Tus Sau: Judy Howell
Hnub Kev Tsim: 4 Lub Xya Hli Ntuj 2021
Hloov Hnub: 16 Lub Kaum Ib Hli Ntuj 2024
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Agoraphobia | DSM-5 Diagnosis, Symptoms and Treatment
Daim Duab: Agoraphobia | DSM-5 Diagnosis, Symptoms and Treatment

Zoo Siab

Agoraphobia yog dab tsi?

Agoraphobia yog ib hom kev ntxhov siab uas ua rau tib neeg kom zam dhau qhov chaw thiab cov xwm txheej uas yuav ua rau lawv xav tias:

  • cuab
  • tsis paub pab
  • npau taws
  • txaj muag
  • ntshai

Cov neeg uas muaj tus mob agoraphobia feem ntau muaj cov tsos mob ceeb ntshai, xws li lub plawv dhia ceev thiab xeev siab, thaum lawv pom lawv tus kheej muaj kev ntxhov siab. Lawv tseem yuav muaj cov tsos mob no ua ntej lawv txawm nkag mus rau qhov xwm txheej uas lawv ntshai. Qee qhov xwm txheej, tus mob yuav ua tau mob hnyav heev ua rau tib neeg tsis txhob ua txhua hnub, xws li mus tom txhab nyiaj lossis tom tsev muag khoom noj, thiab nyob hauv tsev feem ntau.

Lub koom haum National Institute of Mental Health (NIMH) kwv yees hais tias 0.8 feem pua ​​ntawm cov neeg Asmeskas cov neeg laus muaj hnub ua haujlwm. Kwv yees li 40 feem pua ​​ntawm cov neeg raug xam tias yog mob hnyav. Thaum tus mob tseem muaj ntau dua qub, agoraphobia tuaj yeem ua rau ntau qhov kev xiam oob qhab. Cov neeg uas muaj kev mob siab yav dhau los feem ntau paub tias lawv ntshai yog irrational, tab sis lawv tsis tuaj yeem ua dab tsi txog nws. Qhov no tuaj yeem cuam tshuam nrog lawv tus kheej kev sib raug zoo thiab kev ua tau zoo hauv chaw haujlwm lossis tsev kawm ntawv.


Yog tias koj xav tias koj muaj mob uantej lawm, nws tseem ceeb uas yuav tau kho sai li sai tau. Kev kho tuaj yeem pab koj tswj hwm koj cov tsos mob thiab txhim kho koj lub neej zoo. Ua raws li qhov mob hnyav ntawm koj tus mob, kev kho mob tej zaum yuav muaj kev kho mob, noj tshuaj, thiab kho lub neej.

Cov tsos mob ntawm Agoraphobia zoo li cas?

Cov neeg uas muaj mobraraphobia feem ntau yog:

  • ntshai ntawm kev tawm hauv lawv lub tsev rau ncua sijhawm
  • ntshai nyob ib leeg hauv kev sib raug zoo
  • ntshai tsam poob tswj nyob rau hauv qhov chaw pej xeem
  • ntshai nyob hauv qhov chaw uas nws yuav nyuaj khiav tawm mus, xws li lub tsheb lossis chaw nres tsheb
  • tshem tawm los yog cais tawm ntawm lwm tus
  • ntxhov siab lossis ntxhov siab

Agoraphobia feem ntau ua ke nrog kev tawm tsam ceeb. Ceeb kev tawm tsam yog qee cov tsos mob uas qee zaum tshwm sim rau cov neeg muaj kev ntxhov siab thiab lwm yam kev mob hlwb. Cov kev tawm tsam tuaj yeem suav nrog ntau yam ntawm cov kev mob hnyav rau lub cev, xws li:

  • mob hauv siab
  • ib lub plawv sib tw
  • txog siav
  • kiv taub hau
  • tshee
  • zawm caj pas
  • hws
  • kub muag kawg
  • ua daus no
  • xeev siab
  • zawv plab
  • loog
  • tingling ncus

Cov neeg uas muaj tus mob agoraphobia tuaj yeem ntsib kev ceeb ntshai thaum twg lawv nkag mus rau qhov xwm txheej ntxhov siab lossis tsis xis nyob, uas ntxiv qhov ntxiv rau lawv txoj kev ntshai los ntawm qhov tsis zoo nyob.


