Imibuzo eyi-10 i-Therapist yakho efuna ukuthi uyibuze mayelana nokwelashwa kwe-MDD

-Delile

• 1. Kungani ngizizwa ngicindezelekile?
• 2. Ngenzenjani uma kunesimo esiphuthumayo?
• 3. Iyini impela indlela yokwelapha?
• 4. Ngabe kufanele ngithole ukwelashwa kwengqondo noma ukwelulekwa ngokwengqondo?
• 5. Uhlobo luni lokwelashwa olwenzayo?
• 6. Ungaxhumana nodokotela wami?
• 7. Ingabe ukucindezelwa ngofuzo?
• 8. Kufanele ngithini emndenini wami nakumqashi wami?
• 9. Yini enye engingayenza ukuxhasa imishanguzo yami?
• 10. Kungani ngingazizwa ngingcono?
• Ukuthatha

Uma kukhulunywa ngokwelashwa kwesifo sakho sokucindezeleka (MDD), kungenzeka ukuthi usuvele unemibuzo eminingi. Kepha kuwo wonke umbuzo owubuzayo, kukhona omunye umbuzo noma emibili okungenzeka awukaze uyicabangele.

Kubalulekile ukukhumbula ukuthi iklayenti nomelaphi bakha futhi baqondise inqubo yokwelashwa kwengqondo ndawonye. Ngempela, abelaphi bakhetha ukusebenzisa igama elithi "iklayenti" kunokuthi "isiguli" ukugcizelela indima esebenzayo yabafuna ukwelashwa kuyo yonke inkambo yokunakekelwa.

Nakhu umelaphi afisa amaklayenti ane-MDD ebuziwe phakathi nezikhathi zawo.

1. Kungani ngizizwa ngicindezelekile?

Isinyathelo sokuqala sokuthola ukwelashwa kokucindezeleka kwakho kufanele kube ukuhlolwa okuphelele. Noma kunjalo, lokhu akwenzeki ngaso sonke isikhathi.

Uma uthatha umuthi wokudangala, umhlinzeki wakho usevele unqume ukuthi uhlangabezana nenqubo yokuhlonza ukucindezeleka (okungukuthi, Kanjaniuyezwa). Lokho kushiwo, abahlinzeki bokunakekelwa okuyisisekelo kaningi abanaso isikhathi sokwenza ukuhlolwa okuphelele ngani uzizwa ngendlela ozizwa ngayo.

Ukudangala kubandakanya ukuphazamiseka ezinhlelweni ze-neurotransmitter ebuchosheni bakho, ikakhulukazi uhlelo lwe-serotonin (yingakho ukusetshenziswa okuvamile kwe-serotonin reuptake inhibitors ekhethiwe, noma ama-SSRIs, yokwelashwa). Ngaphezu kwalokho, kunezinye izinto eziningi okufanele kuxoxwe ngazo futhi kufanele zibe yingxenye yokwelashwa. Lokhu kufaka phakathi:

• izindlela zokucabanga
• amagugu nezinkolelo
• ubudlelwano phakathi kwabantu
• isimilo
• okunye
  izingcindezi ezingase zihlotshaniswe nokudangala (ngokwesibonelo, into
  ukusetshenziswa noma izinkinga zezokwelapha)

2. Ngenzenjani uma kunesimo esiphuthumayo?

Kusukela ekuqaleni, kubalulekile ukuthi ube nokuqonda ukuthi inqubo yokwelashwa izobukeka kanjani. Kwabaningi, lokhu kuzosho izikhathi zomuntu ngamunye nomelaphi kanye ngesonto, kusuka kumizuzu engama-45 kuya ehoreni. Inani lamaseshini lingalungiswa noma liphele.

Ngokuya ngezidingo zakho, ezinye izilungiselelo zokwelashwa zifaka:

• ukwelashwa kweqembu
• ukwelashwa okuphuthumayo kweziguli, okwenzela wena
  vakashela izilungiselelo zokwelashwa kaningana ngesonto
• ukwelashwa kokuhlala, lapho uhlala khona ku-
  indawo isikhathi esithile

Noma ngabe yikuphi, kubalulekile ukwazi ukuthi wenzeni esimeni esiphuthumayo - ikakhulukazi, okufanele uxhumane naye uma unemicabango yokuzilimaza noma yokuzibulala ngaphandle kwesethingi yokwelashwa. Ngenxa yezizathu zokuphepha, kufanele usebenze nodokotela wakho ukubeka uhlelo lwezimo ezingaba khona kusukela ekuqaleni kokwelashwa.

