Kev quav tshuaj yog ib yam mob uas ntau tus neeg ntsib. Koj tuaj yeem dhau los ua neeg quav yeeb quav tshuaj, xws li yeeb tshuaj lossis dej cawv, lossis koj tuaj yeem dhau los ua tus cwj pwm, xws li twv txiaj lossis khw. Los ntawm kev nkag siab txog kev quav yeeb quav tshuaj, koj yuav muaj peev xwm pab tau koj tus kheej lossis lwm tus neeg uas tab tom tawm tsam. Koj kuj tseem tuaj yeem nkag siab zoo dua txog kev quav yeeb quav tshuaj los ntawm kev kawm paub txog nws cov cim thiab yam tseem ceeb. Tom qab ntawd, kawm paub ntau ntxiv txog kev quav yeeb quav tshuaj kom ntseeg tau tias koj nkag siab tias nws ua haujlwm li cas.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Nkag Siab thiab Pab Ib Leeg Ntxiv
Kauj Ruam 1. Paub txog tias kev quav tshuaj yog kab mob, tsis yog xaiv
Tib neeg siv los txiav txim siab txog kev quav tshuaj ua rau pom tias tsis muaj zog, tsis muaj lub siab xav, lossis tsis ncaj ncees. Txawm li cas los xij, niaj hnub no kev quav tshuaj yog suav tias yog kab mob vim yog nws cuam tshuam rau lub hlwb. Kev mus cuag kev quav yeeb quav tshuaj hauv txoj kev no tuaj yeem ua rau koj yooj yim dua los pab tus neeg quav yeeb quav tshuaj.
- Cov neeg uas dhau los ua cov tshuaj thiab/lossis tus cwj pwm xav tau kev kho mob kom tsis txhob koom nrog kev coj tus cwj pwm, tab sis kev kho mob tsis tas yuav kho mob. Kho kev quav yeeb quav tshuaj yuav xav tau kev kho mob ua ke thiab kev kho mob hlwb, lossis nws tsuas yog yuav tsum tau koom nrog pab pawg tsis tu ncua.
- Muaj ob qho kev xav ntawm lub cev thiab lub cev rau kev quav tshuaj. Kev tshem tawm cov tsos mob, kev nyuaj siab hauv zej zog, kev ntxhov siab, kev tswj hwm lub siab thiab lwm yam teeb meem tuaj yeem ua rau tus neeg muaj kev quav yeeb quav tshuaj.
Kauj Ruam 2. Qhia rau tus neeg paub tias koj txaus siab pab
Txawm hais tias tus neeg tau npaj los daws lawv txoj kev quav yeeb quav tshuaj, xyuas kom lawv paub tias koj nyob ntawd rau lawv. Nrhiav kev kho mob yuav nyuaj rau ib tus neeg uas tab tom tawm tsam nrog kev quav yeeb quav tshuaj, yog li lawv yuav txaus siab pab nrog yam xws li nrhiav kws kho mob, chaw kho mob, lossis pab pawg.
- Koj kuj tseem tuaj yeem pab txhawb lawv hauv lwm txoj hauv kev, xws li muab kev caij tsheb mus thiab los ntawm kws kho mob lub sijhawm teem lossis txhawb pab pawg sib tham.
- Sim hais tias, "Kuv nyob ntawm no rau koj yog tias koj xav tau kev pab." lossis "Kuv tau pom tias koj tab tom tawm tsam, thiab kuv xav pab koj kom muaj kev noj qab haus huv dua. Kuv yuav pab tau li cas?”
Kauj Ruam 3. Tshawb nrhiav kev kho mob
Txawm hais tias tus neeg tsis tau npaj siab nrhiav kev kho mob, nrhiav seb lawv cov kev xaiv yuav txhawb tau lawv li cas. Ua qee qhov kev tshawb fawb txhawm rau nrhiav seb puas muaj kws kho mob hauv koj thaj chaw uas tshwj xeeb hauv kev quav tshuaj, lossis yog tias muaj pab pawg sib tham sib tham, xws li Alcoholics Anonymous. Koj kuj tseem yuav xav tshuaj xyuas cov kev kho mob hauv tus neeg mob thiab sab nrauv.
