Kev Nkag Siab Cov Khoom Siv Tau Sib Txawv thiab Kev Taug Tawm
Zoo Siab
- Dab tsi yog obsessions?
- Kev Tshawb Nrhiav txog kev sib kis
- Kev xav txog kev coj tus cwj pwm tsis kheev
- Kev xav txog kev plam tswj lossis ua rau koj lub siab luv
- Kev soj ntsuam txog qhov ua rau raug mob
- Kev soj ntsuam txog kev xav tau yam yuav tsum ua kom zoo los yog zoo meej
- Lus teeb meem
- Dab tsi yog compulsions?
- Kev kuaj kev yuam
- Kev xiam hlwb
- Kev ntxuav kom haum
- Rov ua dua lossis npaj cov kev yuam
- Dab tsi ua obsessions thiab compulsions zoo li ua ke?
- Obsessions tau nyob ua ib ke tsis muaj compulsions?
- Thaum mus nrhiav kev pab
Obsessive-compulsive disorder (OCD) cuam tshuam nrog kev pheej xav, tsis xav ua thiab xav paub.
Nrog OCD, txoj kev xav feem ntau ua rau kev ua kom yuam kev txhais tau tias pab daws qhov kev xav thiab txo kev ntxhov siab. Tab sis qhov no feem ntau tsuas yog muab kev kho mob ncua luv thiab tsis ua rau qhov kev xav ploj mus.
Kev saib xyuas thiab kev quab yuam yuav dhau los ua lub voj voog uas nyuaj nres. Lub sijhawm koj siv ntawm kev yuam kom yuav pib ntau yam ntawm koj lub hnub uas koj pom tias nws nyuaj rau tsis muaj lwm yam ua. Qhov no tuaj yeem cuam tshuam koj lub tsev kawm ntawv, haujlwm, lossis tus kheej lub neej, uas ua rau muaj kev kub ntxhov ntau dua.
Nyeem rau kom paub ntxiv txog kev xav thiab kev yuam, nrog rau cov piv txwv ntawm yuav ua li cas lawv yuav tshwm sim ua ke rau ib tug neeg thiab thaum twg nws yuav pab tham nrog tus kws paub txog kev mob hlwb.
Dab tsi yog obsessions?
Txoj kev xav tsis zoo tuaj yeem cuam tshuam koj lub neej, ua rau koj nyuaj thiab ua nyuaj rau yam uas koj xav ua. Txawm hais tias koj paub tias lawv tsis tshua paub thiab paub koj yuav tsis ua li cas rau lawv, koj tseem tuaj yeem ntxhov siab thiab txhawj txog koj yuav ua raws li lawv. Raws li qhov tshwm sim, koj yuav sim zam txhua yam uas ua rau cov kev xav no.
Muaj ob peb hom obsession, thiab nws yog ib qho muaj thoob ntiaj teb rau ntau hom. Cov tsos mob feem ntau nyob ntawm hom.
Nov yog saib ntawm qee cov ntsiab lus tshwm sim.
Kev Tshawb Nrhiav txog kev sib kis
Cov lus qhia no suav nrog kev xav thiab txhawj xeeb txog tej yam uas tuaj yeem ua rau koj qias neeg lossis mob, xws li:
- av nkos thiab av
- lub cev txhawm dej
- hluav taws xob, qias tuaj, lossis lwm yam kev phom sij ntawm ib puag ncig
- cov kab mob thiab kev mob nkeeg
- cov khoom lom hauv tsev (cov tshuaj ntxuav kom huv, tshuaj tua kab, thiab lwm yam)
Kev xav txog kev coj tus cwj pwm tsis kheev
Cov lus xav hnov no yuav tawm los ua duab lossis yaum. Lawv tuaj yeem mob siab rau, vim tias koj paub tias koj tsis xav ua rau lawv. Lawv yuav koom nrog:
- kev xav txog kev sib daj sib deev txog cov neeg hauv yim neeg, cov menyuam, lossis ib qho kev ua phem lossis ib qho kev sib deev
- kev xav tsis xav txog tus cwj pwm kev sib deev uas koj tsis xav tau
- txhawj txog kev ua nruj ua tsiv rau lwm tus
- ntshai tsam kev coj tus cwjpwm tsis zoo lossis kev txhawj xeeb koj tau ua txhaum Vajtswv (scrupulosity)
- ntshai tias kev coj tus cwj pwm tsis zoo lossis ua tsis dawb huv
Nws yog ib qho tseem ceeb kom nco ntsoov tias muaj cov kev xav phem ntawd tsis txhais tau tias koj yuav ua raws li ntawd. Ib feem ntawm dab tsi ua rau lawv ntxhov siab yog koj tsis xav tau ua rau lawv.
