Qhov Kev Ntsuas Kev Ntsig Txog Kev Tiv Thaiv Kev Ntshai thiab Kev Tiv Thaiv Ntsuas
Kev puas siab puas ntsws yog txwv tsis pub muaj kev txhawj xeeb ntawm DSM-5. Raws li cov txheej txheem, thiaj li yuav kuaj tau tus kab mob tsis muaj kev ntshai, koj yuav tsum muaj kev ceeb toom txog kev ceeb ntshai rau ib ntus.
Dab tsi ntxiv DSM-5 hais txog kev ntxhov siab? Qhov kev hloov tshiab tau hloov li cas nws thiaj kuaj tau? Ntawm cov tshab yog cov lus tshab rau cov hom kev tawm tsam thiab ua li cas agoraphobia yog txuam nrog kev tsis meej pem.
DSM-5 yog dab tsi?
Qhov Kev Ntsuas thiab Cov Lus Qhia ntawm Kev Ntsuam Xyuas Kev Nyuaj Siab (DSM-5) los ntawm American Psychiatric Association (APA) yog qhov system siv hauv Tebchaws Meskas los kuaj xyuas kev mob hlwb. Lub DSM muaj cov kev tshuaj ntsuam xyuas los ntawm cov kws kho mob hauv kev puas hlwb kom cais thiab piav txog txhua tus mob hlwb.
Xyoo 2013 tawm ntawm DSM-5 yog thawj qhov kev hloov tshiab txij thaum xyoo 1994. Hauv tsab ntawv no, muaj ntau yam kev hloov thiab qhov nov muaj xws li qee qhov tshiab rau kev kuaj mob ntawm kev ntshai.
Qhov system no tsis yog muaj kev tsis sib haum xeeb. Ntau yam kev mob tshwm sim muaj kev sib tw dhau los. Qee cov tub ua haujlwm nug txog qhov kev ua haujlwm ntawm qhov kev cais tawm no, thiab lwm tus neeg xav tias muaj ntau yam kev sib raug zoo hauv nws daim ntawv thov.
Dua li ntawm cov chaw no, ib qho kev kuaj mob feem ntau tsim nyog rau kev kho mob, kev tshawb fawb, thiab kev pov hwm kho mob. Ntau tus kws tshaj lij xav hais tias qhov no yog qhov zoo dua li tsis muaj qhov system txhua.
Yuav ua li cas DSM-5 Diagnoses Tus Kab Mob Teebmeem
Cov txheej xwm kuaj mob ntsig txog kev ceeb ntshai yog txhais hauv DSM-5. Nws yog ib qho kev txhawj xeeb ntawm kev txhawj xeeb raws li feem ntau ntawm qhov tshwm sim ntawm kev tawm tsam, uas yog cov uas pheej rov ua thiab tsis paub ntau zaus.
Tsis tas li ntawd, muaj tsawg kawg yog ib qho raug mob tom qab ib hlis los yog ntau dua ntawm tus neeg ntshai tias lawv yuav muaj ntau txoj kev tawm tsam.
Qhov no ua rau lawv hloov lawv tus cwj pwm, uas feem ntau muaj xws li tsis txhob muaj teeb meem uas yuav ua rau lawv raug mob.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kuaj tsis pom tus kabmob tsis zoo yuav tsum txiav txim siab tawm tsam lwm tus ua rau muaj kev ntshai lossis xav tias zoo li nws.
- Cov kev tawm tsam tsis yog vim cov teebmeem ntawm kev siv tshuaj yeeb dej caw (xws li kev siv yeeb tshuaj lossis kev siv tshuaj) lossis kev kho mob dav dav.
