Momwe mungapezere othandizira pakakhala mliri

Maphunziro a Zaumoyo

ZOCHITIKA ZA CORONAVIRUS: Akatswiri akamaphunzira zambiri za coronavirus yatsopano, nkhani komanso kusintha kwazidziwitso. Zatsopano pa mliri wa COVID-19, chonde pitani ku Malo Othandizira Kuletsa ndi Kupewa Matenda .

Thanzi monga tikudziwira likuwoneka mosiyana masiku ano, chifukwa cha mliri wa COVID-19. Anthu akukumana ndi mavuto azachuma komanso kusowa ntchito-osanenapo kuti atha kudwala kapena kuwonera okondedwa awo akudwala. Zonsezi zimakhudza thanzi lamaganizidwe. Kuphatikiza apo, kufalikira pagulu popewa kufalikira kwa buku la coronavirus kumatanthauza kuti ndife onse omwe akusungulumwa kwambiri m'moyo wathu watsiku ndi tsiku kuposa momwe ambiri aife timakhalira. Ndipo izi zimakhudza thanzi lamaganizidwe. Posachedwapa kuphunzira mkati Lancet adapeza kuti zovuta zamaganizidwe amtundu wa anthu zimatha kuyambira kukwiya mpaka mantha kupita kupsinjika pambuyo povulala.

Kafukufukuyu akubweretsa vuto latsopano la thanzi pakukambirana limodzi ndi COVID-19. Lipoti latsopano mu JAMA Mankhwala Amkati akuti tiyenera kuyembekezera kusefukira kwamatenda amisala omwe adzatuluke mliriwu. Masoka akulu nthawi zambiri amakhala limodzi ndi kuwonjezeka kwa kukhumudwa , pambuyo povutika ndi nkhawa, kugwiritsa ntchito mankhwala osokoneza bongo, mavuto ena osiyanasiyana amisala ndi machitidwe, nkhanza zapabanja, komanso kuzunza ana, alembe olembawo.

Ziwerengero zazikulu ndi malingaliro akulu ndizowopsa mokwanira. Koma, mukamavutika kugona mokwanira, maloto owopsa, kapena kupsinjika kowoneka ngati kosatha-kapena kuyesera kuthana nawo nkhawa , kugwiritsa ntchito mankhwala osokoneza bongo ndi kuzunza, komanso kusungulumwa-ndizovuta kwambiri mukamamatira kunyumba.

Tikuwona zinthu zochepa zomwe zikufala kwambiri kwa anthu pakadali pano — anthu ena akumva kukhala akusungulumwa komanso osungulumwa, ena akumva kupsinjika modetsa nkhawa ndikukomedwa kukhala kunyumba ndi mabanja awo kapena omwe amakhala nawo kapena ena ofunika, ndipo anthu ena akuvutika kusokonezeka tulo chifukwa thupi lanu limaiwala zovuta zomwe mumachita chifukwa chazomwe mukuchita, akutero a Jenn Weaver, CAGS, LMHC, CRC ku Polaris Counselling & Consulting ku Providence, Rhode Island. Zizindikiro zakukhumudwa zikukwera, koma pamene simukusamba ndikugona pabedi anthu ambiri amadzifunsa kuti, 'Kodi ndili wokhumudwa kapena ndikungopulumuka ndikudzipatula?' Ndizovuta, chifukwa amawonetsana. Ndipo tonsefe timafunikira wina woti tikambirane naye za izi.

Koma kuyankhula ndi munthu masiku ano kumabwera ndi zovuta zina. Chifukwa magulu othandizira ndi zothandizira upangiri ndizovuta kuzipeza patokha, malo azachipatala akuyenera kudzipanganso. Tsopano, tikuwona kusintha kwakukulu kwa mautumiki ndi mwayi wolumikizana ndi ena akuchitidwa kutali. Njira yakutali iyi yothandizira amatchedwa teletherapy kapena telepsychiatry.

Kodi teletherapy ndi chiyani?

