{"id":4884,"date":"2018-07-23T09:23:07","date_gmt":"2018-07-23T02:23:07","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/23\/roi-loan-am-anh-cuong-buc-la-gi\/"},"modified":"2024-03-17T03:42:21","modified_gmt":"2024-03-16T20:42:21","slug":"roi-loan-am-anh-cuong-buc-la-gi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/roi-loan-am-anh-cuong-buc-la-gi\/","title":{"rendered":"R\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng b\u1ee9c l\u00e0 g\u00ec?"},"content":{"rendered":"<p><span style=\"line-height: 1.6em;\"> Th\u1ec9nh tho\u1ea3ng ch\u00fang ta c\u00f3 th\u00f3i quen ki\u1ec3m tra t\u1ec9 m\u1ec9 m\u1ecdi vi\u1ec7c. V\u00ed d\u1ee5, b\u1ea1n c\u00f3 th\u1ec3 ki\u1ec3m tra l\u1ea1i \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o m\u00ecnh \u0111\u00e3 t\u1eaft b\u1ebfp \u0111i\u1ec7n hay b\u00e0n \u1ee7i tr\u01b0\u1edbc khi ra kh\u1ecfi nh\u00e0. Nh\u01b0ng nh\u1eefng ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng b\u1ee9c (OCD) c\u1ea3m th\u1ea5y c\u1ea7n ki\u1ec3m tra m\u1ecdi vi\u1ec7c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c c\u00f3 nh\u1eefng \u00fd ngh\u0129 hay th\u1ef1c hi\u1ec7n nh\u1eefng quy tr\u00ecnh v\u00e0 nghi th\u1ee9c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i. Nh\u1eefng suy ngh\u0129 v\u00e0 nghi th\u1ee9c do OCD g\u00e2y ra c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 tr\u1edf ng\u1ea1i cho cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng nh\u1eadt. <\/span><\/p>\n<p>Nh\u1eefng \u00fd ngh\u0129 kh\u00f3 ch\u1ecbu th\u01b0\u1eddng xuy\u00ean \u0111\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0<strong> \u00e1m \u1ea3nh<\/strong>. \u0110\u1ec3 ki\u1ec3m so\u00e1t ch\u00fang, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u1ea3m th\u1ea5y c\u00f3 s\u1ef1 th\u00f4i th\u00fac m\u1ea1nh m\u1ebd ph\u1ea3i l\u1eb7p l\u1ea1i nh\u1eefng <strong>nghi th\u1ee9c<\/strong> ho\u1eb7c h\u00e0nh vi n\u00e0o \u0111\u00f3 g\u1ecdi l\u00e0 xung \u0111\u1ed9ng. Ng\u01b0\u1eddi b\u1ecb OCD <strong>kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t nh\u1eefng \u00e1m \u1ea3nh v\u00e0 h\u00e0nh vi xung \u0111\u1ed9ng n\u00e0y<\/strong>. Ph\u1ea7n l\u1edbn th\u1eddi gian b\u1ec7nh nh\u00e2n b\u1ecb nh\u1eefng nghi th\u1ee9c n\u00e0y chi ph\u1ed1i.<\/p>\n<p>V\u00ed d\u1ee5, n\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u1ecb \u00e1m \u1ea3nh v\u1edbi ch\u1ea5t b\u1ea9n v\u00e0 vi tr\u00f9ng, h\u1ecd c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh nghi th\u1ee9c r\u1eeda tay nhi\u1ec1u l\u1ea7n. N\u1ebfu h\u1ecd c\u00f3 \u00e1m \u1ea3nh s\u1ee3 c\u00f3 ng\u01b0\u1eddi \u0111\u1ed9t nh\u1eadp, h\u1ecd c\u00f3 th\u1ec3 th\u1ec3 kh\u00f3a c\u1eeda \u0111i r\u1ed3i kho\u00e1 l\u1ea1i nhi\u1ec1u l\u1ea7n tr\u01b0\u1edbc khi \u0111i ng\u1ee7. Vi\u1ec7c s\u1ee3 b\u1ecb x\u1ea5u h\u1ed5 n\u01a1i c\u00f4ng c\u1ed9ng c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n OCD b\u1ecb xung \u0111\u1ed9ng ch\u1ea3i t\u00f3c nhi\u1ec1u l\u1ea7n tr\u01b0\u1edbc g\u01b0\u01a1ng- th\u1ec9nh tho\u1ea3ng h\u1ecd b\u1ecb \u201ck\u1eb9t\u201d tr\u01b0\u1edbc g\u01b0\u01a1ng v\u00e0 kh\u00f4ng th\u1ec3 r\u1eddi ra \u0111\u01b0\u1ee3c. Vi\u1ec7c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i nh\u1eefng nghi th\u1ee9c n\u00e0y r\u1ea5t kh\u00f4ng tho\u1ea3i m\u00e1i. C\u00f3 ch\u0103ng, n\u00f3 ch\u1ec9 l\u00e0m khu\u00e2y kh\u1ecfa t\u1ea1m th\u1eddi kh\u1ecfi b\u1ecb lo \u00e2u do \u00fd ngh\u0129 \u00e1m \u1ea3nh g\u00e2y ra.