Yuav Qhia Li Cas Yog Koj Muaj Agoraphobia: 14 Kauj Ruam

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Yuav Qhia Li Cas Yog Koj Muaj Agoraphobia: 14 Kauj Ruam
Yuav Qhia Li Cas Yog Koj Muaj Agoraphobia: 14 Kauj Ruam

Video: Yuav Qhia Li Cas Yog Koj Muaj Agoraphobia: 14 Kauj Ruam

Video: Yuav Qhia Li Cas Yog Koj Muaj Agoraphobia: 14 Kauj Ruam
Video: Tsis Yog Hmoob Sib Ntxhais Ntxawm - SODA Poj Laib Khej Me (Cover) 2024, Lub peb hlis ntuj
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Coob leej neeg raug kev txom nyem los ntawm agoraphobia, muaj teeb meem ntsig txog kev ntxhov siab. Hauv Tebchaws Meskas, tus kabmob no cuam tshuam rau 5% ntawm cov neeg nyob hauv tebchaws Brazil thiab cov kev tshawb fawb qhia tias 12% ntawm cov pejxeem muaj teebmeem los ntawm kev ntxhov siab ntau dhau. Ib lo lus ntawm keeb kwm Greek, agoraphobia tuaj yeem txhais ua "kev ntshai ntawm qhov chaw qhib", tab sis nws tuaj yeem ua rau muaj kev nkag siab ntau ntxiv yog tias piav raws li "kev ntshai ntawm kev ntshai" lossis kev ntshai kom muaj kev ntshai nyob hauv qhov chaw pej xeem. Txheeb cais qhia tias cov poj niam raug kev txom nyem ob zaug ntau dua li txiv neej los ntawm hom kev puas siab puas ntsws uas ua rau tib neeg tsis xis nyob nrog neeg txawv, sib tham lossis nyob ib puag ncig uas tsis paub. Nrhiav seb koj puas muaj agoraphobia lossis tsis yog thawj kauj ruam hauv kev daws teeb meem.

cov kauj ruam

Ntu 1 ntawm 3: Txheeb Tus Yam Ntxim Saib Ntxim Ua txog Agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 1
Paub yog Koj Yog Agoraphobic Kauj Ruam 1

Kauj Ruam 1. Ceev faj yog tias koj xav tau lub tuam txhab tawm mus sab nraud

Cov uas ntshai tawm mus ib leeg, ib txwm sim suav nrog qhov muaj neeg paub thaum mus ncig lossis mus rau qhov chaw tshiab. Kev ywj pheej rau cov neeg raug kev txom nyem los ntawm agoraphobia yuav luag tsis yooj yim sua, vim tus neeg zoo li xis nyob nrog tsev neeg lossis phooj ywg nkaus xwb.

Kev ntxhov siab tsuas yog xav txog kev mus tom khw muag khoom kom yuav ib litre mis nyuj tuaj yeem yog ib qho cim ntawm agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 2
Paub yog Koj Yog Agoraphobic Kauj Ruam 2

Kauj Ruam 2. Ntsuas seb koj puas xaiv txoj hauv kev uas tau txiav txim siab ua ntej xwb

Ib qho ntawm cov cim ntawm agoraphobia yog kev ntshai tias mus rau qhov chaw tsis paub yuav ua rau muaj kev ntxhov siab. Vim li no, coob leej neeg thiaj tsim txoj kev "nyab xeeb" txav mus rau sab nraum lub tsev, txawm yog mus yuav khoom lossis mus ua haujlwm, piv txwv.

