Iphumelele kangakanani?
Iingcali zengqondo ziyabonwa ngabaphengululi kunye nabanikezeli bezempilo njengonyango oluchanekileyo lokunciphisa ubukhulu kunye nobukhulu beempawu ze- OCD . Uphuhliso lwengqondo olwenziweyo lweengxaki ze- OCD luguquka ekuphatheni kunye / okanye kwiingcamango, ngamanye amaxesha zibizwa ngokuba yiingcognitions.
Ngokubanzi, ukunyangwa kwengqondo kunye nokuziphatha kubonakala kusebenza ngakumbi kunamachiza kubini abadala kunye nabantwana abane-OCD.
Xa kufanelekile, unyango lokuziphatha kunye nolwazi lwe-OCD lunokudibaniswa kunye neyeza ngenxa yesiphumo esihle.
Ulwaphulo lokuziphatha
Nangona kukho iindlela ezahlukeneyo zokwelapha ukuziphatha kwe- OCD , ezininzi zezi zinto zijolise ekuboniseni ezo zinto ozoyikwesaba kakhulu. Oku kuboniswa kukunika ithuba lokufumana ulwazi olutsha ngethemba lokuba uzonqabisa ukwesaba kwakho.
UkuPhukisa nokuPhendulwa kweMpendulo
Enye yeendlela ezigqithisileyo kunye eziphumelelayo zonyango lokuziphatha kwi-OCD ukuchasana nokukhusela impendulo (ERP). I-ERP ibandakanyeka ekuboniseni ukuxhalabisa okuphambaniswayo kunye nokuthintela ukusetyenziswa kwemikhuba yokunciphisa uxhalaba lwakho. Lo mjikelo wokungcebeleka nokukhusela impendulo uphindaphindiwe de ungasayi kuba neengxaki zakho kunye / okanye ukunyanzeliswa.
Ingaba ithatha ixesha elingakanani?
I-ERP idla ngokuquka iiseshoni zokudlulela kwi-15 ukuya kwe-20 ezidlulileyo malunga nemizuzu engama-90.
Ezi seshoni ngokuqhelekileyo zenzeke kwiofisi yeengcali, nangona udlalwa ukuba usebenzise i-ERP ekhaya.
Nangona abanye abagqithisi bekhetha ukuqala ngokubhenca kwi-stimuli eyoyika kakhulu (ebizwa ngokuba yizikhukhula), abanye bathanda ukuthatha indlela ehamba phambili. Ngokomzekelo, akuqhelekanga ukuba abantu baqale i-ERP ngokucinga nje ngokubhenela kwizinto abaziyikayo kakhulu.
Imiba
Nangona unyango lolawulo lusebenza kakuhle malunga neyesibini kubathathu abantu abagqibeleleyo unyango, kukho ukuphazamiseka, kuquka:
- Ulwaphulo lokuziphatha luquka ukujamelana noyiko olubi kakhulu. Izigulane ezininzi zilahla ngaphambi kokuba unyango luzaliswe.
- Ulwaphulo lomsebenzi ngumsebenzi onzima kwaye ufuna ukugqiba umsebenzi wesikolo phakathi kweeseshoni.
- Ulwaphulo lwendlela yokuziphatha alukwazi ukuba luncedo kubantu abanobukhulu becala ngaphandle kokunyanzeliswa .
- Ulwaphulo lwezohambo lungabiza, nangona iiprogram ze-inshorensi zingabandakanya zonke okanye inxalenye yeendleko.
Unyango lweCognitive
Ulwaphulo lwe-OCD lwengqondo oluxhomekeke kwingcamango yokuba iingcamango okanye iingcamango eziphosakeleyo zibangela kwaye zigcine ukuphazamiseka kwemimiselo kunye nokunyanzeliswa. Ngokomzekelo, nangona uninzi lwabantu lubika ukuba lube lukhuni, kwaye kaninzi luyamangalisa, iingcamango zemihla ngemihla, ukuba unayo i-OCD ungaphinda ubhale ukubaluleka okanye ingozi ehambelana nale ngcamango. Usenokukholelwa ukuba ngokuba neengcamango ezinjalo, ukwandisa amathuba okucinga, isiganeko, okanye isenzo esenzekayo okanye enyanisekileyo.
UkuCamngca
Ukuba unayo i-OCD, unokwenza ngokugqithiseleyo umlinganiselo onoxanduva lomcimbi osenzekayo kwaye uzive ufanele uthathe amanyathelo okukhusela.
Ngokomzekelo, unokufumana unqweno olungalawulekiyo lokubala okanye ukulungisa into ethile ukukhusela ukushayiswa kweendiza. Ewe, ukubala okanye ukulawula into ethile ayikwazi ukuba nayiphi na impembelelo nokuba ingaba iyingozi okanye ayikho. Le ndlela yokucinga engenangqiqo idla ngokubizwa ngokuba yimilingo yokucinga .
Ulwaphulo olunengqondo luquka ukuhlolisisa iipatheni zokucinga ezinobungozi kunye nokuza kunye nezinye iindlela ezinokuthi zenzeke. Akuqhelekanga ukuba ungaqapheli ezinye zeziphene ezikhoyo ekucingeni kwakho, kwaye umgqirha unokuncedisa ukulubonisa.
