Ukwelashwa kwezinkinga zokukhathazeka kusekelwe ekungeneleleni kwezidakamizwa kanye/noma ngokwengqondo. Kuzo zonke izimo, ukunakekelwa kwezokwelapha kuyadingeka ukuze kusungulwe ukwelashwa okwanele, okuhambisana nezidingo zesiguli, izimpawu zakhe kanye nomndeni wakhe nesimo senhlalo.

Ukunakekelwa kwengqondo

Ukusekelwa kwengqondo kuyadingeka uma kunezinkinga zokukhathazeka.

Kungase kudale ngisho nokwelashwa okuwukuphela kwayo, noma kuhlotshaniswe nokwelashwa kwemithi, kuye ngobunzima bezinkinga kanye nalokho okulindelwe kumuntu othintekile.

I-cognitive behaviour therapy iwukwelapha okuye kwafundwa kakhulu ekwelapheni iziyaluyalu zokukhathazeka, okuhlanganisa i-social phobia, i-panic disorder kanye ne-obsessive-compulsive disorder. Ngokugxila ezicini ezibangela nokugcina ukukhathazeka nokunikeza isiguli amathuluzi okulawula, lolu hlobo lokwelapha ngokuvamile lusebenza ngendlela eqhubekayo (amaseshini angu-12 kuya kwangu-25 emizuzu engama-45 ngokujwayelekile). Ngokusho kwe-HAS, izindlela zokwelapha ezihlelekile zokucabanga nokuziphatha zisebenza kahle njengokwelashwa kwezidakamizwa.

Ezinye izinhlobo zokwelapha, ezifana nokwelashwa kwengqondo, nazo ziboniswe ukuthi ziyasebenza ezifundweni zomtholampilo. Umgomo uwukunaka futhi ugxile esikhathini samanje, futhi ngaleyo ndlela ufunde ukulawula ukukhathazeka kwakho.

I-analytical psychotherapy ingaqalwa ukuze kuqondwe umsuka wokukhathazeka, kodwa ukusebenza kwayo ezimpawu kuhamba kancane futhi akubonakali kancane.

Ukuphathwa Kwemithi

Uma izimpawu ziqine kakhulu futhi ukwelashwa kwengqondo akwanele ukuzilawula (isibonelo ngokukhathazeka okujwayelekile), ukwelashwa ngezidakamizwa kungase kudingeke.

Izidakamizwa ezimbalwa ziqashelwa ngokusebenza kwazo ngokumelene nokukhathazeka, ikakhulukazi i-anxiolytics (benzodiazepines, buspirone, pregabalin) ezisebenza indlela esheshayo, kanye nama-antidepressants athile okuyiwo ukwelashwa ngemuva, okuyi-serotonin reuptake inhibitors (SSRIs) ekhethiwe kanye ne-serotonin ne-norepinephrine reuptake inhibitors (SNRIs).

Le mithi ingabangela ukukhathazeka kubi kakhulu ekuqaleni kokwelashwa futhi ngakho-ke ukugadwa kwezokwelapha kuyadingeka.

Ngenxa yengozi Ukuthembela, i-benzodiazepines kufanele inqunywe okwesikhashana (okungcono kungabi ngaphezu kwamaviki angu-2 kuya kwangu-3). Kokubili ukuqaliswa nokuyeka ukwelashwa kufanele kuqondiswe udokotela.

Njengoba i-pregabalin ingabangeli ingozi yokuncika futhi ukusebenza kwayo ngokushesha, ngezinye izikhathi ikhethwa kuma-benzodiazepines.