Kev ntshai sim txoj hauv kev tshiab hauv lub neej txhua hnub thiab rov hais dua tib txoj hauv kev ntawm tsev thiab ua haujlwm, yam tsis hloov kev taug kev lossis taug kev hla txoj kev sib txawv, kuj tseem tuaj yeem yog tus tsos mob ntawm agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 3
Paub yog Koj Yog Agoraphobic Kauj Ruam 3

Kauj Ruam 3. Ua tib zoo xav thiab txiav txim siab seb koj puas tso tseg kev ua neej nyob

Cov neeg uas raug kev txom nyem los ntawm tus mob no pib txwv tus naj npawb ntawm qhov chaw lawv mus tiv thaiv qhov xwm txheej lossis ib tus neeg los ntawm qhov ua rau ceeb ntshai. Cov neeg uas muaj agoraphobia nyiam tsim "thaj chaw xis nyob" xws li hauv tsev thiab ua haujlwm, cais lawv tus kheej hauv cov chaw no thiab zam kev ua phooj ywg tshiab. Agoraphobic tsis paub tias kev sib raug zoo tau raug txo thiab txwv.

Tej zaum tawm mus nrog cov phooj ywg, mus rau tuav, tog thiab ua yeeb yaj kiab, ntxiv rau tsev kawm ntawv thiab kev ua haujlwm yog ib feem ntawm koj li niaj zaus. Tab sis me ntsis los ntawm qhov me me, yam tsis tau paub nws, koj pib tsis kam txais cov lus caw thiab cais koj tus kheej rau "kev ntshai ntshai". Thaum kawg, lub semester tau xaus thiab qhov tseeb, lub siab xav tsis mus rau npe rau lwm xyoo vim ntshai tsam muaj kev ceeb ntshai nyob hauv chav kawm. Ntxiv rau, koj tau pom cov phooj ywg tsawg dua thiab tsawg dua thiab tsuas yog siv sijhawm txaus ntawm kev ua haujlwm. Tus cwj pwm no yog qhia txog agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 4
Paub yog Koj Yog Agoraphobic Kauj Ruam 4

Kauj Ruam 4. Txheeb xyuas kev ntshai lossis kev ntxhov siab hauv pawg neeg

Thaum koj hla coob leej neeg ntawm lub khw, ntawm kev hais kwv txhiaj lossis hauv khw muag khoom, koj puas xav tias ua tsis taus pa? Kev ntxhov siab, tawm hws xib teg, txhawj xeeb ntau dhau, lub plawv dhia nrawm, thiab kev xav sib txuas tuaj yeem yog txhua yam tsos mob ntawm agoraphobia.

Txawm hais tias koj tsis muaj kev ceeb ntshai, tsuas yog ntshai muaj teeb meem ntawm kev sib tham hauv zej zog tuaj yeem yog qhov tshwm sim ntawm qhov kev ntxhov siab

Paub yog Koj Yog Agoraphobic Kauj Ruam 5
Paub yog Koj Yog Agoraphobic Kauj Ruam 5

Kauj Ruam 5. Ua tib zoo ntshai lossis ntxhov siab nyob hauv tsev

Cov tsos mob Panic cuam tshuam nrog agoraphobia tuaj yeem tshwm sim thaum tus neeg xav tias nws lossis nws khiav tsis tau. Nws xav li cas thaum raug kaw, txawm tias ib pliag? Kev ua xws li mus hla qhov av ntawm txoj kev thiab txoj kev thaum nyob hauv tsheb, taug kev hauv av, nqa tsheb, tsheb npav, dav hlau lossis tsheb ciav hlau tuaj yeem ua rau muaj kev ntxhov siab lossis ua rau muaj teeb meem.

Paub yog Koj Yog Agoraphobic Kauj Ruam 6
Paub yog Koj Yog Agoraphobic Kauj Ruam 6

Kauj Ruam 6. Cov xwm txheej twg ua rau koj xav khiav?

Kev ntshai ntawm kev nyam thiab tsis tuaj yeem khiav tawm ntawm qhov chaw lossis xwm txheej yog ib qho kev xav rau ib tus neeg uas raug kev txom nyem los ntawm agoraphobia. Ib tus neeg tab tom nrhiav kom nyiag mus tej zaum kuj yuav txaj muag lossis txaj muag, tab sis thaum lub sijhawm lawv muab kev hais lus tsis meej. Qee lub sij hawm nws tsis tau paub tias, es tsis txhob tawm mus, nws tau dag ntawm lub rooj zaum, yam tsis muaj kev tawm tsam rau qhov teeb meem.