Kwakhona, unyango oluqhelanisiweyo luhlala lubandakanya izixhobo zokuziphatha. Ngokomzekelo, wakho ugqirha unokuthi uvavanye ezinye zeendlela ezikhethiweyo ozifumanayo ngokusebenzisa unyango olusondeleyo .
Ingaba ithatha ixesha elingakanani?
Njenge-ERP, unyango lweengcinga luhlala luqhutywe ngaphezu kweeseshoni ezili-15 ukuya kwe-20, nangona iiseshoni zonyango ezinokwenkcenkcesha zihlala zincinci ngexesha elide, lide libe li-50 ukuya kweyimizuzu engama-60. Njengoko i-ERP, udlalwa ukuba wenze umsebenzi wesikolo, oqhelekileyo kubandakanya ukugcina ingxelo yansuku zonke yeengcamango zakho kunye nokugcina ingqalelo ukuba ngaba ukwesaba kwakho kunene kwenzeka.
Ukuqwalasela
Ukuthatha isigqibo sokubandakanya ulwaphulo lokuziphatha okanye ucalulo lwe-OCD yisigqibo esimele senziwe ngokubonisana nodokotela wakho wosapho, ingqondo yesifo sengqondo, okanye isazi sengqondo njengengxenye yesicwangciso sakho socwangciso jikelele. Uphando olulawulwayo, uphando lwendlela yokuziphatha nolwazileyo lubonakala lusebenza ngokulinganayo. Nangona kunjalo, ngokwenza oko bahlala behlanganiselwe umphumo omkhulu. Oku kuthethwa ngokuba yonyango lokuziphatha.
Ngaphambi kokuba ungene kwi-psychotherapy, kunokunceda uzibuze le mibuzo elandelayo:
- Ngaba ndikulungele ukuzama ukujamelana nezona zinto ndizoyikwesaba kakhulu?
- Ngaba ndiyakwazi ukuxhasa ngemali ngokwayo okanye ngaba i-inshurensi yam ihlawula iindleko?
- Ngaba ndizimisele ukufaka ixesha elifunekayo lokuthatha inxaxheba kwiiseshoni zeveki ukuya kwiiveki ezingama-20?
- Ngaphezulu kokuya kwiseseshoni yeveki, ngaba ndikulungele ukugqiba izabelo zasekhaya phakathi kweeseshoni?
ILizwi
Uphando lubonisa ukuba abantu abaneziphumo ezilungileyo kunye neengqondo ze-psychotherapy yibo bazimisele kakhulu ukutshintsha nokuzimisela ukuzama nokufaka ukuzinikela okufunekayo. Ukuba unemibuzo malunga nokulungela kwakho ukuthatha inxaxheba kwingqondo yengqondo, xela ugqirha okanye ingqondo yakho.
Ukuba uthatha isigqibo sokubandakanya i-psychotherapy njengenxalenye yesicwangciso sakho sonyango jikelele, qiniseka ukuba ukhululekile kunye nomgqirha wakho. Ukuba uziva into ekhusela ukuba ube nolwalamano olulungileyo, ungesabi ukuyikhupha.
Unobulunga olungileyo uya kuvuyiswa kukuba uye wazisa le nto kwaye uza kuzama ukusebenzisana nale miba nawe. Ukuba awunalo ugqirha okanye awuhlali ujabule ngoluphi uphando, jonga ezi ngcebiso malunga nendlela yokufumana i-OCD therapist efanelekileyo kuwe.
Ekubeni unyango lwe-intanethi (okanye unyango lwe-fowuni) luya kuba luqhelekileyo, abaphandi baye bahlalutya ukuba ngaba oku kusebenza ngendlela efanelekileyo njengonyango lomntu. Okwangoku, uphando lubonisa ukuba impendulo nguwe ewe, kodwa khumbula ukuba unyango olude kunzima kuba bobabini umxhasi kunye neengcali abanakho ukukwazi ukutolika ulwimi lomzimba kunye nezinye izinto. Nangona kunjalo, kuseyinto enhle kulabo abahlala kude kakhulu kumgqirha ontle.
Imithombo:
Ost, L., Havnen, A., Hansen, B., noG. Kvale. Ukunyangwa kwengqondo yokuziphatha kwengxaki yokunyanzela. Ukuphononongwa ngokuchanekileyo kunye nokuhlaziywa kweemeta zophando ezipapashwe ngo-1993-2014 Ukuhlaziywa kweeNzululwazi zengqondo . 2015. 40: 156-69.
Ost, L., Riise, E., Wergeland, G., Hansen, B., noG. Kvale. Ukunyangwa kweendlela zokuziphatha kunye ne-Pharmacological Treatment ye-OCD kwi-Children: UkuHlola okuHlolo kunye neMeta-Analysis. Umbhalo weengxaki zokukhathazeka . 2016. 43: 58-69.
I-Wootton, B. I-Remote Cognitive-Behavior Treatment ye-Obsessive-Compulsive Symptoms: I-Meta-Analysis. Ukuhlolwa kweSiklinikhi yePhysical Psychology . 2016. 43: 103-13.