ka manawa e loaʻa ai ke kōkua no ka OCD inā:

• ʻoi aku ka nui o nā obsession a i ʻole nā ​​koi ʻia ma mua o hoʻokahi hola o kou lā
• nā manaʻo intrusive a i ʻole kāu mau hana e kāohi iā lākou e hoʻonāukiuki
• Hoʻonāukiuki nā hōʻailona OCD iā ʻoe, hoʻonāukiuki iā ʻoe, a i ʻole ke kumu o nā pilikia ʻē aʻe
• Hoʻokomo nā ʻōuli OCD i ke ala o nā mea āu e makemake ai a makemake paha e hana
• Hoʻopili maikaʻi nā ʻōuli OCD i kou ola a me ka pilina

Hiki i kāu mea mālama mālama mua ke kuhikuhi iā ʻoe i kahi kahu mālama maʻi noʻonoʻo, e like me ka mea hoʻoponopono. Hiki iā ʻoe ke ʻimi i kahi mea hoʻoponopono i kāu wahi ma ka pūnaewele.

Hāʻawi nā pūnaewele e like me kēia i nā papa kuhikuhi therapist e kōkua iā ʻoe e ʻimi i nā mea lawelawe kūikawā loea.

• ʻAhahui hōʻeha a me ke kaumaha o ʻAmelika. Hāʻawi lākou i ke kākoʻo a me nā kumuwaiwai i kēlā me kēia ʻohana a me nā ʻohana i hoʻopilikia ʻia e OCD a hāʻawi i kahi papa kuhikuhi therapist e kōkua iā ʻoe e ʻike i ke kōkua ma kāu wahi.
• ʻO ka International OCD Foundation. Hiki iā lākou ke kōkua iā ʻoe e loaʻa i ke kākoʻo ma kou wahi a me ka ʻike e pili ana iā OCD.

• He aha ka manaʻo no ka poʻe me OCD?

  Me ka ʻole o ka lapaʻau ʻana, ʻoi aku paha ka maikaʻi o nā hōʻailona OCD ma luna o ka manawa a hoʻopili i kāu pilina pilikino a me ke ʻano o ke ola.

  Wahi a ka DSM-5, ʻo ka poʻe me ka "ʻike ʻilihune" - ka poʻe i ʻoi aku ka manaʻoʻiʻo i ka OCD pulakaumaka a me nā koi. Loaʻa ka ʻike maikaʻi ʻole e pili ana iā OCD i mea nui loa ka mālama ʻana.

  Me ka mālama ʻana, hoʻomaikaʻi pinepine nā hōʻailona OCD. Hiki i ke kōkua ʻana ke hoʻomaikaʻi i ka hana i kēlā me kēia lā a me ke ʻano o ke ola.

  ʻAʻole maʻalahi ka hoʻomaʻamaʻa i nā manawa. Hiki i ka Therapy ke kikoʻī pinepine i nā manaʻo o ka hopohopo a me ke kaumaha. Akā pili me kāu papa hoʻolālā, ʻoiai inā paʻakikī ʻoe me ia i ka mua.

  Inā ʻaʻole paha e holo pono ka lāʻau a lāʻau paha kāu kumu i nā hopena ʻoluʻolu ʻole, e kamaʻilio me kāu mea hoʻoponopono. Pono paha ʻoe e hoʻāʻo i kekahi mau ʻano ʻokoʻa ma mua o ka ʻike ʻana i kahi e alakaʻi i kahi hoʻomaikaʻi hou.

  ʻO ka hana ʻana me kahi mea lapaʻau aloha e hoʻomaopopo i kāu mau ʻōuli a me nā pono he kī i ka hoʻomaikaʻi.

  Ke laina lalo

  Hiki i nā ʻōuli OCD ke hōʻike i nā ʻano like ʻole. Hiki nō hoʻi ke hoʻohui ʻia ʻo OCD me nā kūlana olakino noʻonoʻo ʻē aʻe a me nā kūlana, e like me schizophrenia, hopohopo, kahi maʻi tic, a i ʻole OCD postpartum.

  ʻO nā hōʻailona āu i loaʻa, hiki i ke kōkua ke kōkua.

  Inā hakakā ʻoe me nā kuleana o kēlā me kēia lā a me nā pilina pilikino ma muli o nā hōʻailona OCD, e kamaʻilio me kāu mea mālama mua a i ʻole mea hoʻoponopono. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ka lāʻau kūpono e kōkua ai iā ʻoe e aʻo i ka OCD.