Koj tuaj yeem ntsib qhov xwm txheej ntawm agoraphobia thaum koj nrog phooj ywg ntawm chaw ncaws pob. Qhov kev ntshai yog qhov phem heev es tsis txhob qhib koj qhov kev ua si thiab qhia koj tus kheej tias koj tab tom ntsib teeb meem, koj ua rau tus neeg ceg tawv thov zam txim thiab tawm mus qhia rau koj tus phooj ywg tias koj yuav tsum tau mus tsev thiab saib xyuas tus dev. Tej zaum koj yuav faking tus kab mob lossis tsim lwm yam teeb meem loj

Ntu 2 ntawm 3: Paub txog tus kheej cov tsos mob ntawm agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 7
Paub yog Koj Yog Agoraphobic Kauj Ruam 7

Kauj Ruam 1. Nco ntsoov seb puas muaj kev ntxhov siab

Tus yam ntxwv tseem ceeb ntawm agoraphobia yog xav tias npau taws heev thiab ntshai thaum koj xav tias koj yuav raug daig. Hauv qhov xwm txheej no, uas tshwm sim feem ntau sab nraum lub tsev, tus neeg tuaj yeem ntshai thiab muaj kev ntshai, zoo li yog qee yam tsis zoo tuaj yeem tshwm sim. Koj yuav tsum muaj cov tsos mob ntawm agoraphobia tsawg kawg rau lub hlis ua ntej kws kho mob kuaj pom.

Kev ntxhov siab tuaj yeem ua rau muaj teeb meem. Cov tsos mob ntawm kev ceeb ntshai suav nrog mob hauv siab, loog, kiv taub hau, tshee, tawm hws ntau dhau, ua tsis taus pa, xeev siab, ua kom txias lossis kub, hnov kev sib txuas ntawm koj tus kheej, lossis tsis xav tias tsis muaj tseeb. mus vwm

Paub yog Koj Yog Agoraphobic Kauj Ruam 8
Paub yog Koj Yog Agoraphobic Kauj Ruam 8

Kauj Ruam 2. Txheeb xyuas qhov ua rau koj ntshai

Kev ntshai ntawm cov neeg uas raug kev txom nyem los ntawm hom kev tsis meej no yog qhov tshwj xeeb. Txhawm rau txheeb xyuas agoraphobia, Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ceeb toom tias tus neeg mob yuav tsum muaj kev ntshai hauv ob lossis ntau qhov xwm txheej no:

  • sawv hauv pawg neeg lossis tos hauv kab;
  • nyob hauv qhov chaw qhib xws li kev lag luam lossis chaw nres tsheb;
  • nyob hauv tsev xws li chaw noj mov lossis chaw ua yeeb yaj kiab;
  • siv kev thauj mus los rau pej xeem xws li tsheb npav, subway, tsheb ciav hlau, dav hlau lossis ferry;
  • tawm hauv tsev ib leeg.
Paub yog Koj Yog Agoraphobic Kauj Ruam 9
Paub yog Koj Yog Agoraphobic Kauj Ruam 9

Kauj Ruam 3. Paub txog qhov txaus ntshai ntawm kev nyob ib leeg

Koj puas ntxub kev nyob ib leeg vim tias koj ntshai ntawm kev ntshai, muaj kev xav tsis meej, hnov tsis taus pa, muaj lub plawv dhia nrawm thiab xav tsis meej pem? Cov no yog cov tsos mob ntawm agoraphobia. Daim ntawv ceeb toom seb qhov kev xav ntawm cov kev xav no nce ntxiv thaum koj tsis muaj neeg nrog koj nyob.

