Panic Disorder thiab DSM-5
Cov ntawv tshaj tawm tshiab ntawm DSM suav nrog cov kev hloov rau cov txheej txheem kuaj mob rau ntau yam kev mob hlwb. Cov kev kho me ntsis tam sim no hloov cov kev mob txawv li cas thiab tshawb nrhiav tau. Cov nram qab no piav qhia txog DSM-5 thiab cov kev hloov tshiab tau tshwm sim los ntawm kev kuaj mob ntawm kev puas tsuaj, tawm tsam kev ntshai , thiab agoraphobia.
Dab tsi yog DSM?
Diagnostic and Statistical Manual of Mental Disorders, los sis tsuas yog DSM, yog ib phau ntawv luam tawm los ntawm American Psychiatric Association (APA) rau kev siv cov kev kuaj mob hlwb.
DSM muaj tag nrho cov kev tshuaj ntsuam xyuas txhua yam rau txhua qhov kev puas siab puas ntsws, muab nws lub npe raws li "phau ntawv" ntawm kev mob hlwb.
Lub DSM-5 yog thawj qhov kev txhim kho ntawm phau ntawv txij li xyoo 1994 los ntawm. Tshaj tawm tsab tshiab no, muaj ntau cov kev hloov hauv kev kho mob hlwb, nrog rau kev mob ntxiv thiab tshem tawm. Ntxiv rau, ntau cov kev kho tau ua rau cov txheej txheem kuaj mob ntawm ntau yam kev mob. Panic disorder yog ib qho ntawm cov kab mob kev nyuab siab mob hlwb uas tau hloov hauv qhov tseeb ntawm DSM.
Cov Kev Hloov Piav Ntawm Kev Ntshai Yuav Ua Li Cas
Qhov tseem ceeb tshaj plaws uas tau tshwm sim los ntawm kev kuaj mob ntawm kev ceeb ntshai yog txoj hauv kev uas nws yog tam sim no classified nyob rau hauv relation to agoraphobia. Hauv tsab kawg ntawm DSM, kev tsis sib haum xeeb yog tshawb pom los yog tsis muaj agoraphobia. Hauv DSM-5 tshiab, kev ntxhov siab tsis txaus ntshai thiab agoraphobia yuav raug sau tseg ua ob qho tib si thiab cov kev puas siab puas ntsws mob hlwb.
Qee qhov kev hloov ntxiv kuj tau tshwm sim rau hom kab kev ntshai uas tau hais tseg hauv DSM.
Panic Disorder. Kev tswj hwm tus kabmob muaj peev xwm tswj tau vim tias muaj kev txhawj xeeb nrog cov tsos mob ntawm lub ntsiab tseem ceeb ntawm kev pheej hmoo thiab feem ntau unanticipated panic tawm tsam. Cov kev kuaj mob kuj qhia ntxiv tias cov kev tawm tsam ntawm kev ntshai no yog cim los ntawm txoj kev ntshai ntawm kev pheej hmoo tsis ntev los no, kev hloov ntawm ib tus cwj pwm kom tsis txhob muaj kev tawm tsam, los yog ob qho tib si ntawm cov teeb meem no tsawg kawg yog ib lub hlis.
Panic Attacks. Yav dhau los ib tsab ntawm DSM qhov txawv ntawm hom kev tawm tsam ntawm kev ceebtoom kom muaj ib qho ntawm peb pawg: teeb meem / kev txiavtxim, raug teebmeem, losyog npaj txhij txog / raug txim. Lub DSM-5 tau tshem tawm qee qhov ntawm qhov kev txiav txim siab no thiab simplified panic tawm raws li haum rau ob hom kev simplified: kev cia siab lossis npaj txhij txog.