- Yog tias koj xav tias tus neeg yuav xav hla kev kho mob tawm ntawm lub nroog, tom qab ntawd mus rau hauv cov chaw kho mob uas koj xav tias yuav rov hais dua rau lawv. Piv txwv li, yog tias tus neeg nyiam mus rau lub puam, tom qab ntawd sim nrhiav chaw kho mob uas nyob ze ntawm lub puam.
- Saib rau lub chaw kho mob uas haum rau qhov kev quav tshuaj tshwj xeeb uas tus neeg raug kev txom nyem los ntawm. Ib txoj kev kho mob rau cov neeg quav yeeb quav tshuaj tej zaum yuav muaj qhov sib txawv ntev thiab tsom mus rau ib qho rau cov neeg uas ua phem rau kev nyob ntsiag to, piv txwv.
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
Nkag siab tias qhov rov tshwm sim tuaj yeem tshwm sim ntawm txoj kev rov zoo los.
Tus kws kho mob hlwb thiab muaj ntawv tso cai kho mob ua haujlwm Lauren Urban hais tias:"
yam uas ua rau muaj kev quav yeeb quav tshuaj, ntxiv rau pab tus neeg tsim tshiab, kev noj qab nyob zoo. Tom qab ntawd, yog tias ib tus neeg rov huam tuaj, koj tuaj yeem siv qhov ntawd los ua lub sijhawm los nrhiav txoj hauv kev uas yuav ua haujlwm zoo dua rau lawv."
Kauj Ruam 4. Ua tus neeg ntawd kom lawv yuav nyab xeeb thaum kho
Nws yog qhov ib txwm muaj rau ib tus neeg uas tau quav rau qee yam kom txhawj xeeb txog kev dhau los ntawm kev tshem tawm. Yog tias koj xav tias tus neeg ntawd ntshai, sim ua kom lawv paub tseeb. Qhia rau lawv paub tias lawv yuav nyob ib puag ncig los ntawm cov kws kho mob uas tau paub dhau los ntawm kev pab tib neeg los ntawm cov txheej txheem detox.
Sim hais tias, "Kuv paub nws zoo li txaus ntshai, tab sis cov kws kho mob thiab kws saib xyuas neeg saib xyuas koj yuav ua txhua yam lawv ua tau kom ntseeg tau tias koj nyab xeeb thiab xis nyob."
Txoj Kev 2 ntawm 3: Pom Kev Risks rau thiab Cov Cim Qhia ntawm Kev Tiv Thaiv
Kauj Ruam 1. Nug koj tus kheej ntau npaum li cas tus neeg koom nrog tus cwj pwm
Koom nrog tus cwj pwm nquag yog ib qho tseem ceeb ntawm kev quav yeeb quav tshuaj. Nug tus neeg kom ncaj ncees txog qhov lawv nquag koom nrog tus cwj pwm lossis siv cov tshuaj. Ntau zaus lawv koom nrog tus cwj pwm, muaj feem ntau yog tias lawv raug kev txom nyem los ntawm kev quav yeeb quav tshuaj. Qee cov lus nug los xav txog suav nrog:
- Koj puas koom nrog tus cwj pwm lossis siv yeeb tshuaj txhua hnub? Muaj pes tsawg zaus hauv ib hnub?
- Puas nyuaj mus ntau tshaj ib hnub yam tsis muaj kev coj tus cwj pwm lossis siv cov tshuaj? Thaum twg yog zaum kawg koj mus ntev dua 1 hnub yam tsis muaj tus cwj pwm/khoom? Yuav ua li cas yog tias koj mus ntev dua ib hnub?