Kev xav txog kev plam tswj lossis ua rau koj lub siab luv
Nws tsis yog qhov tsis zoo yuav tau txhawj xeeb koj yuav ua raws li kev xav lossis sab kev xav. Piv txwv, koj yuav txhawj txog:
- ua phem rau koj tus kheej lossis lwm tus
- nyiag lwm yam lossis ua txhaum lwm yam kev cai
- muaj kev chim siab, hais lus tsis zoo, lossis hais lus qias neeg
- Ua yeeb yam ntawm cov duab tsis tsim nyog lossis kev xav tob tob
Ntxiv dua thiab, muaj cov kev xav no tsis tau txhais tau tias koj yuav ua raws li ntawd.
Kev soj ntsuam txog qhov ua rau raug mob
Nrog kev xav zoo li no, koj yuav txhawj tsam koj yuav ua rau muaj xwm txheej lossis kev puas tsuaj. Qee cov qauv suav nrog:
- lom ib tus neeg los ntawm kev siv cov khoom tsis ncaj ncees lossis yuam kev nrog rau qhov siv tshuaj lom thaum ua noj
- huam yuaj tus neeg los tsiaj thaum tsav tsheb
- npaj tsis tau tawm ntawm lub qhov cub ntawm lossis lub tshuab txuas ntsaws thiab ua rau hluav taws
- tsis nco qab xauv koj lub tsev lossis chaw haujlwm, uas tuaj yeem ua tus tub sab
Kev soj ntsuam txog kev xav tau yam yuav tsum ua kom zoo los yog zoo meej
Hom kev xav xav tau dhau mus ua neeg zoo tag nrho. Hloov dua li tau txais kev nkag siab ntawm cov khoom uas tsis huv thiab zoo sib xws, koj yuav chim siab heev thaum muaj qee yam me me thiab xav kom hloov kho kom txog thaum nws hnov zoo "yog lawm."
Lwm cov tsos mob muaj xws li:
- ntshai koj yuav hnov qab, lossis hnov qab qee yam tseem ceeb
- xav tau cov khoom lossis cov rooj tog kom ntsib cov kev taw qhia tshwj xeeb lossis yuav nyob hauv ib qho kev txiav txim tshwj xeeb
- xav tau cov khoom (khoom noj, khoom nyob ib ncig ntawm koj lub tsev, thiab lwm yam) kom txawm lossis zoo ib yam
- txhawj xeeb txog pov cov khoom pov tseg thaum lawv tseem ceeb lossis koj xav tau tom qab
Lus teeb meem
Hauv kev sib tham ib txwm, tib neeg feem ntau siv lo lus "xav xav tau" los hais txog qee yam uas lawv tiag tiag, tiag tiag nyiam. Tab sis nyob hauv cov ntsiab lus ntawm OCD thiab lwm yam cuam tshuam, kev xav tau yog dab tsi tab sis zoo siab.
Hais tej yam xws li, "Kuv tau xav kev ua txhaum cai," lossis tham txog kev ncaws pob "xav tau kev ua" tuaj yeem txo cov kev paub ntawm cov neeg nyob nrog OCD thiab cov xwm txheej cuam tshuam thiab ua rau muaj kev tsis sib haum txog cov xwm txheej no cuam tshuam dab tsi.
Dab tsi yog compulsions?
Kev txiav yog xa mus rau sab kev xav lossis lub cev lossis cwj pwm ntawm kev xav. Koj tuaj yeem xav tias yuav tsum rov ua cov cwj pwm no dua ib zaug txawm tias koj tsis xav ua lawv tus kheej. Qhov no tuaj yeem siv sijhawm ntau teev ntawm koj ib hnub.
Nqa cov kev yuam no ua rau muaj kev ntxhov siab zoo los ntawm kev xav, tab sis qhov kev xav zoo li no tsis ntev.
Qee zaum compulsions muaj feem xyuam thiab cuam tshuam nrog kev xav xav tau. Piv txwv li, koj tuaj yeem kuaj xyuas, qhib, thiab rov qab qhib koj lub qhov rooj xya lub sijhawm ua ntej tawm mus txhawm rau txhawm rau tiv thaiv kev tawg.