<\/p>\n<p>Nh\u1eefng nghi th\u1ee9c th\u01b0\u1eddng g\u1eb7p kh\u00e1c c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n ph\u1ea3i ki\u1ec3m tra \u0111i ki\u1ec3m tra l\u1ea1i m\u1ecdi vi\u1ec7c, ch\u1ea1m v\u00e0o \u0111\u1ed3 v\u1eadt (\u0111\u1eb7c bi\u1ec7t l\u00e0 theo m\u1ed9t tr\u00ecnh t\u1ef1 nh\u1ea5t \u0111\u1ecbnh), hay \u0111\u1ebfm \u0111\u1ed3 v\u1eadt. M\u1ed9t v\u00e0i \u00e1m \u1ea3nh ph\u1ed5 bi\u1ebfn nh\u01b0 th\u01b0\u1eddng xuy\u00ean c\u00f3 \u00fd t\u01b0\u1edfng b\u1ea1o l\u1ef1c v\u00e0 l\u00e0m h\u1ea1i nh\u1eefng ng\u01b0\u1eddi th\u00e2n, suy ngh\u0129 dai d\u1eb3ng v\u1ec1 nh\u1eefng h\u00e0nh vi t\u00ecnh d\u1ee5c m\u00e0 m\u00ecnh kh\u00f4ng th\u00edch, hay c\u00f3 nh\u1eefng \u00fd ngh\u0129 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e9p theo ni\u1ec1m tin t\u00f4n gi\u00e1o c\u1ee7a m\u00ecnh. Ng\u01b0\u1eddi b\u1ecb OCD c\u0169ng c\u00f3 th\u1ec3 b\u1eadn t\u00e2m nhi\u1ec1u v\u1ec1 tr\u00ecnh t\u1ef1 v\u00e0 s\u1ef1 \u0111\u1ed1i x\u1ee9ng, kh\u00f3 m\u00e0 v\u1ee9t b\u1ecf \u0111i b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec (n\u00ean h\u1ecd g\u00f3p nh\u1eb7t l\u1ea1i) ho\u1eb7c t\u00edch tr\u1eef nh\u1eefng v\u1eadt d\u1ee5ng kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng c\u0169ng c\u00f3 nghi th\u1ee9c, ch\u1eb3ng h\u1ea1n nh\u01b0 ki\u1ec3m tra b\u1ebfp \u0111i\u1ec7n v\u00e0i l\u1ea7n tr\u01b0\u1edbc khi ra kh\u1ecfi nh\u00e0. Kh\u00e1c bi\u1ec7t \u1edf \u0111\u00e2y l\u00e0 <strong>ng\u01b0\u1eddi b\u1ecb OCD th\u1ef1c hi\u1ec7n nghi th\u1ee9c n\u00e0y ngay c\u1ea3 khi n\u00f3 g\u00e2y tr\u1edf ng\u1ea1i cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng nh\u1eadt<\/strong> v\u00e0 h\u1ecd th\u1ea5y kh\u00f3 ch\u1ecbu v\u1ec1 nh\u1eefng h\u00e0nh \u0111\u1ed9ng l\u1eb7p l\u1ea1i n\u00e0y. M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh b\u1ecb OCD nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c vi\u1ec7c h\u1ecd \u0111ang l\u00e0m l\u00e0 v\u00f4 l\u00fd, nh\u1eefng ng\u01b0\u1eddi kh\u00e1c v\u00e0 tr\u1ebb em c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c h\u00e0nh vi c\u1ee7a m\u00ecnh l\u00e0 kh\u00f4ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h2 id=\"nguyen-nhan-roi-loan-am-anh-cuong-buc\">Nguy\u00ean nh\u00e2n<\/h2>\n<p>OCD <strong>c\u00f3 th\u1ec3 do di truy\u1ec1n<\/strong>, nh\u01b0ng kh\u00f4ng ai bi\u1ebft ch\u1eafc ch\u1eafn t\u1ea1i sao c\u00f3 ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n n\u00e0y c\u00f2n nh\u1eefng ng\u01b0\u1eddi kh\u00e1c th\u00ec kh\u00f4ng. Nh\u1eefng nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 ph\u00e1t hi\u1ec7n m\u1ed9t v\u00e0i khu v\u1ef1c trong n\u00e3o c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ee3 h\u00e3i v\u00e0 lo \u00e2u. Qua nghi\u00ean c\u1ee9u v\u1ec1 s\u1ee3 h\u00e3i v\u00e0 lo \u00e2u trong n\u00e3o b\u1ed9, c\u00e1c nh\u00e0 khoa h\u1ecdc c\u00f3 th\u1ec3 t\u00ecm ra nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa tr\u1ecb t\u1ed1t h\u01a1n. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u c\u0169ng \u0111ang t\u00ecm ki\u1ebfm nh\u1eefng m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa c\u0103ng th\u1eb3ng v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng c\u00f3 th\u1ec3 c\u00f3 vai tr\u00f2 trong OCD.<\/p>\n<h2 id=\"dau-hieu--trieu-chung-roi-loan-am-anh-cuong-buc\">D\u1ea5u hi\u1ec7u &amp; Tri\u1ec7u ch\u1ee9ng<\/h2>\n<p>Ng\u01b0\u1eddi b\u1ecb OCD th\u01b0\u1eddng<\/p>\n<ul>\n<li>C\u00f3 nh\u1eefng<strong> \u00fd ngh\u0129, h\u00ecnh dung l\u1eb7p \u0111i l\u1eb7p l\u1ea1i v\u1ec1 nhi\u1ec1u th\u1ee9 kh\u00e1c nhau<\/strong>, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ee3 vi tr\u00f9ng [TM1], s\u1ee3 b\u1ea9n, hay b\u1ecb \u0111\u1ed9t nh\u1eadp; nh\u1eefng h\u00e0nh \u0111\u1ed9ng b\u1ea1o l\u1ef1c; l\u00e0m h\u1ea1i ng\u01b0\u1eddi th\u00e2n, nh\u1eefng h\u00e0nh vi t\u00ecnh d\u1ee5c; nh\u1eefng m\u00e2u thu\u1eabn v\u1edbi ni\u1ec1m tin t\u00f4n gi\u00e1o; ho\u1eb7c qu\u00e1 ng\u0103n n\u1eafp g\u1ecdn g\u00e0ng<\/li>\n<li><strong>L\u1eb7p \u0111i l\u1eb7p l\u1ea1i m\u1ed9t s\u1ed1 nghi th\u1ee9c<\/strong> nh\u01b0 r\u1eeda tay, kh\u00f3a v\u00e0 m\u1edf kh\u00f3a c\u1eeda, \u0111\u1ebfm, gi\u1eef nh\u1eefng \u0111\u1ed3 \u0111\u1ea1c kh\u00f4ng c\u1ea7n d\u00f9ng \u0111\u1ebfn, hay th\u1ef1c hi\u1ec7n \u0111i l\u1ea1i c\u00e1c b\u01b0\u1edbc gi\u1ed1ng nhau.<\/li>\n<li>Kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t nh\u1eefng h\u00e0nh vi v\u00e0 \u00fd ngh\u0129 kh\u00f4ng mong mu\u1ed1n<\/li>\n<li>Kh\u00f4ng c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i khi th\u1ef1c hi\u1ec7n nh\u1eefng h\u00e0nh vi hay nghi th\u1ee9c n\u00e0y, nh\u01b0ng c\u1ea3m th\u1ea5y khu\u00e2y kh\u1ecfa nh\u1ea5t th\u1eddi kh\u1ecfi b\u1ecb lo \u00e2u do \u00fd ngh\u0129 \u0111\u00f3 g\u00e2y ra.<\/li>\n<li>M\u1ea5t \u00edt nh\u1ea5t 1 gi\u1edd m\u1ed7i ng\u00e0y cho \u00fd ngh\u0129 v\u00e0 nghi th\u1ee9c \u0111\u00f3, g\u00e2y ra kh\u00f3 ch\u1ecbu, c\u1ea3n tr\u1edf cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y.<\/li>\n<\/ul>\n<h2 id=\"nhung-ai-co-nguy-co-bi\u00a0roi-loan-am-anh-cuong-buc\u00a0cao\">\u0110\u1ed1i t\u01b0\u1ee3ng d\u1ec5 m\u1eafc OCD<\/h2>\n<p>V\u1edbi nhi\u1ec1u ng\u01b0\u1eddi, OCD th\u01b0\u1eddng kh\u1edfi ph\u00e1t t\u1eeb th\u1eddi th\u01a1 \u1ea5u hay thi\u1ebfu ni\u00ean. Ph\u1ea7n l\u1edbn ng\u01b0\u1eddi r\u1ed1i lo\u1ea1n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc tu\u1ed5i 19. Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a OCD th\u01b0\u1eddng \u0111\u1ebfn r\u1ed3i \u0111i, khi th\u00ec n\u1eb7ng khi th\u00ec nh\u1eb9 kh\u00e1c nhau.