Muaj ob hom kev ntshai uas tuaj yeem tshwm sim thaum ib tus neeg nyob ib leeg. Ib ntawm lawv yog txuas ncaj qha rau agoraphobia. Lwm qhov tshwm sim thaum tus neeg nyob ib leeg thiab xav tias muaj kev phom sij rau kev tawm tsam. Qhov tom kawg tsis yog cov tsos mob ntawm agoraphobia. Kev txheeb xyuas qhov tseeb yog qhov tseem ceeb rau kev kuaj mob kom raug

Paub yog Koj Yog Agoraphobic Kauj Ruam 10
Paub yog Koj Yog Agoraphobic Kauj Ruam 10

Kauj Ruam 4. Nco ntsoov tias muaj cov neeg uas muaj kev pheej hmoo mob agoraphobia ntau dua

Cov poj niam thiab cov tib neeg hnub nyoog qis dua 35 xyoos feem ntau yuav raug kev txom nyem los ntawm kev tsis meej pem. Lwm yam kev pheej hmoo rau agoraphobia suav nrog:

  • Kev txom nyem los ntawm qee qhov teeb meem zoo li kev tsis meej pem lossis lwm yam kev phobia;
  • Hnov ntxhov siab lossis tshee tshee feem ntau ntawm lub sijhawm;
  • Mus dhau qhov kev raug mob xws li poob niam txiv, raug tsim txom lossis raug ntaus;
  • Muaj ib tus neeg nrog tsev neeg keeb kwm ntawm agoraphobia (txheeb ze txheeb ze);
  • Muaj kev nyuaj siab;
  • Mus dhau cov teeb meem ntsig txog kev quav yeeb quav tshuaj.

Ntu 3 ntawm 3: Nrhiav kev pab nrog agoraphobia

Paub yog Koj Yog Agoraphobic Kauj Ruam 11
Paub yog Koj Yog Agoraphobic Kauj Ruam 11

Kauj Ruam 1. Nug tus kws kho mob txog cov tshuaj

Kev kho mob agoraphobia yuav tsum muab tshuaj thiab kho. Daim ntawv yuav tshuaj feem ntau rau cov mob no yog:

  • Antidepressants. Cov tshuaj xws li paroxetine lossis fluoxetine uas tau xaiv serotonin reuptake inhibitors (SSRIs), thaum kws kho mob tau hais tseg, tuaj yeem pab kho cov neeg mob uas muaj kev ceeb ntshai thiab agoraphobia. Lwm yam kev xaiv suav nrog tricyclic antidepressants (ADT) thiab monoamine oxidase inhibitors (MAOI).
  • Tshuaj los kho kev ntxhov siab. Benzodiazepine yog cov khoom lag luam uas tuaj yeem ua haujlwm tau zoo hauv lub sijhawm luv, tab sis nws siv yog pheej hmoo, vim nws tuaj yeem ua rau muaj kev vam khom. Yog li ntawd, cov tshuaj uas kws kho mob tau hais tseg yuav tsum tseg rau thaum muaj xwm txheej ceev xws li kev tawm tsam.
Paub yog Koj Yog Agoraphobic Kauj Ruam 12
Paub yog Koj Yog Agoraphobic Kauj Ruam 12

Kauj Ruam 2. Nrhiav kev kho mob

Kev kho tus cwj pwm kev paub (CBT) yog txoj hauv kev zoo tshaj los kho agoraphobia. Txoj hauv kev siv cov txheej txheem kev paub paub (sib cav tias qee yam mob hlwb tau txuas nrog tus neeg mob txoj kev xav) nrog tus cwj pwm (uas sib cav tias peb txhua tus tuaj yeem hloov tus cwj pwm uas ua rau peb mob).