Tab sis lwm zaus, lawv yuav tuaj yeem tsis muaj feem cuam tshuam tag nrho. Piv txwv li, koj tuaj yeem coj mus rhaub ib cheeb tsam ntawm phab ntsa ua ntej tawm ntawm lub tsev vim tias koj xav tias nws yuav pab tiv thaiv kom tsis txhob muaj kev sib tsoo ntawm lub tsheb ntawm koj txoj kev ua haujlwm.
Zoo li obsessions, compulsions feem ntau haum rau ob peb pawg loj.
Kev kuaj kev yuam
Qhov uas cuam tshuam txog kev tshuaj xyuas yuav muaj:
- Nco ntsoov tias koj tsis tau ua lossis tsis ua phem rau ib tus twg - piv txwv, ntawm kev zais riam los yog thim rov qab txoj kev tsav tsheb
- nco ntsoov tias koj tsis tau ua rau koj tus kheej raug mob
- mus hla koj haujlwm dua thiab kom paub tseeb tias koj tsis ua yuam kev
- Nco ntsoov tias cov cuab yeej siv tau muab tua
- Nco ntsoov tias lub qhov rooj thiab lub qhov rais kaw
- Kuaj koj lub cev kom ntseeg tau tias koj tsis muaj tsos mob ntawm lub cev
Kev xiam hlwb
Cov kev xav hauv lub hlwb lossis kev xav feem ntau suav nrog:
- thov Vajtswv
- suav mus rau tus lej tshwj xeeb
- rov qab hais cov lus lossis cov lej ntawm cov qauv tshwj xeeb lossis rau cov teeb tsa lub sijhawm
- ntaus nqi lossis cov npe teev cov haujlwm lossis kev ua
- tshuaj xyuas lossis mus dhau tej xwm txheej lossis kev sib tham uas tau muaj dhau los
- puas siab ntsws tsis ua hauj lwm los sis tshem tawm cov lus tsis zoo lossis duab los hloov qhov ntawd nrog qhov zoo
Kev ntxuav kom haum
Qhov kev yuam no yuav suav nrog tu ib puag ncig ntawm koj ib puag ncig lossis koj lub cev, xws li:
- ntxuav koj ob txhais tes ntau zaus
- Tsis txhob kov cov khoom lossis cov tib neeg txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm
- yuav tsum tau ua raws li ib qho tshwj xeeb ntxuav kab ke
- ua raws cov kev tshwj xeeb tu cev uas neeg feem coob yuav xav ntau dhau
- ntxuav koj lub tsev, thaj chaw ua haujlwm, lossis lwm qhov chaw ua ntu zus lossis qee zaus
Rov ua dua lossis npaj cov kev yuam
Qhov kev yuam no yuav suav nrog ua qee yam qee lub sijhawm lossis txog thaum muaj tej yam zoo lossis mloog zoo li "tsim nyog." Piv txwv li:
- ua qee yam tshwj xeeb pes tsawg zaus
- kov cov ntu ntawm koj lub cev ntau zaus lossis siv ib qho kev txiav txim tshwj xeeb
- Coj mus rhaub lossis kov tej khoom thaum koj nkag mus thiab tawm hauv chav
- tig txhua qhov ntawm ib qho khoom hauv tib qho kev coj
- npaj cov khoom hauv cov qauv tshwj xeeb
- ua kom lub cev txav, zoo li ntsais, muaj qee zaus
Lwm yam kev yuam yuav tuaj yeem suav nrog:
- nrhiav kev pov thawj los ntawm cov phooj ywg, cov neeg hauv tsev neeg, lossis cov neeg ntseeg teev ntuj
- zoo nkaus li xav kom lees txim rau qee yam kev ua dua
- zam kev tshwm sim lossis ib qho xwm txheej twg yuav ua rau muaj kev yuam
Dab tsi ua obsessions thiab compulsions zoo li ua ke?
Feem ntau, cov neeg feem ntau nrog OCD muaj qhov kev xav tsis zoo, thiab tom qab ntawd xav tias raug yuam ua ib qho yeeb yam (kev yuam) los pab daws qhov kev ntxhov siab lossis kev ntxhov siab cuam tshuam nrog qhov xav tau.
Qhov xav xav thiab kev yuam yuav muaj qee qhov kev sib txuam, tab sis qhov no tsis yog tas li.
