Cov Tsos Mob Uas Siv Los Txhawm Siv Tshuaj Yeeb Tshuaj Siv
Qhov "Diagnostic and Statistical Manual of Mental Disorders, Tsib Ib Tsab Ntawv," feem ntau hu ua DSM-V lossis DSM 5, yog qhov tseeb ntawm American Psychiatric Association cov ntawv kub-txheej txheem ntawm cov npe, cov tsos mob, thiab cov cwj pwm ntawm txhua tus neeg paub mob-nrog rau kev siv tshuaj.
DSM-V cov kev txwv rau kev quav tshuaj yeeb dej cawv yog raws li cov kev tshawb fawb thiab kev tshawb fawb txog xyoo.
Tsab ntawv no tau tshaj tawm rau lub Tsib Hlis 2013, ze li ntawm 20 xyoo tom qab daim ntawv luam tawm thawj tsab ntawv, DSM-IV, xyoo 1994.
Yeeb Yam Tshuaj yeeb-tshuaj Dab Tsi?
Tus DSM-V pom tau tias muaj tej yam mob uas tshwm sim los ntawm kev siv 10 cais cov tshuaj yeeb dej cawv; cawv; caffeine; cannabis; hallucinogens (phencyclidine los yog ib qho ua piv txwv li arylcyclohexylamines, thiab lwm yam kev phais, xws li LSD); inhalants; opioids; sedatives, hypnotics, lossis anxiolytics; stimulants (xws li amphetamine-hom tshuaj, yeeb-tshuaj, thiab lwm yam stimulants); luam yeeb; thiab lwm yam lossis tsis paub txog. Yog li no, thaum qee cov ntsiab lus ntawm cov kev puas siab puas ntsws muaj tseeb, cov ntsiab lus siv lwm yam lossis tsis paub tseeb kuj tuaj yeem tsim lub hauv paus ntawm ib yam khoom los sis muaj kev tiv thaiv .
Kev ua kom lub paj hlwb cov nqi zog yog qhov tseem ceeb rau cov teeb meem uas siv los ntawm kev siv yeeb tshuaj ; qhov kev zoo siab uas cov neeg tau ntsib los ntawm kev siv cov tshuaj muaj peev xwm ua rau lawv tsis quav ntsej txog lwm yam kev ua ub ua no ntawm kev noj tshuaj.
Txawm tias cov kws kho mob cov khoom siv rau txhua qhov kev siv tshuaj yog txawv, qhov kev ua kom zoo zog ntawm cov nqi zog yog zoo ib yam li cov khoom hauv kev tsim kev lom zem los yog kev zoo siab, uas yog feem ntau hu ua "siab."
Lub DSM-V pom tau hais tias tib neeg tsis yog tag nrho los yog sib npaug zos los tsim cov kev mob ntsws uas muaj feem cuam tshuam thiab qee cov neeg muaj qis qis qis qis qis qis qis rau lawv tsim teeb meem yog tias lawv raug muag yeeb tshuaj.
Muaj ob pawg ntawm kev quav tshuaj yeeb dej caw: tshuaj yeeb dej caw thiab tshuaj raug mob. Kev siv tshuaj yeeb dej caw yog cov qauv ntawm cov tsos mob tshwm sim los ntawm kev siv ib yam khoom uas koj tau txais mus ntxiv, txawm tias muaj teeb meem tshwm sim. Cov tshuaj raug mob, nrog rau kev qaug cawv, tshem tawm, thiab lwm yam khoom siv / tshuaj khomob uas tsim muaj kev puas siab ntsws, yog cov lus qhia ntxiv nrog rau kev siv tshuaj yeeb dej caw.
Cov Qauv Ntsuas Kev Siv Tshuaj
Kev siv tshuaj yeeb dej caw nthuav tawm ntau yam teeb meem ntawm kev siv tshuaj yeeb dej caw, thiab khwv tau 11 yam sib txawv:
- Noj cov khoom nyob rau hauv ntau dua los yog ntev tshaj li qhov koj tau hais.
- Xav txo los yog txiav txoj kev siv tshuaj yeeb dej caw tab sis tsis yog tswj xyuas.
- Siv sij hawm ntau, siv, los yog rov qab los ntawm kev siv cov khoom.
- Cravings thiab yaum kom siv cov khoom.
- Tsis yog tswj kev ua haujlwm rau koj ua haujlwm, tsev, lossis tsev kawm ntawv vim tias siv tshuaj yeeb dej caw.
