Koj puas muaj ib tus menyuam uas coj tus cwj pwm hauv tsev kawm ntawv thiab hauv tsev zoo li tsis muaj kev tswj hwm? Koj puas yog ib tus neeg laus uas muaj teeb meem tsom mus rau lossis nco qab cov ntsiab lus thaum tseem muaj kev puas tsuaj los ntawm kev txhawj xeeb thiab ntshai? Tej zaum koj yuav xav txog qhov ua tau uas koj muaj kev ntxhov siab ntxhov plawv thiab tsis saib xyuas qhov tsis txaus ntseeg hyperactivity teeb meem (ADHD). Kev sib koom ua ke ntawm kev ntxhov siab thiab ADHD yog qhov ntau heev. Txhawm rau kho cov xwm txheej no, koj yuav tsum xub paub yuav ua li cas thiaj paub lawv. Tom qab ntawd, koj yuav tsum nrhiav kev pab tshaj lij. Muaj qee cov tswv yim pab tus kheej koj tuaj yeem siv los ua kom yooj yim rau koj cov tsos mob, ib yam nkaus.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Comorbid Kev ntxhov siab thiab ADHD
Kauj Ruam 1. Paub cov cim thiab tsos mob ntawm kev ntxhov siab
Kev ntxhov siab ntxhov plawv feem ntau tshwm sim nrog ADHD. Cov tsos mob tshwm sim feem ntau ntawm kev ntxhov siab yog qhov nyuaj rau mloog, tsis chim siab lossis nyob ntawm ntug, hnov tsis tsaug zog, pw tsis tsaug zog, poob siab, ua rau lub plawv dhia, ua rau cov leeg nruj, thiab xav tsis thoob lossis ntshai.
- Nco ntsoov tias muaj ntau cov tsos mob tshwm sim cuam tshuam nrog kev ntxhov siab, thiab txhua qhov teeb meem tuaj yeem tshwm sim hauv tus neeg sib txawv. Kev ntxhov siab kuj tseem tuaj yeem ua rau hnyav los ntawm mob hnyav mus rau mob hnyav, yog li rau qee tus neeg nws yuav tsis pom thiab rau lwm tus nws tuaj yeem cuam tshuam nrog lub neej txhua hnub.
- Cov teeb meem kev ntxhov siab uas muaj peev xwm suav nrog kev ntxhov siab tsis tu ncua, teeb meem ceeb ntshai, teeb meem kev nyuaj siab tom qab, thiab kev phobia hauv zej zog.
Kauj Ruam 2. Paub cov cim thiab tsos mob ntawm ADHD
Yog tias koj muaj ADHD, koj yuav pom teeb meem nrog koom haum, saib xyuas, tsom mus rau, thiab tsis xav ua. Tej zaum koj yuav muaj teeb meem zaum tseem lossis txhawb nqa kev ua haujlwm tom haujlwm lossis tsev kawm ntawv.
Cov tsos mob no yuav tsum tau muaj ua ntej hnub nyoog 12 xyoos kom tau raws li cov txheej txheem rau ADHD. Tsis tas li, cov tsos mob yuav tsum cuam tshuam koj kev ua haujlwm hauv ntau dua ib cheeb tsam ntawm lub neej. Piv txwv li, koj yuav ntsib teeb meem hauv tsev kawm ntawv thiab tom tsev
Kauj Ruam 3. Paub txog qhov sib txawv ntawm cov kab mob comorbid
Nws tsis yog qhov tsis tshua pom muaj tshwm sim ntawm ob qho tib si ADHD thiab kev ntxhov siab-txog li 30 txog 40 feem pua ntawm cov neeg uas muaj ADHD nthuav tawm cov cim ntawm kev ntxhov siab. Thaum ADHD thiab kev ntxhov siab tshwm sim ua ke, cov tsos mob tshwm sim tuaj yeem sib txawv los ntawm qhov teeb meem tshwm sim ib leeg.
