Hiki ke paʻakikī ke hoʻokō i nā hoʻouka hopohopo, akā aia nā lāʻau lapaʻau kūpono a me nā lāʻau lapaʻau. I kekahi manawa pono ʻoe e hoʻāʻo i kekahi a hoʻohui paha iā lākou, akā ʻo ka hapa nui o ka poʻe e hoʻokele e hōʻemi a hoʻopau paha i kā lākou hopu ʻana i loko o kekahi mau pule a i ʻole mau mahina e hoʻomaikaʻi i kēia mau hana.

nā hōʻailona

Hoʻonohonoho maikaʻi ʻia ka maikaʻi o ka psychotherapy i ka mālama ʻana i nā maʻi pīhoihoi. ʻO ia ka mālama ʻana i nā koho ma nā hihia he nui, ma mua o ka ʻimi ʻana i nā lāʻau.

No ka mālama ʻana i nā hōʻeha hopohopo, ʻo ke ʻano o ke koho ʻana he cognitive behavioral therapy, a i ʻole CBT⁶. Ma ka hoʻomaʻamaʻa, hana maʻamau nā CBT ma luna o 10 a 25 mau manawa i hoʻokaʻawale ʻia i hoʻokahi pule, hoʻokahi a i ʻole nā ​​hui.

Ke manaʻo nei nā hui lapaʻau e hāʻawi i ka ʻike e pili ana i ke kūlana o ka hopohopo a me ka hoʻololi mālie ʻana i nā "manaʻo wahaheʻe", nā hewa o ka wehewehe ʻana a me nā ʻano maikaʻi ʻole e pili ana iā lākou, i mea e pani ai iā lākou me ka ʻike hou aku. noʻonoʻo a ʻoiaʻiʻo.

Hiki iā ʻoe ke aʻo e hoʻōki i ka hopu ʻana, a e hoʻomaha i ka wā e piʻi ai ka hopohopo. Pono e hana maʻalahi i kēlā me kēia pule i mea e holomua ai. Pono e hoʻomaopopo ʻia he mea pono nā CBT i ka hōʻemi ʻana i nā hōʻailona akā ʻaʻole kā lākou pahuhopu e wehewehe i ke kumu a i ʻole ke kumu o ka puka ʻana o kēia mau hōʻeha weliweli. He mea hoihoi paha ke hoʻohui ʻia me kekahi ʻano o ka psychotherapeutic treatment (analytical, systemic therapy, etc.) i mea e pale ai i nā hōʻailona mai ka neʻe ʻana a ʻike hou ʻia i nā ʻano ʻē aʻe.

nā lāʻauʻona

Ma waena o nā lāʻau lapaʻau, ua hōʻike ʻia nā papa o nā lāʻau e hōʻemi i ke alapine o nā hōʻeha hopohopo nui.

ʻO nā antidepressants ka mālama ʻana i ka koho mua, a ukali ʻia e nā benzodiazepines (Xanax®), akā naʻe, e hōʻike ana i kahi pilikia nui o ka hilinaʻi a me nā hopena ʻaoʻao. No laila ua mālama ʻia nā mea hope no ka mālama ʻana i ka pilikia, ke hoʻolōʻihi ʻia a pono ka mālama ʻana.

I Palani, ʻelua mau ʻano antidepressants i paipai ʻia⁷ e mālama i nā maʻi panic i ka wā lōʻihi:

• selective serotonin reuptake inhibitors (SSRIs), ke kumu o ia mea e hoonui i ka nui o ke serotonin ma na synapses (hui ma waena o elua neurons) ma ka pale ana i ka reuptake o ka hope. ʻO ka mea nui, paroxetine (Deroxat® / Paxil®), escitalopram (Seroplex® / Lexapro®) a me citalopram (Seropram® / Celexa®) ua ʻōlelo ʻia;
• nā antidepressants tricyclic e like me clomipramine (Anafranil®).

I kekahi mau hihia, hiki ke kuhikuhi ʻia ka venlafaxine (Effexor®).

Hoʻomaopopo mua ʻia ka mālama lāʻau Antidepressant no 12 mau pule, a laila hoʻoholo ʻia e hoʻoholo inā e hoʻomau a hoʻololi paha i ka lāʻau.