Nov yog qee yam ua piv txwv ntawm qhov kev xav thiab kev quab yuam yuav saib nyob rau lub neej tiag tiag. Tsuas yog nco ntsoov tias tib neeg tau ntsib OCD thiab lwm yam kev mob hlwb ntawm txoj kev sib txawv. Txawm hais tias tsis muaj txhij txhua, cov lus no tau hais los pab koj kom nkag siab zoo txog qhov sib txawv ntawm kev xav thiab kev yuam, nrog rau qhov uas lawv cuam tshuam nrog lwm tus.
| Saib Saib | Kev yuam |
| “Kuv paub kuv ncaj. Kuv yog cov poj niam nyiam. Kuv muaj ib tus hluas nkauj. Tab sis yog tias kuv aws nyiam cov txiv neej thiab? ” | Tshawb nrhiav hauv Is Taws Nem rau cov duab ntawm "cov txiv neej txaus nyiam" thiab saib cov nplooj ntawv hauv duab kom pom tias lawv ua rau muaj kev npau taws. |
| “Yuav ua li cas yog tias tus menyuam tsis ua pa hmo ntuj?” | Teem lub tswb kom tawm txhua 30 feeb mus txog hmo kom kuaj xyuas tus menyuam. |
| Muaj kev xav tsis meej txog kev hle khaub ncaws li ntawm nrab ntawm kev sib tham ua haujlwm. | Kev hais lo lus "nyob ntsiag to" rov qab txhua lub siab hauv kev xav txhua zaus kom txog rau thaum nws ploj mus. |
| “Chav haujlwm no tsis huv. Yog tias kuv chwv ib yam dabtsi, kuv yuav mob. " | Ntxuav tes peb zaug, ib feeb ib zaug, thaum twg koj chwv lossis xav tias koj tau chwv ib yam dab tsi. |
| “Yuav ua li cas yog tias kuv tsis nco qab tej yam tseem ceeb?” | Yuav tsum khaws txhua daim ntawv ntawm xa ntawv, ceeb toom, lossis ntawv sau, txawm tias lawv tsis tau ua dua li thiab tsis siv lawm. |
| "Txiv yuav muaj kev huam yuaj tom chaw haujlwm yog tias kuv tsis siv ob txhais ko taw hla sab nraum qab ntawm txhua ceg 12 zaug." | Kev npuaj koj txhais taw tawm tsam koj txhais ceg txhawm rau teem sijhawm ntau, thiab pib txij thaum pib yog tias koj ua txhaum. |
| “Yuav ua li cas yog tias kuv tsoo lub log thaum kuv tsav tsheb thiab txhob txwm tsav lwm lub tsheb?” | Sle koj lub taub hau xya lub sijhawm nyob rau ntawm txhua sab kom tshem tawm qhov kev xav txhua zaus nws nthuav tawm, thiab rov ua kab ke kom paub meej tias qhov kev xav tsis rov qab los. |
| “Yuav ua li cas yog tias kuv pheej kov lwm tus yam tsis tsim nyog?” | Nco ntsoov taug kev lossis tsis txhob nyob ntawm ib txhais tes ntawm lwm tus neeg, tam sim ntawd txav mus thaum koj mus ze heev, thiab nquag nug tias, “Puas yog ze dhau lawm? Qhov ntawd tsis tsim nyog? ” |
| "Yog tias kuv tsis lees lees ua ib qho kev txhaum, Vajtswv yuav chim rau kuv." | Npaj sau cov npe ntev ntev ntawm txhua qhov "peev xwm" lossis kev coj ua txhaum thiab ua kev lees txhaum tshiab lossis thov Vajtswv txhua lub sijhawm koj nco qab ib tus tshiab. |
| "Yog kuv saib lub moos thaum nws pauv ntawm 11:59 txog 12:00, lub ntiaj teb yuav kawg." | Tig tag nrho cov moos nyob ib puag ncig, tsis txhob saib lub moos lossis xov tooj ze rau lub sijhawm, thiab tshuaj xyuas ntau lub sijhawm kom paub tseeb tias lub moos tau tig mus los lossis muab zais, tsuas yog nyob rau kis. |
| "Yog tias kuv tsis nqis rau txhua qhov kev sib tsoo thib peb, kuv tus hluas nraug yuav plam nws txoj haujlwm." | Ruam rau txhua qhov kev tsoo peb, thiab rov qab mus thiab ua nws dua tsuas yog ua kom pom tseeb. |
| Muaj lub siab xav ua kom xav tau ib lo lus tshwj xeeb. | Hais cov lus rau txhua tus koj pom, txawm tias tom qab sim sim tawm tsam kom nws ua li ntawd. |
| Muaj kev xav tob txog qhov muab koj tus ntiv tes rau hauv lub qhov hluav taws xob. | Npog tag nrho cov qhov hluav taws xob nrog cov ntaub npog yas thiab xyuas txhua peb zaug peb zaug txhua zaus kev xav los. |
| “Yuav ua li cas yog tias kuv muaj mob qog?” | Kev kuaj thiab kuaj xyuas koj lub cev tag nrho rau cov qog ntau zaug hauv ib hnub kom paub tseeb tias tsis muaj leej twg tau tshwm sim. |
Obsessions tau nyob ua ib ke tsis muaj compulsions?