Xav tias yuav tsum tawm tsam kev ntshai yog cov uas tshwm sim los ntawm kev ntshai, xws li thaum ib tus neeg uas ntshai ntshai thiab muaj kev ntshai nres thaum nyob hauv lub dav hlau. Npaj txhij txog ceeb ntshai tuaj yeem tshwm sim los yog tawm-ntawm-tus-xiav uas tsis muaj lwm qhov cue uas qhov kev tawm tsam yuav tshwm sim. Cov kev tsis sib haum xeeb no yog qhov kev ua kom pom ntawm kev ntshai.
Agoraphobia. Hauv tsab xov xwm tam sim no ntawm DSM, agoraphobia tam sim no stands nrawm los ntawm kev tsis meej pem raws li nws tus kheej cais thiab codable mob. Qhov kev kuaj xyuas rau agoraphobia tam sim no muaj xws li kev txhawj ntshai los sis ntxhov siab vim muaj tsawg kawg yog ob qho teeb meem loj, xws li sab nraud nyob hauv tsev, tib neeg kev thauj mus los (piv txwv li cov dav hlau, cov npav, cov tsheb npav, thiab lwm yam), qhib chaw, khw muag khoom noj khoom haus, kev ua yeeb yam, los yog cinemas), neeg coob coob los yog sawv ntawm ib txoj kab nrog lwm tus neeg, los yog ob qho los yog ntau dua ntawm cov kev tshwm sim no.
Yuav kom kuaj tau nrog agoraphobia, tus neeg ntawd kuj yuav tsum tau muaj kev coj tus cwj pwm tawm tsam . Cov kev tiv thaiv no tshwm sim ntawm kev ntshai tsam muaj kev ntshai los yog kev txhawj xeeb txog kev ntxhov siab nyob rau hauv ib qho teeb meem los ntawm qhov uas nws yuav tsis yooj yim los khiav lossis tsis muaj kev pab yuav muaj. Agoraphobics zoo heev cuam tshuam los ntawm kev coj tus cwj pwm tsis zoo, vim hais tias cov teeb meem zoo kawg rau qhov cuam tshuam tus neeg txom nyem qhov zoo ntawm lub neej thiab tag nrho cov hauj lwm.
DSM-5 Teeb Meem
Ntau tus kws kho mob hlwb tau hais tias tsis txaus siab nrog cov kev hloov uas tau tshwm sim nyob rau hauv qhov tseeb ntawm DSM. Cov kev mob ntxiv, nrog rau kev ntsuam xyuas ntawm kev puas siab puas ntsws dysregulation teeb meem uas tej zaum yuav ua rau muaj kev npau taws, kev twv txiaj kev sib tw, thiab kev sib haum xeeb - nrog rau kev tshem tawm ntawm qee qhov kev ntsuam xyuas, xws li Asperger teeb meem - tau ntsib nrog qee qhov kev tawm tsam.
Ntau tus kws kho mob tau tuaj yeem hais txog kev txhawj xeeb tias cov kev hloov hauv tus DSM-5 tsis muaj pov thawj kev tshawb fawb thiab kuj tseem tuaj yeem pab txhawb kom dhau cov neeg mob.
Lwm cov kws kho mob tshwj xeeb tiv thaiv DSM-5, sib cav sib ceg tias cov kev hloov no tuaj yeem pab tau ntau tus neeg tau txais kev tu xyuas thiab kev kho mob uas lawv xav tau. Piv txwv, cov kws kho mob uas kho cov tsiv siab thiab cov neeg tshawb nrhiav uas tau kawm txog qhov xwm txheej no tau pom tias cov neeg mob tau paub txog agoraphobia tsis muaj kev ceeb ntshai. Qhov txawv ntawm kev tsis sib haum xeeb thiab agoraphobia tuaj yeem pab cov neeg uas muaj cov mob no tau txais cov kev pabcuam zoo tshaj plaws thiab kev kho mob uas yuav pabcuam rau txhua qhov mob tshwj xeeb.
Qhov chaw:
Koom Tes Nrog Asmeskas (Psychiatric Association) (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.) "Washington, DC: Sau.
American Psychiatric Association DSM-5 Website Development: http://www.dsm5.org