Yog tias koj muaj ADHD, koj muaj kev pheej hmoo rau kev ntxhov siab vim tias koj zoo li ua rau muaj kev xav txawv thiab xwm txheej. Koj yuav tsim kev ntxhov siab vim koj ntshai ib txwm hnov qab yam khoom lossis cov haujlwm uas ploj lawm. Yog li ntawd, koj tas li txhawj xeeb thiab ntxhov siab
Kauj Ruam 4. Mus ntsib kws kho mob kom txiav txim tsis tau qhov mob
Yog tias koj tsis tau pom dua los ntawm kws kho mob hlwb, koj thawj zaug yuav tsum yog koj tus kws kho mob xub thawj. Ntau yam kev noj qab haus huv los ntawm kev ua xua rau lub hlwb tsis zoo ua rau pom cov tsos mob ntawm kev puas hlwb xws li ADHD lossis ntxhov siab. Nws yog qhov zoo tshaj los ntsib kws kho mob kom tau txais daim nqi huv huv ntawm kev noj qab haus huv ua ntej.
Nws tuaj yeem pab khaws cov npe ntawm koj cov tsos mob kom pab koj tus kws kho mob nkag siab zoo txog yam koj tab tom ntsib. Koj tus kws kho mob yuav ua qhov kev xam phaj kom ntxaws txhawm rau txheeb xyuas koj cov tsos mob, keeb kwm kev kho mob thiab keeb kwm tsev neeg. Lawv kuj tseem yuav sim ntsuas kom txiav tawm ib qho teeb meem kev kho mob vim tias kev ntxhov siab tuaj yeem tshwm sim los ntawm ntau yam kev mob lub cev
Kauj Ruam 5. Tau txais kev xa mus rau kws kho mob hlwb kom kuaj mob
Cov kab mob Comorbid ua rau cov txheej txheem kho mob nyuaj dua. Yog li, koj yuav tsum tau mus ntsib kws tshaj lij txhawm rau txheeb xyuas cov teeb meem no tau zoo thiab kho lawv raws li qhov xav tau. Yog tias koj tus kws kho mob tsis pom ib qho tsos mob ntawm kev kho mob, nug lawv kom xa mus rau tus kws kho mob hlwb lossis kws kho paj hlwb.
Cov no yog kws kho mob uas muaj kev qhia paub zoo txog kev mob hlwb. Cov kws kho mob no feem ntau yuav muaj kev paub ntau ntxiv txog kev kho mob comorbid, uas txhais tau tias lawv tuaj yeem kuaj mob thiab kho tau zoo
Txoj Kev 2 ntawm 3: Nrhiav Kev Kho Mob
Kauj Ruam 1. Nug koj tus kws kho mob hlwb txog kev kho mob
Tus kws kho mob hlwb lossis kws kho mob hlwb yuav xam phaj koj thiab koj tau ua tiav cov lus nug lossis kev tshuaj xyuas. Cov no tso cai rau lawv kom pom meej dua ntawm koj cov tsos mob. Yog tias nws tau txiav txim siab tias koj tab tom muaj cov tsos mob ntawm kev ntxhov siab thiab ADHD, koj yuav tsum txiav txim siab txog txoj kev kho mob zoo tshaj plaws.
- Yuav ua li cas koj tus kws kho mob hlwb xaiv los kho koj tus mob comorbid feem ntau yog nyob ntawm qhov mob hnyav ntawm qhov xwm txheej thiab uas tshwm sim ua ntej. Lawv yuav sim kho ADHD ua ntej yog tias nws pab txhawb kev txhim kho kev ntxhov siab, lossis lawv yuav kho ob yam xwm txheej ib txhij.
- Koj tus kws kho mob hlwb tuaj yeem nug txog cov xwm txheej ua rau koj ntxhov siab los muab kev kho kom haum rau koj tus mob.
Kauj Ruam 2. Xav txog cov tshuaj
Feem ntau, tshuaj yog ib txoj kev kawm zoo tshaj plaws rau ob tus menyuam thiab cov neeg laus nrog ADHD. Kev txhawb siab yog thawj kab ntawm kev kho tshuaj rau ADHD, tab sis qee qhov kev txhawb nqa tuaj yeem ua rau muaj kev ntxhov siab ntau ntxiv rau lub sijhawm luv. Atomoxetine, xaiv norepinephrine reuptake inhibitor (SNRI), kuj tseem siv los kho kev tshwm sim ADHD thiab kev ntxhov siab.