Kauj Ruam 2. Saib kom pom cov tsos mob
Kev txom nyem los ntawm kev tshem tawm yog lwm qhov qhia txog kev quav yeeb quav tshuaj. Yog tias ib tus neeg nres lossis txo lawv txoj kev siv cov tshuaj lossis tus cwj pwm, tom qab ntawd lawv yuav muaj peev xwm pom cov tsos mob tshem tawm. Cov tsos mob ntawm kev quav tshuaj sib txawv ntau yam nyob ntawm seb hom tshuaj twg lossis tus cwj pwm uas tus neeg tau quav, tab sis suav nrog:
- Kev nkag siab ntawm kev tsis xis nyob
- Tsaug
- Xeev siab
- Kev txhawj xeeb
- Tawm hws
- Tsis meej pem
- Kev xav tsis thoob
- Qaug dab peg
Kauj Ruam 3. Xav txog cov lus dag uas tus neeg tau hais kom npog qhov kev coj ua
Kev dag los tiv thaiv tus cwj pwm yog lwm qhov tshwm sim ntawm kev quav yeeb quav tshuaj. Yog tias tus neeg tau dag rau cov phooj ywg, tsev neeg, cov neeg ua haujlwm ua haujlwm, lossis lwm tus neeg txog lawv tus cwj pwm, tom qab ntawv qhov no tuaj yeem qhia tias lawv tawm tsam nrog kev quav yeeb quav tshuaj.
- Piv txwv li, yog tias koj nug koj tus phooj ywg hauv chav muaj pes tsawg lub khob cawv uas lawv tau muaj thiab lawv hais 2, txawm tias lawv zais zais lub raj mis ntawm lawv tus kheej ua ntej pib ua ib qho tshiab, ces qhov no yog dag kom tiv thaiv tus cwj pwm.
- Lossis, yog tias ib tus neeg zais cov khoom uas lawv tau yuav yog li lawv tus txij nkawm yuav tsis paub ntau npaum li cas lawv mus yuav khoom, ces qhov no yog lwm hom kev dag.
Kauj Ruam 4. Txiav txim siab yog tias leej twg hauv tus neeg hauv tsev neeg tau tawm tsam nrog kev quav yeeb quav tshuaj
Kev quav yeeb quav tshuaj hauv tsev neeg, uas txhais tau tias ib tus neeg muaj feem yuav muaj kev quav yeeb quav tshuaj yog tias lawv muaj ib tus neeg hauv tsev neeg uas tau tawm tsam nrog kev quav yeeb quav tshuaj.
Piv txwv li, yog tias ib tus neeg muaj niam txiv lossis tus nus muag uas quav cawv, yeeb tshuaj, lossis tus cwj pwm, xws li twv txiaj lossis mus yuav khoom, tom qab ntawd lawv yuav muaj teeb meem nrog kev quav yeeb quav tshuaj
Kauj Ruam 5. Saib cov xwm txheej ib puag ncig
Loj hlob hauv ib puag ncig uas ib tus neeg raug rau tus cwj pwm coj kuj tseem ua rau lawv muaj kev quav yeeb quav tshuaj. Yog tias ib tus neeg nyob ib puag ncig los ntawm cov neeg uas siv tshuaj yeeb dej caw, tsim txom cawv, lossis koom nrog lwm tus cwj pwm uas lawv tau quav, ces qhov no yuav cuam tshuam rau koj kev sib raug zoo nrog cov khoom ntawd.
Piv txwv li, yog tias ib tus neeg loj hlob hauv tsev neeg uas muaj 1 lossis ntau tus neeg hauv tsev neeg tau quav yeeb quav tshuaj, ces lawv muaj feem yuav tsim kev quav tshuaj maj
Kauj Ruam 6. Xav txog thawj zaug tus neeg siv cov tshuaj lossis koom nrog tus cwj pwm
Ib tus neeg hluas yog thawj zaug lawv siv tshuaj yeeb lossis koom nrog tus cwj pwm, muaj feem ntau lawv yuav dhau los ua neeg quav yeeb quav tshuaj. Xav txog tus neeg muaj hnub nyoog thawj zaug uas lawv koom nrog tus cwj pwm no lossis siv cov khoom no.