Thaum peb feem ntau xav txog kev xav thiab kev yuam kom nyob rau hauv cov ntsiab lus ntawm OCD, muaj qhov paub tsawg dua kev hloov ntawm OCD uas qee tus hu ua "O dawb huv." Lub npe los ntawm lub tswv yim hais tias nws cuam tshuam tsuas yog xav xav tau.
Cov kws tshaj lij ntseeg tias hom no feem ntau tseem cuam tshuam rau kev ua kab ke, tsuas yog tias cov kab ke no txawv ntawm kev coj cwj pwm txawv.
Pure O feem ntau cuam tshuam txog kev xav thiab cov duab ntawm:
- ua phem rau koj tus kheej lossis lwm tus neeg
- kev sib deev, tshwj xeeb yog cov uas koj xav tias tsis ncaj ncees lawm, ua tsis dawb huv, lossis tsim txom lwm tus
- hais lus thuam lossis kev xav ntawm kev ntseeg
- qhov tsis xav tau lossis tsis xav tau hais txog kev nyiam ua khub thiab lwm tus neeg
Koj yuav txhawj txog kev ua raws li cov kev xav no lossis siv sijhawm ntau ntawm kev txhawj xeeb lawv ua rau koj ua ib tus neeg tsis zoo. Cov kev xav no tuaj yeem yog ib feem ntawm kev yuam. Lawv tsis tshua pom thiab pom tseeb npaum li cov neeg sab nrauv uas neeg nyiam xav txog.
Nws yog ib qho kuj tau siv sij hawm ntau nrhiav cov kev xav kom nkag siab lawv thiab ntseeg koj tus kheej tias koj yuav tsis ua raws li tej ntawd. Koj kuj tuaj yeem thov lossis rov hais dua cov nqe lus tshwj xeeb kom tso tseg ib qho duab lossis xav.
Thaum Diagnostic thiab Statistical Manual of Mental Disorder lees paub tias tib neeg tuaj yeem muaj kev npau suav yam tsis muaj kev yuam thiab rov ua dua, dawb huv O tsis tau lees paub tias yog kev kuaj mob.
Thaum mus nrhiav kev pab
Txhua tus neeg tuaj yeem ntsib cov kev txhim kho kev puas siab ntsws luv luv, tsis xav ua thiab xav paub, lossis piav qhia tsis tau kom ua lub luag haujlwm tshwj xeeb lossis kev ua. Feem ntau, kev xav thiab kev yuam tsuas yog qhia OCD thaum lawv:
- Siv sijhawm tseem ceeb ntawm koj lub hnub
- yog qhov tsis xav tau
- cuam tshuam zoo rau koj tus kheej lub neej thiab kev sib raug zoo
Kev xav tias yuav tsum tau tu ntau vim tias koj nyiam tu thiab nyiam saib lub tsev huv tsev tsis yog qhov cim ntawm OCD, vim koj txaus siab rau txoj haujlwm thiab kev txaus siab ua txiaj ntsig.
Dab tsi yuav qhia OCD, piv txwv, yog qhov ntshai tsam koj tus menyuam yuav muaj mob loj yog tias koj tsis muaj lub tsev huv si thiab tsis muaj kab mob. Raws li qhov kev txhawj xeeb tsis tu ncua, koj tu ob peb xuab moos hauv ib hnub tab sis tseem txhawj tsam koj plam qee yam thiab ntxhov siab txog thaum koj pib rov ntxuav dua.
Yog koj muaj cov tsos mob OCD, tham nrog kws kho mob hlwb yuav pab tau. Tus kws kho mob tuaj yeem pab koj txheeb xyuas qhov kev xav thiab yuam thiab pib daws lawv kom txo cov kev cuam tshuam uas lawv muaj rau koj lub neej.
Feem Ntau Kev Nyeem Ntawv
Txias intolerance