3. Iyini impela indlela yokwelapha?

Uma ucabanga ukwelashwa kwengqondo, okuvame ukubizwa ngokuthi ukwelashwa, kungenzeka ukuthi uzosebenza nodokotela wezengqondo onelayisense (PhD, PsyD), usonhlalakahle (MSW), noma owelapha umshado nomndeni (MFT).

Abanye odokotela bezokwelapha benza ukwelashwa kwengqondo, imvamisa izifo zengqondo (MD).

I-American Psychological Association ichaza ukwelashwa kwengqondo njengokulashwa ngokubambisana okugxile ebudlelwaneni obuphakathi kweklayenti nomhlinzeki wokunakekelwa. I-Psychotherapy yindlela esekwe ebufakazini "esekwe engxoxweni" futhi "enikeza indawo esekelayo ekuvumela ukuthi ukhulume ngokukhululeka nomuntu onenhloso, ongathathi hlangothi nongahluleli." Akufani nezeluleko noma i-life coaching. Lokho wukuthi, ukwelashwa kwengqondo kuthole ukwesekwa okukhulu kwesayensi.

4. Ngabe kufanele ngithole ukwelashwa kwengqondo noma ukwelulekwa ngokwengqondo?

Namuhla, amagama athi "ukwelulekwa kwengqondo" kanye "nokwelashwa kwengqondo" avame ukusetshenziswa ngokungafani. Uzozwa abanye abantu bethi ukwelulekwa inqubo emfushane futhi egxile ezixazululweni, kanti ukwelashwa kwengqondo kuthathe isikhathi eside futhi kunamandla kakhulu. Umehluko uqhamuka kwimvelaphi yokwelulekwa ngezindlela zokufundela kanye nokwelashwa kwengqondo kuzilungiselelo zokunakekelwa kwezempilo.

Kunoma ikuphi, njengeklayenti, kufanele uhlale ubuza umhlinzeki wakho wokunakekela mayelana nokuqeqeshwa nemvelaphi yabo, indlela yokufunda, kanye nelayisense. Kubalulekile ukuthi umeluleki ombonayo abe nguchwepheshe wezempilo onelayisense. Lokhu kusho ukuthi zilawulwa nguhulumeni futhi ziphendula ngokomthetho, njengoba kungaba njalo kunoma yimuphi udokotela.

5. Uhlobo luni lokwelashwa olwenzayo?

Abelaphi bayawuthanda lo mbuzo. Kunobufakazi besayensi bezindlela eziningi ezahlukahlukene zokwelashwa. Iningi labelaphi banendlela eyodwa noma ezimbili abazisebenzisa kakhulu futhi banolwazi ngezinhlobo eziningana.

Izindlela ezijwayelekile zifaka:

• ukwelashwa kokuziphatha kwengqondo, okugxile
  amaphethini nezinkolelo ezingasizi ngalutho
• ukwelashwa komuntu, okugxila kuko
  amaphethini obudlelwano obungasizi
• i-psychodynamic psychotherapy, egxile ku-
  izinqubo zokuquleka nezingxabano zangaphakathi ezingaxazululiwe

Abanye abantu bangaba ne-jibe ngaphezulu ngendlela ethile, futhi kuyasiza ukuxoxa ngokufunayo ekwelashweni ekuqaleni nomelaphi wakho. Noma ngabe iyiphi indlela, kubalulekile ukuthi amaklayenti ezwe isibopho esiqinile noma umfelandawonye nomelaphi wawo ukuze athole okuningi ekwelashweni.

6. Ungaxhumana nodokotela wami?

Udokotela wakho kufanele axhumane nodokotela wakho okuchazayo uma uthathe noma uthatha umuthi wokudangala. Izindlela zokwelashwa nezokusebenza kwengqondo azihambelani ngakunye. Eqinisweni, kufanele kuphakanyiswe ukuthi ukuhlanganiswa kwemithi nokwelashwa kwengqondo kuhambelana nokuthuthuka okukhulu kwemizwa kunemithi kuphela.

Noma ngabe ukhetha imishanguzo, ukwelashwa kwengqondo, noma kokubili, kubalulekile ukuthi abahlinzeki bakho bezokwelapha, bakudala nabamanje, babe nokuxhumana ukuze zonke izinsizakalo ozitholayo zisebenze ngokubambisana. Odokotela kufanele futhi bafakwe ekwelashweni uma kukhona ezinye izinsizakalo zezokwelapha ozifunayo (isibonelo, ukhulelwe noma uhlela ukukhulelwa, noma unesinye isimo sezempilo).