Dab Tsi Ua Rau Agoraphobia?

Qhov tsis paub tseeb ntawm agoraphobia yog tsis paub. Txawm li cas los xij, muaj ob peb yam ua tau paub ua kom koj txoj kev pheej hmoo ntawm kev loj hlob agoraphobia. Cov no suav nrog:

  • kev nyuaj siab
  • lwm yam phobias, xws li claustrophobia thiab social phobia
  • lwm yam kev ntxhov siab ntxhov plawv, xws li kev txhawj xeeb dav dav lossis qhov cuam tshuam tsis nco qab xav tau
  • keeb kwm kev tsim txom lub cev lossis kev tsim txom ntawm kev sib deev
  • teeb meem quav tshuaj muaj yees
  • tsev neeg keeb kwm ntawm agoraphobia

Agoraphobia kuj tseem muaj ntau dua rau poj niam ntau dua rau tus txiv neej. Feem ntau nws pib thaum tiav hluas, nrog 20 xyoo yog qhov nruab nrab hnub nyoog ntawm qhov pib. Txawm li cas los xij, cov tsos mob ntawm tus mob tuaj yeem tshwm sim thaum muaj hnub nyoog li cas.

Yuav kuaj xyuas Agoraphobia li cas?

Agoraphobia raug kuaj pom raws li cov tsos mob thiab cov paib. Koj tus kws kho mob yuav nug koj txog koj cov tsos mob, suav nrog thaum lawv tau pib thiab koj tau hnov ​​lawv tas li.Lawv yuav nug cov lus nug ntsig txog koj li kev mob nkeeg thiab koj tsev neeg zaj keeb kwm thiab. Tej zaum lawv yuav kuaj ntshav los pab txiav txim qhov ua rau koj cov tsos mob tshwm sim.


Txhawm rau kuaj mob nrog tus mob siab dawb yav dhau los, koj cov tsos mob yuav tsum ua kom tau raws li qee yam teev tseg hauv Asmeskas Kev Nyuaj Siab Kev Nyuaj Siab thiab Kev Tshuaj Ntsuam Xyuas Kev Puas Hlwb (DSM). DSM yog phau ntawv siv feem ntau los ntawm cov kws kho mob siv los kuaj xyuas cov mob hlwb.

Koj yuav tsum tau muaj kev ntshai ntshai lossis ntxhov siab nyob hauv ob qho ntawm ntau qhov xwm txheej hauv qab no los kuaj mob nrog tus mob agoraphobia:

  • siv cov tsheb thauj mus los rau pej xeem, xws li tsheb ciav hlau lossis tsheb npav
  • nyob hauv qhov chaw qhib, xws li khw lossis chaw nres tsheb
  • nyob hauv ib qho chaw muaj sia, xws li of elevator lossis tsheb
  • tau nyob hauv pawg neeg
  • nyob deb ntawm tsev ib leeg

Muaj ntxiv cov qauv rau kev kuaj mob ntawm kev tsis txaus siab nrog tus mob agoraphobia. Koj yuav tsum muaj kev ceeb ntshai, thiab tsawg kawg ib qho kev tawm tsam yuav tsum tau ua raws li:

  • ntshai tsam muaj ntau dua cov kev tawm tsam
  • ib qho kev ntshai ntawm qhov tshwm sim ntawm kev ceeb ntshai, xws li muaj lub plawv nres lossis poob tswj
  • hloov pauv koj tus cwj pwm raws li ua tau los ntawm kev ntshai

Koj yuav tsis raug kuaj mob txog mob rarara yog tias koj cov tsos mob tshwm sim los ntawm lwm yam mob. Lawv kuj tsis tuaj yeem tshwm sim los ntawm kev quav yeeb quav tshuaj lossis lwm yam kev kub ntxhov.

Agoraphobia Kho Li Cas?

Muaj ntau txoj kev kho mob sib txawv rau agoraphobia. Feem ntau koj yuav xav tau txoj kev kho mob ua ke.

