CBT yekurapa kwePanic Disorder
Kana iwe wakasarudza kuenda kuchipatara kwekutya chirwere, unogona kunge uchishamisika kuti nzira dzako dzokurapa ndeipi. Mhando dzakawanda dzehutachiona dziripo, zvichienderana nehutano hwako uye nzira yekudzidzira. Nzvimbo inofungisisa nezvepfungwa yepfungwa (psychotherapy) ( PFPP ) ndiyo imwe nzira yakadaro yakaratidzwa kuva yakakosha mukurapa chirwere chekutya; imwe ingwara inobatsira - inowanzotorwa kuti ndiyo inonyanyozivikanwa yehutano hwehutano hwekuzvidya mwoyo - ndeyekugadzirisa behavioral therapy (CBT).
Pamusana pekubudirira kwayo kunovhiringidzika, kutsvaga chinangwa-chinangwa, nemigumisiro inokurumidza, vashandi vanobata chirwere chinotyisa chinowanzoda CBT kune dzimwe nzira dzerapi. Izvo zvinotevera zvinotsanangura nzira ye CBT uye inotsanangura kuti inoshandiswa sei kubata chirwere chinotyisa , kutyisa , uye agoraphobia.
Chii chinonzi Cognitive Behavioral Therapy?
Kuchengetedzeka kwehutano hwehutano, kana kuti CBT chete, inzira yepfungwa inobatsira mukurapa kwehutano hwepfungwa. Idzidziso dzeC CBT dzakabva pane pfungwa yokuti pfungwa dzemunhu, manzwiro, uye maonero zvinokurudzira maitiro ake nemaitiro. Maererano nemitemo ye CBT, munhu angave asingakwanisi kuchinja mararamiro ake, asi anogona kusarudza maonero aanoona uye anoita zvoupenyu hwepasi.
CBT inoshanda kubatsira rubatsiro rwemafungiro asina kururama kana akaipa, uye anobatsira mukuchinja mafambiro asina kunaka. CBT ikozvino inoshandiswa mukurapa kwehutano hwakawanda hwehutano hwepfungwa, kusanganisira kuora mwoyo kwakanyanya , phobias , post-traumatic stress disorder ( PTSD ), uye kupindwa muropa .
CBT inowanikwawo kuti inobatsira kurapwa mune zvimwe zvirwere, zvakadai sekutsamwa kwemawere (IBS), fibromyalgia, uye kusagadzikana kusingaperi.
CBT yekurapa kwePanic Disorder
Chimwe chezvinangwa zveBBCT ndechokubatsira muchengeti kuti akunde mafungiro asina kunaka kuitira kuti akwanise kuita zvisarudzo zviri nani pane zvaanoita uye maitiro.
Nenzira yakawanda, vanhu vane dambudziko rekushungurudzika kazhinji vanowanzosvikirwa nemafungiro asina kunaka uye maonero ezvokuzvidzivirira , izvo zvinogona kukonzera kuderedza kuzvidzora uye kuwedzerwa kuzvidya mwoyo. Kufara uye kufunga kusina kunaka kunowanzobatanidzwa nekutya kwekutya, chiratidzo chikuru chekutya chirwere.
Kuvhunduka kunowanzoonekwa kuburikidza nekusanganiswa kwezviratidzo zvepanyama uye zvekunzwisisa. Zviratidzo zvinoshamisa zvepfungwa zvinosanganisira kupfupika kwemhepo , kurwadziwa kwemwoyo, kurwadziwa kwepfupa , uye kuputika kukuru. Zviratidzo izvi zvinowanzoonekwa sekutya uye zvinogona kutungamirira kune pfungwa dzinoshungurudza, dzakadai sekutya kurasikirwa nekugadzirisa, kupenga kana kufa.
Kutya kunobatanidzwa nekutya kunorwa kunogona kuve kwakasimba zvokuti vanotanga kushatisa zvinoshandiswa nemunhu. Somuenzaniso, munhu angatanga kutya kuva nekurwisa paanenge achityaira kana pamberi pevamwe vanhu (pfungwa). Munhu wacho achabva asingakwanisi kutyaira kana kuva munzvimbo dzakazara (maitiro). Maitiro akadaro anotungamirira kumamiriro akasiyana akanzi agoraphobia . Ne agoraphobia, pfungwa dzinotyisa dzinowanikwa pamusoro penguva, uye mafambiro ekudzivisa anongobatsira kusimbisa kutya uku.
CBT inogona kubatsira vanhu nekutya chirwere uye / kana agoraphobia mukukudziridza nzira dzekutarisira zviratidzo zvavo.