Teletherapy imangokhala ngati chithandizo chazachipatala chomwe mumadziwako-koma m'malo mokakumana ndi ofesi ya othandizira kapena aupangiri, mumakumana pamisonkhano yapa kanema kapena patelefoni. Titatseka maimidwe athu omwe timakhala nawo ndikupereka mwayi kwa makasitomala athu pakadali pano, pafupifupi 50% adanena kuti angafune kuyeserera, a Weaver akutero. Kuchokera mwa makasitomala omwe anali otseguka, onse anali ngati 'Wow, zinali bwino kwambiri kuposa momwe ndimaganizira.'

Ndipo alangizi ena mdziko lonseli akuwonanso kuyankha kwabwino kuchokera kwa makasitomala awo omwe akusintha kuchoka kwa anzawo kupita kumisonkhano. Tidapempha makasitomala athu kuti ayese teletherapy chifukwa amaganiza kuti sizikhala zofanana kapena zothandiza koma iwo omwe anali ofunitsitsa kuyesa patangopita mphindi zochepa nthawi zonse akunena momwe zimamvekera-komanso zothandiza komanso zotsitsimutsadi Evan Center, MS, LCPC, purezidenti wa Center Counselling ku Bozeman, Montana. Ndimalimbikitsa aliyense amene akuganiza zamankhwala pakadali pano kuti ayesenso teletherapy. Ndikofunika kukhala ndi wina woti muzilankhula naye.

Koma mutasankha kuti mwakonzeka kulankhula ndi munthu wina, ndikofunikira kudziwa momwe mudzalipire gawo (kapena ngati mungayenerere kulandira teletherapy yaulere). Chifukwa cha vuto la COVID-19, Medicare ndi makampani ambiri a inshuwaransi afalitsa zambiri (mwina kwakanthawi kochepa) kuti aphatikize upangiri wa telehealth kuchokera kwa akatswiri amisala, akatswiri amisala, alangizi azaumoyo, komanso ogwira ntchito zantchito. Mitundu ina yamankhwala yamagulu itha kupitsidwanso. Werengani: Mutha kukhala ndi nthawi yopita kuchipatala kunyumba, posachedwa, pamitengo yofananira yomwe mukadalipira pagulu lamunthu.

ZOKHUDZA: Zomwe muyenera kuyembekezera nthawi yanu yoyamba kusankhidwa ndi telehealth

Momwe mungapezere teletherapy

Ngati muli ndi inshuwaransi yazaokha , opereka chithandizo monga Aetna ndi Blue Cross Blue Shield pakadali pano akusiya ma kopi kuti azichezera pa intaneti, kuphatikizapo omwe sagwirizana ndi zisonyezo za COVID-19 (mwachitsanzo, zovuta zamaganizidwe ndi zizindikiritso). Pakadali pano mayiko monga Montana, Massachusetts, California, ndi Arizona alamula onse a inshuwaransi kuti azichita nawo zantchito zantchito zantchito, ndipo maudindo m'maiko ena akhoza kubwera. Koma zonse zimayendera boma-ndi-boma-ndipo monga Weaver ananenera, Zimasintha tsiku ndi tsiku. Koma kwakukulukulu, mkati mwa mliriwu magawo ambiri [mu intaneti] magawo a upangiri wa zaumoyo amatchulidwa mokwanira.

Kuphatikiza apo, abwana anu atha kupereka pulogalamu yothandizira ogwira ntchito (EAP) monga gawo la mapindu anu, omwe amapereka ntchito (monga upangiri) zomwe zimathandiza ogwira ntchito kuthana ndi mavuto omwe amasokoneza moyo wawo komanso magwiridwe antchito, malinga ndi American Psychiatric Association (APA). Itanani dipatimenti yanu ya HR kapena lankhulani ndi abwana anu za mwayiwu.

Kuti muwone ngati kampani yanu ya inshuwaransi ikuphimba gawo lanu laupangiri, imbani nambala ya kasitomala kumbuyo kwa khadi lanu la inshuwaransi ndikufunseni. Kupatula komwe mungakhale osayenerera kulandira ma teletherapy aulere kudzera pa inshuwaransi yanu payokha ndi ngati mukuwona munthu wina m'boma (monga ngati mumakhala ku New Hampshire ndipo mukuwona othandizira ku Massachusetts).