  • CBT yuav pib qhia qhov tshwm sim tom qab qee lub sijhawm ntawm kev sib tham txhua lub sijhawm ntev li 50 feeb txhua. Tus kws kho mob yuav tham thiab nug seb koj pom agoraphobia li cas thiab nug koj los tshuaj xyuas koj cov qauv kev xav thiab kev nqis tes ua, uas yog txoj haujlwm me me los tuav ntawm qhov kev sib tham tom ntej.
  • Lub sijhawm dhau los, tus kws kho mob yuav hais qhia tias koj maj mam rov qab mus rau lub neej kev sib raug zoo, lub hom phiaj yog los tawm tsam thiab tshem tawm qhov kev xav tsis zoo tshwm sim los ntawm agoraphobia. Ua ntej koj tuaj yeem sim tawm mus thiab nyob twj ywm li 15 feeb ntawm lub khw muag khoom noj, tom qab ntawd 30 feeb, ib teev, thiab ntxiv rau kom txog thaum koj zoo siab thiab rov kho dua rau cov xwm txheej hauv zej zog.
Paub yog Koj Yog Agoraphobic Kauj Ruam 13
Paub yog Koj Yog Agoraphobic Kauj Ruam 13

Kauj Ruam 3. Rov kawm dua lub siab

Agoraphobia yog dab tsi tshwm sim hauv lub hlwb thaum nws hais qee yam uas tsis muaj tseeb: "Koj raug kaw," "Koj tsis nyob nyab xeeb ntawm no," lossis "Tsis ntseeg leej twg." Kawm paub daws teeb meem los ntawm kev hloov koj txoj kev xav thiab tsis lees txais cov lus tsis raug xa los ntawm lub siab. Thawj kauj ruam hauv kev kawm txog kev puas siab ntsws yog kom paub tias lub siab tsis meej pem thiab cov cim nws tau txais yog qhov tsis raug.

Lub sijhawm koj lub paj hlwb ceeb toom rau koj kom npau taws, vim tias muaj kev phom sij pom, ua pa tob tob thiab nrhiav lwm cov ntaub ntawv uas yuav pab koj nkag siab tias muaj dab tsi tshwm sim. Nco ntsoov tias koj "muaj sia nyob" lwm qhov kev tawm tsam tsis txaus ntshai, tsis raug mob, cia nyob ib leeg tuag (qhov no yog ib qho kev ntshai tseem ceeb ntawm cov neeg uas muaj agoraphobia)

Paub yog Koj Yog Agoraphobic Kauj Ruam 14
Paub yog Koj Yog Agoraphobic Kauj Ruam 14

Kauj Ruam 4. Fim cov teeb meem

Lub tswv yim daws teeb meem (thaum ib tus neeg nthuav tawm lawv tus kheej) tiv thaiv kev khiav tawm thiab ua rau peb saib ncaj rau yam uas ua rau peb ntshai. Koj yuav tsum tswj hwm, tawm tsam kev ntxhov siab, sib ntaus phobias, thiab ntsib yam khoom thawj zaug. Tom qab ntsib "kev puas siab puas ntsws", koj yuav rov yug dua li Phoenix, rov xav txog lub hlwb.

  • Kuaj. Puas yog koj ntshai tsam muaj teeb meem lwm qhov tsuas yog xav txog kev mus ncaws pob ncaws pob kom pom Kaulinthaus vs. Palmeiras? Pib maj mam thiab caw ib tus phooj ywg los saib kev sib tw ncaws pob thiab sim nyob nruab nrab ntawm 15 thiab 20 feeb. Cov gym yog me dua thiab cov pej xeem tau so ntau dua. Lub sijhawm tom ntej, nyob twj ywm li 40 feeb, thiab txuas ntxiv mus, txog thaum koj pom koj tus kheej hauv qhov sawv kom txog thaum lub suab nrov kawg.
  • Ua siab ncaj txog koj qib kev nplij siab. Lub hom phiaj yog txhawm rau txheeb xyuas qhov ua rau muaj kev ceeb ntshai thiab agoraphobia, tsis ua rau muaj kev tawm tsam. Tsis txhob maj thiab zam dhau qhov raug. Fwm koj cov lus sib dhos thiab sau rau hauv koj phau ntawv muag khoom dab tsi kev xav tuaj rau saum npoo nrog qhov kev paub dhau los. Qhov no yuav pab koj ntsuas koj qhov kev nce qib.

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