- Ntxiv mus siv, txawm tias thaum nws ua teeb meem hauv kev sib raug zoo.
- Muab cov haujlwm tseem ceeb, kev ua haujlwm, lossis ua si ua si vim kev siv tshuaj yeeb dej caw.
- Siv tshuaj yeeb dej caw rov ua dua, txawm tias thaum nws tso koj rau hauv phom sij.
- Ntxiv mus siv, txawm tias thaum koj paub tias koj muaj teeb meem ntawm lub cev los yog lub siab puas ntsws uas tau ua los ntawm kev ua phem.
- Xav tau ntau dua ntawm cov khoom kom tau cov nyhuv uas koj xav tau (kam rau ua).
- Kev loj hlob ntawm cov tsos mob tawm, uas yuav raug txo los ntawm kev noj ntau dua ntawm cov khoom.
Qhov tseem ceeb ntawm kev siv tshuaj yeeb dej caw
Lub DSM-V pub rau cov kws kho mob qhia kom paub ntau npaum li cas lossis ntau npaum li cas ntawm qhov teeb meem kev siv tshuaj yeeb dej caw yog nyob ntawm seb muaj ntau qhov tshwm sim. Cov tsos mob ntawm ob los sis peb cov tsos mob yuav qhia txog cov kev siv tshuaj tsis haum; plaub lossis tsib cov tsos mob tshwm sim qhia tias muaj kev siv tshuaj tsis zoo, thiab muaj rau lossis ntau tshaj cov tsos mob qhia tias muaj kev puas tsuaj loj heev. Cov kws kho mob kuj tuaj yeem tau ntxiv " kev zam thaum ntxov ," "nyob rau hauv kev pabcuam," ntawm kev kho tu, thiab "hauv chaw tswjhwm."
Intoxication
Kev quav cawv quav yeeb tshuaj, ib pawg ntawm cov tsom ua rau mob, qhia cov tsos mob uas tib neeg tau paub thaum lawv "siab" los ntawm cov tshuaj. Cov mob ntawm kev quav tshuaj yeeb muaj xws li:
- Cov kev ua qoob loo maj
- Cocaine intoxication
- Kev qaug tshuaj methamphetamine (stimulants)
- Heroin toxication (opioids)
- Acid toxication (lwm yam kev qaug hauv ib qho los yog "acid trip")
- Tshuaj qaug cawv substance
Tshuaj Yeeb Tshuaj / Tshuaj Kho Mob Ntseeg Xeeb Meem
Cov kev mob hlwb / yeeb tshuaj vim yog kev puas hlwb yog teeb meem ntawm kev puas hlwb uas tsim rau cov neeg uas tsis muaj teebmeem kev mob hlwb ua ntej siv tshuaj yeeb dej caw, thiab muaj xws li:
- Txoj kev puas hlwb tshuaj tsw qab
- Yeeb tshuaj vim yog bipolar thiab lwm yam mob
- Yeeb tshuaj ntawm kev quav yeeb tshuaj
- Yeeb-tshuaj vim kev ntxhov siab
- Yeeb tshuaj-ntxias obsessive-compulsive thiab lwm yam mob
- Yeeb-tshuaj vim kev pw tsaug zog
- Yeeb tshuaj-vim raug yuam deev
- Yeeb tshuaj vim yog qhov tseeb
- Yeeb tshuaj vim yog mob hlwb
Lo Lus Ntawm
Yog tias koj xav tias koj yuav muaj ib qho kev siv tshuaj txhaum cai los yog ib qho kev ua rau muaj mob tsis zoo, mus ntsib koj tus kws kho mob. Nws yuav tsum tau xa koj mus rau ib tus kws kho mob tshwj xeeb los yog lub chaw saib xyuas kev quav tshuaj txhawm rau txiav txim siab seb koj puas muaj kab mob kev nyuab siab ua ntej thiab kom paub tseeb tias koj tau txais txoj kev kho mob zoo.
Kev siv tshuaj yeeb dej cawv tsis zoo yuav ua teebmeem rau koj txoj kev noj qab haus huv, kev sib raug zoo, thiab koj lub neej tag nrho. Lawv tuaj yeem raug kev tuag, yog li tau txais kev pabcuam thaum ntxov nyob rau hauv cov txheej txheem li sai tau.
> Cov chaw
- > Miskas Kev Sib Koom Tes. Diagnostic thiab Ntaub Ntawv Qhia ntawm Cov Ntshav Puas Hlwb-DSM 5. New York: Koom Haum American Association, 2013.