Ngati ndinu m'modzi wa Anthu aku America okwana 59 miliyoni yokutidwa ndi Medicare , malamulo atsopano okhudzana ndi mliri ali adachotsa zoletsa zomwe zidakhalapo kwanthawi yayitali pakagwiritsidwe ntchito kanu ka telehealth (panthawi yazadzidzidzi zaumoyo wa anthu, ndiye). Health Insurance Portability and Accountability Act, kapena HIPAA, kale idaletsa kugwiritsa ntchito mafoni pochita maulendo azachipatala chifukwa chazinsinsi, koma zoletsedwazi tsopano zachotsedwa. Izi zikutanthauza kuti mutha kukhala ndi ma pulogalamu anu popanda mapulogalamu pazotsatira zanu za Medicare.

Ngati mwaphimbidwa ndi Mankhwala ndi Mapulogalamu a Inshuwaransi ya Ana (CHIP) , kufalitsa kwa telehealth kumasiyanasiyana malinga ndi boma. Kupezeka kwadzidzidzi kwa COVID-19 kwawonjezera ntchito kwa odwala atsopano komanso okhazikika mdziko lonselo - kuphatikiza chithandizo chamankhwala cha munthu aliyense payekha komanso cha mabanja. Zoletsa pamalo ndi ntchito zakwezedwa kwakanthawi.

Ngati mulibe inshuwaransi konse —Kapena ngati pakali pano sichikutumikirani chithandizo cha telehealth kapena teletherapy kwa inu — pali zinthu zina zomwe zilipo, monga Malo Oyenerera Oyenerera a Zaumoyo . Awa ndi malo okhalamo omwe amapereka chisamaliro kuphatikiza ntchito zamankhwala amisala ndi zinthu zosokoneza bongo. Amaloledwa kupereka ma telehealth ngakhale simunakhalepo wodwala kamodzi ndipo mukufunikiranso kuika patsogolo odwala omwe amakhala mkati mwa madera awo. Ngati izi zikuwoneka ngati njira yabwino kwa inu, mutha kusaka malo azaumoyo mdera lanu Pano . Kulipira payekha teletherapy ndi njira ina, ngati ingakwanitse kwa inu.

Momwe mungagwirizane ndi magulu othandizira mankhwala osokoneza bongo

Kulimbana ndi chizolowezi chomwa mankhwala osokoneza bongo komanso kugwiritsa ntchito mankhwala osokoneza bongo / nkhanza kumatha kumva ngati zosatheka ngati mulibe chithandizo chomwe mukufuna. Koma mwamwayi, mankhwala am'magulu monga Alcoholics Anonymous ndi Narcotic Anonymous zinthu zikupezeka pafupifupi pano. Mawebusayiti monga Kugwirizana Kwapaintaneti , perekani chikwatu cha misonkhano ya Zoom limodzi ndi manambala oitanitsa. Mankhwala Osokoneza Bongo Osadziwika imaperekanso misonkhano pafoni komanso pa intaneti. Mutha kusaka misonkhano kudzera mu Narcotic Anonymous Pano .

Momwe mungapezere othandizira

Tsopano popeza mukudziwa ufulu wa zachuma ndi zoletsa za teletherapy, gawo lotsatira ndikupeza wothandizira, phungu, ndi pulogalamu yabwino kwambiri kwa inu ndi zosowa zanu . Ndipo inde, kumeneko kungakhale kusaka koopsa ngati mulibe kale wothandizira yemwe akupereka teletherapy. Koma chosangalatsa ndichakuti, palinso zofunikira kuti mupeze masewera abwino.

1. Gwiritsani ntchito chikwatu cha intaneti

Teladoc , Amwell , Thandizo Labwino , MDLive , ndi Dokotala Pakufuna onse ndi masamba odziwika omwe amakulumikizani ndi akatswiri azaumoyo. Kuphatikiza apo, Psychology Today ili ndi cholembera cha othandizira zomwe zimakulolani kusefa othandizira omwe amapereka teletherapy, komanso kusefa ndi dera ndi ukatswiri. Ngati mukudziwa kuti mungakonde kulankhula ndi mayi kapena mayi wothandizira yemwe ndi wamkulu kuposa inu, mutha kutsimikiza kuti ndizomwe mumapeza, a Weaver akutero. Ganizirani zomwe mukufuna. Yesetsani kupeza izi mwachindunji, ndipo osadina pa wina chifukwa ali ndi zip code yanu.