Munhu angave asingakwanisi kudzora paanenge achityiswa, asi anogona kudzidza kuti angakunda sei zviratidzo zvake. CBT inobatsira muchengeti pakubudirira kwekugadzirisa kusingaperi kuburikidza nezvikamu zviviri-chikamu chekuita:
Nzira yeBBCT
Ziva uye Gadzirisa Mafungiro Asina Hanya. Mutungamiri weBBCT anotanga kubatsira mubatsiri pakutsanangura maitiro ake akaipa kana mafungiro. Somuenzaniso, munhu angatungamirirwa kurangarira kuti anozviona sei, anoona nyika, kana kunzwa munguva yekutyisidzira. Nokuisa pfungwa pamagariro ekufunga, munhu anogona kutanga kutora mafungiro ake chaiwo ekufungidzira uye kuti anogadzirisa sei maitiro ake.
Murapi anogona kushandisa mabasa akasiyana-siyana uye maitiro ekubatsira mubatsiri kuti azive mafungiro ake asina kunaka, uye dzidze kuisa panzvimbo yavo nenzira dzakanaka dzekufunga. Uyezve, mabasa ekuchikoro anowanzogoverwa pakati pezvirongwa kubatsira mubatsiri kuti arambe achitsanangura uye achibvisa mafungiro asina kunaka.
Kunyora kudzidzira kunogona kuva nzira ine simba yokukunda kukanganisa kufunga maitiro. Izvi zvinogona kushandiswa kuwedzera kuzivikanwa uye kutora pfungwa dzisina kunaka. Zvimwe zvinowanzozivikanwa zvekunyora kweBBCT zvinosanganisira kunyora magwaro , kuchengetedza bhuku rekuonga , kushandisa zvimbiso , uye kuchengeta panic diary .
Skill Building nekuchinja maitiro. Nhanho inotevera ye CBT inosanganisira kuvaka pahutano hwekugadzirisa hupenyu hunochinja maradaptive maitiro. Munguva iyi, muteresi achadzidza kukudziridza unyanzvi kubatsira mukuderedza kushungurudzika , kutarisira kushungurudzika , uye kutarisana nekutya kusangana . Unyanzvi uhwu hunogona kuongororwa muchikamu, asi zvinokoshawo kuti muchengeti anoita maitiro matsva kunze kwemishonga, zvakare.
Kuzvidzivirira kune imwe nzira inyanzvi yeBBCT inoshandiswa kubatsira mubatsiri kutora maitiro ekudzivirira. Nokunyatsoshandiswa kwekugadzirisa, chirwere cheBBCT zvishoma nezvishoma chinotanga muchengeti kuti aite zvinokonzera kushungurudzika apo achimudzidzisa nzira yekugadzirisa manzwiro ake ekuzvidya mwoyo. Munhu wacho anononoka kujekeswa kune zvimwe kutya-kukonzera mamiriro ezvinhu, kukudziridza nzira dzekutarisana nekutya zviratidzo kuburikidza nemamiriro ose anotya.
Kuti ubatsire kuramba wakadzikama kuburikidza nemamiriro ezvinhu anokonzera kuzvidya mwoyo, maitiro ekuzorodza anodzidza zvakare. Unyanzvi hunobatsira mukugadzirisa kutya, kuderedza mwoyo, kuteredza kukanganisa, nekuvandudza unyanzvi hwokugadzirisa matambudziko. Zvimwe zvinowanzoita zvekuporesa maitiro zvinosanganisira kudzidzira kufema zvakanyanya , kufambira mberi kwemaviri kusununguka ( PMR ), yoga , nekufungisisa .
Kuva imwe yenzira dzinoshandiswa kupfuura dzose dzakashandiswa, CBT inogona kuva chikamu chekudzorera kwako. CBT inogona kubatsira mukuderedza zviratidzo zvayo, asi vazhinji vachawana kusanganiswa kwekurapa kunobatsira zvikuru. Chiremba wako kana chiremba anogona kukubatsira kuti uone kana CBT yakakunakira iwe uye ichikubatsira pakugadzira hurongwa hwekurapa huchakodzera zvakakodzera zvido zvako.
Sources:
Burns, DD (2008). Kunzwa Zvakanaka: The New Mood Therapy (2nd ed.). New York: Avon.
Greenberger, D. & Padesky, C. (1995). Pfungwa Pamusoro Pemaitiro: Shandisa Maonero Aunoita Nokuchinja Nzira Yaunofunga. New York; Gilford Press.