Kev Kho Mob

Kev Kho Mob Lub Siab

Kho hlwb, tseem hu ua kev sib tham, koom nrog tus kws kho mob lossis lwm tus kws saib xyuas mob hlwb ua ntu zus. Qhov no muab sijhawm rau koj los tham txog koj qhov kev ntshai thiab txhua yam teebmeem uas yuav ua rau koj qhov kev ntshai. Kev kho mob hlwb feem ntau ua ke nrog cov tshuaj kho kom zoo dua. Feem ntau txoj kev kho mob ncua sijhawm uas tuaj yeem nres ib zaug koj tuaj yeem tiv thaiv koj cov kev ntshai thiab kev ntxhov siab.

Kev Txawj Cwj Pwm (CBT)

Kev txawj ntse coj tus cwj pwm (CBT) yog cov kev paub ntau tshaj plaws hauv txoj kev kho mob hlwb siv los kho tib neeg nrog mob mob hlwb. CBT tuaj yeem pab koj nkag siab txog cov kev xav thiab cov kev xav uas cuam tshuam nrog agoraphobia. Nws tseem tuaj yeem qhia koj yuav ua li cas ua haujlwm los ntawm cov xwm txheej ntxhov siab los ntawm kev hloov pauv cov kev xav tsis sib xws nrog cov kev xav noj qab haus huv, cia koj rov qab paub txoj kev tswj hauv koj lub neej.

Raug Kev Kho Mob

Kev kho ntxiv kuj tseem tuaj yeem pab koj kov yeej koj li kev ntshai. Hom kev khomob no, koj maj mam maj mam dhau los ua cov xwm txheej lossis qhov chaw koj ntshai. Qhov no yuav ua rau koj qhov kev ntshai ploj zuj zus mus.

Cov Tshuaj Kho Mob

Qee cov tshuaj muaj peev xwm pab ua kom koj lub ntsej muag mob hlwb dhau los lossis ceeb ntshai. Cov no suav nrog:

  • xaiv serotonin reuptake inhibitors, xws li paroxetine (Paxil) lossis fluoxetine (Prozac)
  • xaiv serotonin thiab norepinephrine reuptake inhibitors, xws li venlafaxine (Effexor) lossis duloxetine (Cymbalta)
  • tricyclic antidepressants, xws li amitriptyline (Elavil) lossis nortriptyline (Pamelor)
  • tshuaj tiv thaiv kev ntxhov siab, xws li alprazolam (Xanax) lossis clonazepam (Klonopin)

Txoj kev ua neej hloov

Cov kev hloov hauv lub neej tsis tuaj yeem kho tau tus mob siab, tab sis lawv yuav pab txo kev ntxhov siab txhua hnub. Koj yuav xav sim:

  • Kev tawm dag zog tsis tu ncua los ua kom muaj cov tshuaj lom neeg hauv lub hlwb uas ua rau koj nyob kaj siab thiab tau so ntau dua
  • noj zaub mov kom zoo rau lub cev uas muaj nplej, zaub, thiab cov protein tsis yog ua kom koj zoo tag nrho
  • xyaum kev tawm tswv yim txhua hnub los yog kev ua pa sib sib zog nqus los txo qis kev ntxhov siab thiab tawm tsam pib ntawm kev tawm tsam ceeb

Thaum kho, nws yog qhov zoo uas yuav tsum zam kev noj zaub mov pab thiab tshuaj ntsuab. Cov tshuaj ntsuab zoo tshaj plaws tsis tau muab pov thawj los kho kev ntxhov siab, thiab lawv tuaj yeem cuam tshuam qhov ua tau ntawm cov tshuaj tau hais tseg.

Qhov Qhia Dab Tsi rau Cov Neeg Nrog Agoraphobia?

Nws tsis yog ib txwm ua tau los tiv thaiv agoraphobia. Txawm li cas los xij, kev kho ntxov ntxov rau kev ntxhov siab lossis ceeb ntshai yuav pab tau. Nrog txoj kev kho, koj muaj txoj hmoo zoo kom rov zoo dua. Txoj kev kho yog qhov ua kom yooj yim dua thiab sai dua thaum nws tau pib ntxov dua, yog li yog koj xav tias koj muaj tus mob hlwb dhau los, tsis txhob yig nrhiav kev pab. Qhov kev tsis zoo no tuaj yeem ua rau poob qis vim nws txwv tsis pub koj koom nrog hauv cov haujlwm txhua hnub. Tsis muaj ib txoj kev kho tau, tab sis kev kho yuav pab tau koj tus mob ntau ntxiv thiab txhim kho koj lub neej kom zoo.

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