Ho ka ba thata ho sebetsana ka katleho le litlhaselo tsa ho tšoenyeha, empa ho na le liphekolo le liphekolo tse sebetsang. Ka linako tse ling u tlameha ho leka tse 'maloa kapa ho li kopanya, empa bongata bo boholo ba batho bo khona ho fokotsa kapa ho felisa ho ts'oaroa ha bona ka libeke kapa likhoeli tse' maloa ka lebaka la mehato ena.

tsa phekolo

Ho sebetsa ha psychotherapy ho phekola mafu a ho tšoenyeha ho thehiloe hantle. E bile ke kalafo ea khetho maemong a mangata, pele u tlameha ho sebelisa lithethefatsi.

Ho phekola litlhaselo tsa ho tšoenyeha, phekolo ea khetho ke phekolo ea kelello ea boitšoaro, kapa CBT⁶. Ha e le hantle, li-CBT ka kakaretso li etsahala ho feta 10 ho ea ho 25 mananeo a arohaneng beke ka bonngoe kapa ka lihlopha.

Likopano tsa phekolo li ikemiselitse ho fana ka tlhahisoleseding mabapi le boemo ba ho tšoha le ho fetola butle-butle "litumelo tsa bohata", liphoso tsa tlhaloso le boitšoaro bo bobe bo amanang le bona, e le hore ba nkele sebaka ka tsebo e eketsehileng. e utloahalang le ea sebele.

Mekhoa e mengata e u lumella ho ithuta ho emisa ho tsieleha, le ho khutsa ha u ikutloa u tšoenyehile. Boikoetliso bo bonolo bo lokela ho etsoa beke le beke e le hore u hatele pele. Hoa lokela ho hlokomeloa hore li-CBT li na le thuso ho fokotsa matšoao empa sepheo sa bona ha se ho hlalosa tšimoloho kapa sesosa sa ho hlaha ha litlhaselo tsena tsa tšabo. Ho ka 'na ha e-ba monate ho e kopanya le mofuta o mong oa phekolo ea psychotherapeutic (analytical, systemic therapy, joalo-joalo) e le ho thibela matšoao a ho falla le ho hlaha hape ka mefuta e meng.

Meriana

Har'a mekhoa ea phekolo ea meriana, lihlopha tse 'maloa tsa lithethefatsi li bontšitsoe ho fokotsa khafetsa ea litlhaselo tse matla tsa ho tšoenyeha.

Li-antidepressants ke phekolo ea khetho ea pele, e lateloa ke benzodiazepines (Xanax®) eo, leha ho le joalo, e hlahisang kotsi e kholo ea ho itšetleha le litla-morao. Ka hona, tse qetellang li boloketsoe phekolo ea bothata, ha e le nako e telele 'me phekolo e hlokahala.

Fora, mefuta e 'meli ea li-antidepressants e khothalelitsoe⁷ ho phekola mathata a ho tšoha ka nako e telele ke:

• selective serotonin reuptake inhibitors (SSRIs), molao-motheo oa ho eketsa bongata ba serotonin li-synapses (kopano pakeng tsa li-neuron tse peli) ka ho thibela ho tsosolosoa ha morao. Ka ho khetheha, paroxetine (Deroxat® / Paxil®), escitalopram (Seroplex® / Lexapro®) le citalopram (Seropram® / Celexa®) e khothalletsoa;
• tricyclic antidepressants joalo ka clomipramine (Anafranil®).

Maemong a mang, venlafaxine (Effexor®) le eona e ka fanoa.

Kalafo e thibelang ho imeloa kelellong e qala ka ho beheloa libeke tse 12, ebe ho etsoa tlhahlobo ho etsa qeto ea ho tsoela pele kapa ho fetola phekolo.