7. Ingabe ukucindezelwa ngofuzo?

Kunobufakazi obuqinile bokuthi ukudangala kunesakhi sofuzo. Le ngxenye yezakhi zofuzo inamandla kwabesifazane kunamadoda. Eziningi zingaba nengozi eyengeziwe yokucindezeleka, futhi. Uma kushiwo lokho, asikho isakhi sofuzo noma isethi yezakhi zofuzo “esikwenza ucindezeleke.”

Odokotela nabelaphi bavame ukucela umlando womndeni ukuthola umqondo wale ngozi yezofuzo, kodwa lokho kuyingxenye yesithombe kuphela. Akumangalisi ukuthi imicimbi yokuphila enengcindezi kanye nokuhlangenwe nakho okungekuhle nakho kudlala indima ebalulekile kwi-MDD.

8. Kufanele ngithini emndenini wami nakumqashi wami?

Ukucindezeleka kungathinta labo abasizungezile ngezindlela eziningi. Uma kube noshintsho olukhulu emizweni yakho, ungazizwa ucasukile kwabanye. Ungashintsha futhi indlela owenza ngayo impilo yakho yansuku zonke. Mhlawumbe ukuthola kunzima ukujabulela isikhathi nomndeni wakho futhi kube nokuphazamiseka emsebenzini. Uma kunjalo, kubalulekile ukwazisa umndeni wakho ukuthi uzizwa kanjani nokuthi ufuna usizo.

Abathandekayo bethu bangaba yimithombo emikhulu yokusekela. Uma izinto ziye zonakala ekhaya noma ebuhlotsheni bakho bothando, ukwelashwa komndeni noma kwemibhangqwana kungasiza.

Uma ulahlekelwe umsebenzi noma ukusebenza kwakho kushibhile, kungaba umqondo omuhle ukwazisa umqashi wakho ukuthi kwenzakalani futhi uma udinga ukuthatha ikhefu lokugula.

9. Yini enye engingayenza ukuxhasa imishanguzo yami?

I-Psychotherapy yisisekelo lapho kwenzeka khona ushintsho. Kodwa-ke, ukubuyela esimweni senjabulo, impilo nokuphila kahle kuyenzeka ngaphandle igumbi lokwelapha.

Eqinisweni, ucwaningo lukhombisa ukuthi okwenzeka "emhlabeni wangempela" kubalulekile empumelelweni yokwelashwa. Ukuphatha imikhuba yokudla enempilo, izindlela zokulala, nezinye izindlela zokuziphatha (isibonelo, ukuzivocavoca umzimba noma ukugwema utshwala) kufanele kube maphakathi nohlelo lwakho lokwelashwa.

Ngokufanayo, izingxoxo zokuhlangenwe nakho okuhlukumezayo, imicimbi yokuphila ecindezelayo noma engalindelekile, kanye nokwesekwa kwezenhlalo kufanele kuvele ekwelashweni.

10. Kungani ngingazizwa ngingcono?

Uma ukwelashwa kwengqondo kungabonakali kusebenza, kubalulekile ukwaba lolu lwazi nodokotela wakho. Ukuyekiswa kokuqala kokwelashwa kwengqondo kuxhumene nomphumela wokwelashwa okumpofu. Ngokwelinye iqembu lezifundo, cishe umuntu oyedwa kwabahlanu ushiya ukwelashwa ngaphambi kokuphothulwa.

Kubalulekile ukuchaza ukuthi inkambo yokwelashwa kwakho izoba yini kusukela ekuqaleni kokwelashwa. Nganoma yiliphi iphuzu ekwelashweni, udokotela wengqondo omuhle angafuna ukwazi ukuthi ngabe izinto azibonakali zingasebenzi yini. Eqinisweni, ukulandelela okuqhubekayo kwenqubekela phambili kufanele kube yinto esemqoka yokwelashwa.

Ukuthatha

Ukubuza le mibuzo ekuqaleni kokwelashwa kungahle kube wusizo ekwenzeni ukwelashwa kuhambe ngendlela efanele. Kepha khumbula, okubaluleke kakhulu kunanoma imuphi umbuzo othile owubuza umeluleki wakho ukusungula ubudlelwano obuvulekile, obunethezekile nobambisanayo nodokotela wakho.