- Cov kev mob tshwm sim rau cov tshuaj uas muaj zog tuaj yeem suav nrog kev cuam tshuam kev pw tsaug zog, hloov pauv qab los noj mov, yws yws yws, thiab tsis xav ua tics.
- Cov kev mob tshwm sim ntawm cov tshuaj tsis zoo xws li Atomoxetine suav nrog kev tsaug zog cuam tshuam, cem quav, xeev siab, mob taub hau, txo qis kev sib deev, thiab qaug zog.
- Koj tus kws kho mob yuav hais qhia ntau txoj kev kho mob, thiab koj tuaj yeem sim ntau hom tshuaj ua ntej pom kev txhim kho. Tsis tas li, txawm tias thaum koj pom cov tshuaj uas muaj txiaj ntsig, nws yuav siv sijhawm ntau lub lis piam rau cov tsos mob txhawm rau txhim kho.
TSWV YIM TSHUAJ
Lauren Urban, LCSW
Licensed Psychotherapist Lauren Urban is a licensed psychotherapist in Brooklyn, New York, with over 13 years of therapy experience working with children, families, couples, and individuals. She received her Masters in Social Work from Hunter College in 2006, and specializes in working with the LGBTQIA community and with clients in recovery or considering recovery for drug and alcohol use.
Lauren Urban, LCSW Muaj Ntawv Tso Cai Kho Mob Hlwb
Ua haujlwm nrog koj tus kws kho mob kom pom cov tshuaj uas koj xav tau.
Psychotherapist Lauren Urban hais tias:"
Kauj Ruam 3. Saib mus rau kev kho ntuj rau ADHD
Koj tseem tuaj yeem tham txog lwm txoj hauv kev rau cov tshuaj nrog koj tus kws kho mob. Ntau qhov tshuaj ntsuab tau pom los pab txhim kho cov tsos mob ntawm ADHD, suav nrog ginko biloba, ginseng, phosphatidylserine, acetyl-L-carnitine, thiab pycnogenol.
Nco ntsoov tham txog tshuaj ntsuab ntuj nrog koj tus kws kho mob ua ntej sim lawv, thiab tsis txhob muab cov tshuaj ntuj tsim nrog koj cov tshuaj noj
Kauj Ruam 4. Xav txog kev paub txog kev coj tus cwj pwm
Ntxiv rau kev noj tshuaj rau ADHD cov tsos mob, koj tus kws kho mob hlwb yuav qhia kev kho hlwb. Ib qho ntawm kev ua tau zoo tshaj plaws rau kev kho mob hlwb rau kev ntxhov siab yog kev paub-coj tus cwj pwm kho, lossis CBT.
CBT yog txoj kev kho mob hnyav uas pab cais cov qauv kev xav uas ua rau muaj kev ntxhov siab. Hauv chav kawm ntawm kev kho, koj yuav kawm paub txheeb xyuas cov qauv kev xav uas tsis muaj txiaj ntsig thiab kawm paub cov txuj ci los hloov lawv
Kauj Ruam 5. Koom nrog pab pawg txhawb nqa
Psychoeducation yog qhov txiaj ntsig zoo ntawm kev kho mob rau kev puas siab puas ntsws. Pab koj thiab koj cov neeg hlub nkag siab qhov sib txawv ntawm ob qho teeb meem no pab koj paub zoo dua thiab daws cov tsos mob. Koj tuaj yeem tau txais cov ntaub ntawv qhia txog kev puas siab puas ntsws los ntawm pab pawg txhawb nqa los ntawm cov kws paub txog kev noj qab haus huv thiab/lossis phooj ywg.