- Cov kev tawm tsam tsis zoo dua qub los ntawm lwm qhov kev puas siab puas ntsws. Cov no kuj muaj xws li ib qho kev phobia lossis lwm yam kev phobia , kev mob obsessive-compulsive teeb meem, kev nyuaj siab tom qab ntxhov siab , lossis kev txhawj xeeb ntawm kev ntxhov siab
Txhais Kom Muaj Kev Tawm Tseg Nrog DSM-5
Txij li thaum muaj kev ceeb ntshai yog qhov tseem ceeb rau kev ntsuam xyuas tsis pom kev ntshai, lawv tau hais meej thiab meej meej. Nov yog qhov tshiab hauv DSM-5 yog qhov tseem ceeb. Cov kab lus dhau los raug cais tawm tsam kev poob rau hauv peb pawg: teeb meem / tsis sib haum xeeb, qhov xwm txheej tau hais tseg, lossis npaj txhij txog / raug txim. DSM-5 simplifies nws ua ob pawg tseeb heev: kev xav thiab npaj txhij txog ceeb ntshai.
Cov kev ntshai ntawm kev ceeb ntshai yog cov uas muaj kev ntshai nrog kev ntshai zoo li ntawd ya. Cov kev ceeb toom tsis pom kev ntshai tsis muaj qhov tseeb los yog cue, thiab yuav tshwm sim tawm ntawm lub xiav.
Raws li DSM-5, muaj kev phom sij phem yog cov tsos mob plaub lossis ntau tshaj ntawm cov tsos mob nram qab no :
- Palpitations, pounding lub plawv, lossis ceev ceev lub plawv dhia
- Hlais
- Tig los yog tuav
- Kev ua kom qis qis qis lossis ua pa nyuab
- Kev txhawm chim
- Mob hauv siab los yog tsis xis nyob
- Xeev siab lossis mob plab
- Hnov kiv taub hau, tsis meej pem, lightheaded, los yog faint
- Kev xav ntawm kev tsis ncaj (qhov nruab nrab) los yog kev tu ncua ntawm tus kheej (kev txhawb nqa)
- Ntshai ntawm kev tswj kev poob lossis kev vwm
- Kev ntshai ntawm kev tuag
- Lom zem los yog tingling ncus (paresthesias)
- Los yog kub ntub dej
Qhov muaj tsawg tshaj plaub ntawm cov tsos mob saum toj no tej zaum yuav suav tias yog ib qho kev ceeb-tshwm sim ntshai.
Agoraphobia Tam sim no Tua Yus Ib Leeg
Hauv yav dhau los ntawm DSM, agoraphobia tau txuam nrog kev tsis meej pem. Nrog cov tshiab ntawm DSM-5, nws yog tam sim no cais thiab codable mob. Qhov no yog ib qho ntawm qhov kev sib txawv loj tshaj plaws hauv cov tshiab.
Tsis pub dhau qhov kev hloov tshiab rau agoraphobia, DSM-5 sau ntawv hais tias ib tus neeg yuav tsum tau muaj kev ntshai lossis ntxhov siab yam tsawg kawg ntawm ob lub sijhawm. Cov no suav nrog kev tawm hauv pej xeem, qhib qhov chaw, thiab hauv cov neeg coob coob, qhov tseem ceeb nyob txhua qhov chaw uas koj nyob nraum zoov hauv tsev.
Nws tseem sau hais tias kev zam kev tawm tsam yuav tsum yog tshaaj tawm. Cov no yog ib qho txiaj ntsim ntawm kev ntshai nyob rau hauv cov xwm txheej uas yuav ua rau muaj kev phom sij los yog ntxhov siab vim kev pab yuav tsis muaj los yog tias nws tsis yooj yim khiav.
Tsuas yog ib tug kws kho mob tuaj yeem kuaj xyuas kev puas tsuaj
Nws yog ib qho tseem ceeb kom paub hais tias cov tsos mob ntawm kev phais siab tsis meej yuav ua rau ntau tus ntxhov siab thiab lwm tus mob. Tsuas yog koj tus kws kho mob lossis kws kho kev puas siab puas ntsws thiaj li paub txhawj xeeb txog kev ntshai.
Source:
> Miskas Kev Sib Koom Tes. Diagnostic thiab Cov Ntawv Qhia Tawm Ntawm Cov Kev Xiam Hlwb ntawm Cov Ntshav. 5th ed. Washington, DC: 2013.