Makliniki ambiri am'madera akumidzi omwe amakhala omasuka kapena zipatala zogona odwala matenda opatsirana ndi malo ophunzirira ndi malo oyenera kuwonekeranso.

2. Konzani zokumana ndikupatsani moni musanapangidwe koyamba

Onse Center ndi Weaver amalimbikitsa kuti mufufuze pa intaneti kuti mupeze wothandizira mdera lanu omwe akuwoneka kuti akhoza kukhala oyenera. Kenako yesani kuyandikira kwa khanda. Ndi pempho lachilendo, lothandiza kufunsa wothandizirayo kuti angolankhula pafoni kwa mphindi 10 kapena 15 kuti mukhale ndi lingaliro loyambilira la wina ndi mnzake, Center akuti. Payenera kukhala kudalirana kwachilengedwe komanso kumasuka polankhula ndi omwe angakuthandizeni. Ndicho, mudzatha kulumpha kwambiri muzokambirana ndi magawo anu - ndipo mudzawona ndikumva zabwino zake. Anthu ambiri amatha kuwerenga ena mwachangu ndipo simuyenera kuchita manyazi ngati kuyimbira foni koyamba sikunali koyenera. Palibe vuto. Ingonenani ndikupita patsogolo.

Weaver amavomereza kuti: Wothandizira aliyense wabwino angavomereze kutenga foni yamphindi 10 kuti muyankhe mafunso ndikukumana wina ndi mnzake kuti muwone ngati ali oyenerera kapena ayi. Ingofunsani kuti, 'Ndine watsopano pankhaniyi, kodi ndingathe kukuyimbirani foni mphindi 10 kuti ndiwone ngati izi zikuyenereradi?' Choyipa chachikulu ndi chakuti wina akuti ayi ndipo ngati simukufuna kugwira ntchito ndi wothandizirayo mosasamala kanthu.

3. Funsani umboni

Njira ina yopezera wothandizira wodalirika m'dera lanu ndi njira yachikale yakamwa. Ndizofala kwambiri mu 2020 kuti mukambirane za othandizira anu, chifukwa chake ngati muli omasuka funsani anthu omwe mumakhala nawo, a Weaver akutero.

Mutapeza zoyenera, sankhani magawo anu kuti akhale abwino kwambiri kwa inu. Therapy ndi zomwe mukufuna, Center akuti. Ndizosangalatsa kuyankhula ndi munthu yemwe alibe chidwi ndi moyo wanu. Sindiyamba-izi ndi za inu ndi malingaliro anu ndi malingaliro anu. Chotsani pachifuwa panu. Kukhala ndi wina yemwe sanakutsekerereni munyumba nanu omwe angamvetsere ndikuyankhula nanu mopanda tsankho ndizamphamvu kwambiri.

Ndipo mbali inayo yowala? Nthawi yonse yomwe mudasunga yomwe mukadagwiritsa ntchito popita ndi kuchokera komwe mudasankhidwa, kukhala mchipinda chodikirira, ndikukonzekera kutuluka pakhomo. Tikuwona anthu ambiri omwe amayesa kugwiritsa ntchito teletherapy kutsatira chifukwa ndizosavuta kuti mugwirizane ndi tsiku lanu-ndipo ngakhale pali mliri kapena ayi, nthawi zina zimakhala zovuta kupeza nthawi. Mukamatha kulowa ndikutuluka mu mphindi 45 ndikupeza zabwino zonse zamankhwala, ndizovuta kukhala ndi zifukwa zosachita izi, Center akuti.

Ngati mukufuna thandizo linalake pofufuza zathanzi, lemberani National Alliance on Mental Illness pa 1-800-950-NAMI (6264) kapena imelo imeloinfo@nami.org. Kuphatikiza apo, ngati muli pamavuto ndipo mukufuna thandizo nthawi yomweyo, chonde imbani foni Njira Yodzitetezera Kudzipha pa 1-800-273-8255 kapena kucheza pa intaneti ndi mlangizi kwaulere.