Hauv cov pab pawg no, koj thiab koj tsev neeg tuaj yeem tau txais kev pom thiab txhawb nqa txog koj li kev mob nkeeg thiab hnov cov lus pov thawj ntawm lub neej tiag tiag los ntawm lwm tus uas tab tom ntsib kev nyuaj siab zoo ib yam
Txoj Kev 3 ntawm 3: Kev Tiv Thaiv Tus Kheej thiab ADHD
Kauj Ruam 1. Paub txog kev ntxhov siab
Ib feem loj ntawm kev kho comorbid ntxhov siab vim thiab ADHD tab tom nyob rau hauv koj tus kheej kom nkag siab tias ob yam xwm txheej no cuam tshuam rau ib leeg. Ua tib zoo saib xyuas qhov ua rau koj ntxhov siab-uas yog, cov xwm txheej lossis cov xwm txheej uas ua rau muaj kev ntxhov siab ntau ntxiv.
- Nws tuaj yeem pab taug qab cov kev xav ntxhov siab nrog lub cav lossis phau ntawv teev npe. Cov qauv yuav tshwm sim. Koj tuaj yeem nqa lub cav no mus rau koj qhov kev kho mob thiab sim twv cov kev xav tsis tseeb nrog koj tus kws kho mob.
- Koj yuav pom tias qee yam xwm txheej lossis xwm txheej muaj zog ua rau koj ntxhov siab.
Kauj Ruam 2. Xyaum cov txheej txheem so kom txaus
Kev daws teeb meem thiab kev ntxhov siab yog ib feem tseem ceeb ntawm kev txo cov tsos mob ntxhov siab thiab ua kom ntseeg tau tias koj li kev kho ADHD ua haujlwm. Txoj hauv kev zoo tshaj plaws yog xyaum ua kom lub cev tsis tu ncua tsis txhob tos kom txog thaum koj muaj kev ntxhov siab. Kev xyaum ua ntu zus yuav pab koj hu tau zoo dua ntawm cov txuj ci no hauv ib qho me me.
Sim ua pa tob tob, xav txog, ua kom cov leeg xis nyob, lossis ua cov duab xav tau. Txiav txim siab txog qee qhov txheej txheem uas yuav pab tau koj tshaj plaws. Nrhiav kev coj ua kev xav hauv YouTube txhawm rau pab koj pib
Kauj Ruam 3. Txhawb koj txoj kev noj qab haus huv
Kev tawm dag zog, noj zaub mov zoo, thiab so kom txaus yog qhov tseem ceeb rau kev tswj hwm kev ntxhov siab thiab ADHD cov tsos mob. Feem ntau, nyob deb ntawm cov zaub mov tsis zoo lossis cov zaub mov tiav uas feem ntau ua rau cov tsos mob tsis zoo. Tshem cov caffeine lossis cawv los ntawm koj cov zaub mov noj. Xaiv cov khoom noj uas tsis tau ua tiav xws li cov khoom lag luam tshiab, cov nplej tag nrho, thiab cov nqaij ntshiv ntawm cov protein.
Tham nrog koj tus kws kho mob lossis tus kws noj zaub mov sau npe txog kev hloov pauv zoo rau koj cov zaub mov txhawm rau txhim kho kev ntxhov siab thiab cov tsos mob ADHD
Kauj Ruam 4. Nrhiav txoj kev txhawb nqa zoo
Nyob ib puag ncig cuam tshuam tsis zoo yuav tsuas yog ua rau koj muaj kev ntxhov siab thiab ADHD zuj zus. Xaiv siv sijhawm nrog cov neeg uas txhawb nqa thiab muaj nuj nqis uas koj yog tus neeg, thiab feem ntau ua rau koj zoo siab.
- Txo koj lub sijhawm nrog cov neeg uas txiav txim siab, thuam, lossis cuam tshuam koj kom xaiv qhov tsis zoo xws li siv cawv lossis yeeb tshuaj.
- Koj yuav pom tias tej zaum yuav muaj ib puag ncig ua rau koj ntxhov siab, uas koj tuaj yeem tshem tawm kom txo koj qhov kev ntxhov siab. Piv txwv li, txo kev cuam tshuam thiab ceeb toom los ntawm koj lub xov tooj ntawm tes yuav pab txo koj cov tsos mob.