Piv txwv li, yog tias lawv muaj hnub nyoog 12 xyoos thawj zaug lawv haus cawv, lawv yuav muaj peev xwm txhim kho kev quav cawv ntau dua li ib tus neeg uas muaj 20 xyoo thawj zaug lawv haus cawv
Txoj Kev 3 ntawm 3: Ua Kom Paub Ntxiv Txog Kev Tiv Thaiv
Kauj Ruam 1. Paub tias muaj cov xwm txheej hauv lub cev koom nrog kev quav yeeb quav tshuaj
Koj lub paj hlwb tso tawm dopamine thaum ua los ntawm qee yam haujlwm, xws li haus dej haus cawv, haus luam yeeb, lossis txhaj tshuaj yeeb dawb. Koj lub paj hlwb koom nrog qhov khoom plig nrog tus cwj pwm thiab qhov no yog kev quav tshuaj li cas.
Cov dopamine tau tso tawm sai dua tom qab kev coj tus cwj pwm, ntau koj lub paj hlwb yuav txuas ob qho, thiab cov tshuaj tsim cov lus teb no mus txog 10 zaug sai dua li ib txwm txhais tau tias tso dopamine, xws li qoj ib ce. Qhov no yog vim li cas tib neeg thiaj dhau los ua neeg quav yeeb quav tshuaj
Kauj Ruam 2. Paub tias cawv thiab siv yeeb siv tshuaj txhaum cai feem ntau yog hom kev quav yeeb quav tshuaj
Dej cawv thiab quav yeeb quav tshuaj yog cov tshuaj feem ntau uas koj tuaj yeem tiv tau. Ntau dua 2/3 ntawm cov neeg uas muaj teeb meem kev quav dej quav cawv. Sab saum toj 3 cov tshuaj muaj xws li yeeb tshuaj xas, tshuaj kho mob opioid, thiab yeeb dawb.
Heroin tseem yog cov tshuaj muaj yees uas ntau tus neeg tsim kev quav yeeb quav tshuaj. Tom qab sim ua kom tsis txhob siv tus heroin, ib tus neeg yuav dhau los ua cov tshuaj txiav yeeb (methadone), uas feem ntau tau sau tseg los pab tib neeg kom tsis txhob siv tus heroin
Kauj Ruam 3. Xav txog tias kev siv tshuaj kho mob tuaj yeem ua rau quav yeeb quav tshuaj
Kev siv tshuaj kho mob Opioid tshwj xeeb tshaj yog ua rau muaj mob thiab ntau tus tib neeg tau ຕິດ rau lawv tom qab muaj teeb meem kev mob nkeeg uas xav tau cov tshuaj. Txawm li cas los xij, tom qab lawv cov teeb meem kev kho mob tau raug daws, lawv tseem tuaj yeem siv cov tshuaj ntxiv vim tias nws ua tau zoo. Qee qhov tshuaj kho mob opioid feem ntau suav nrog:
- Dilaudid (hydromorphone)
- Percocet (oxycodone)
- Oxycontin (oxycodone) cov
- Percodan (oxycodone)
- Vicodin (hydrocodone)
- Lorcet (hydrocodone)
- Lortab (hydrocodone)
- Demerol (pethidine)
- Duragesic (fentanyl)
Kauj Ruam 4. Ceev faj tias tib neeg tuaj yeem ua rau muaj kev quav yeeb quav tshuaj ntau dua li haus cawv thiab quav yeeb quav tshuaj
Thaum feem coob ntawm cov neeg uas raug kev quav yeeb quav tshuaj lossis quav yeeb quav tshuaj, muaj ntau yam ntxiv uas tib neeg tuaj yeem ua rau muaj kev quav yeeb quav tshuaj. Nws muaj peev xwm ua kom muaj kev sib daj sib deev, twv txiaj, khoom noj khoom haus, yees duab ua si, thiab txawm tias yuav khoom.
Txhua yam haujlwm uas pab ua rau tus neeg tsis txaus siab rau qhov kev xav tsis zoo thaum muab khoom plig tuaj yeem suav tias yog kev quav yeeb quav tshuaj
Pab Paub thiab Sib Tham Txog Kev Tiv Thaiv
Txoj Hauv Kev Muab Kev Txhawb Nqa rau Kev Tiv Thaiv
Tawm tswv yim rau Ib Tus Neeg Tau Txais Kev Pab rau Kev Tiv Thaiv
Tej yam tshwm sim ntawm kev quav tshuaj