<\/p>\n<p>OCD \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 2,2 tri\u1ec7u ng\u01b0\u1eddi M\u1ef9 tr\u01b0\u1edfng th\u00e0nh. R\u1ed1i lo\u1ea1n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nam gi\u1edbi v\u00e0 n\u1eef gi\u1edbi g\u1ea7n nh\u01b0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng. R\u1ed1i lo\u1ea1n <strong>th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb th\u1eddi th\u01a1 \u1ea5u hay tu\u1ed5i thanh thi\u1ebfu ni\u00ean<\/strong>. M\u1ed9t ph\u1ea7n ba ng\u01b0\u1eddi m\u1eafc OCD tr\u01b0\u1edfng th\u00e0nh c\u00f3 tri\u1ec7u ch\u1ee9ng ti\u1ebfn tri\u1ec3n t\u1eeb khi c\u00f2n l\u00e0 tr\u1ebb em. Nghi\u00ean c\u1ee9u c\u0169ng ch\u1ec9 ra OCD <strong>c\u00f3 th\u1ec3 di truy\u1ec1n trong gia \u0111\u00ecnh.<\/strong><\/p>\n<h2 id=\"chan-doan\u00a0roi-loan-am-anh-cuong-buc\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>Ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh r\u1ea5t thay \u0111\u1ed5i. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 \u0111\u1ebfn r\u1ed3i \u0111i, nh\u1eb9 \u0111i qua th\u1eddi gian ho\u1eb7c n\u1eb7ng l\u00ean. N\u1ebfu OCD tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng, c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u0111i l\u00e0m hay kh\u00f4ng ho\u00e0n th\u00e0nh c\u00e1c ngh\u0129a v\u1ee5 th\u01b0\u1eddng ng\u00e0y trong gia \u0111\u00ecnh. Ng\u01b0\u1eddi b\u1ecb OCD c\u00f3 th\u1ec3 <strong>t\u1ef1 \u0111\u1ed1i ph\u00f3 b\u1eb1ng [TM2] c\u00e1ch tr\u00e1nh nh\u1eefng t\u00ecnh hu\u1ed1ng c\u00f3 th\u1ec3 k\u00edch ho\u1ea1t \u00e1m \u1ea3nh, c\u00f3 khi h\u1ecd c\u00f3 th\u1ec3 l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u hay ma tu\u00fd \u0111\u1ec3 t\u1ef1 tr\u1ea5n an<\/strong>.<\/p>\n<p>OCD c\u00f3 th\u1ec3 \u0111i <strong>k\u00e8m v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng, c\u00e1c r\u1ed1i lo\u1ea1n lo \u00e2u kh\u00e1c ho\u1eb7c tr\u1ea7m c\u1ea3m<\/strong><\/p>\n<p>\u0110\u1ea7u ti\u00ean, b\u1ea1n c\u1ea7n n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u1ea7n kh\u00e1m \u0111\u1ec3 ch\u1eafc l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng do c\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ef1c th\u1ec3 kh\u00e1c g\u00e2y ra. B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ea1n \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa t\u00e2m th\u1ea7n.<\/p>\n<h2 id=\"dieu-tri\u00a0roi-loan-am-anh-cuong-buc\">\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p>OCD th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng tr\u1ecb li\u1ec7u t\u00e2m l\u00fd, thu\u1ed1c ho\u1eb7c c\u1ea3 hai.<\/p>\n<ul>\n<li><strong> Tr\u1ecb li\u1ec7u t\u00e2m l\u00fd:<\/strong>\u00a0M\u1ed9t d\u1ea1ng tr\u1ecb li\u1ec7u t\u00e2m l\u00fd g\u1ecdi l\u00e0 <strong>li\u1ec7u ph\u00e1p nh\u1eadn th\u1ee9c h\u00e0nh vi<\/strong> \u0111\u1eb7c bi\u1ec7t h\u1eefu d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb OCD. N\u00f3 d\u1ea1y b\u1ec7nh nh\u00e2n nh\u1eefng c\u00e1ch suy ngh\u0129, h\u00e0nh \u0111\u1ed9ng v\u00e0 ph\u1ea3n \u1ee9ng kh\u00e1c \u0111i \u0111\u1ed1i v\u1edbi nh\u1eefng t\u00ecnh hu\u1ed1ng, \u0111\u1ec3 gi\u00fap h\u1ecd b\u1edbt lo \u00e2u v\u00e0 s\u1ee3 h\u00e3i m\u00e0 kh\u00f4ng c\u00f3 nh\u1eefng \u00fd ngh\u0129 \u00e1m \u1ea3nh hay h\u00e0nh \u0111\u1ed9ng xung \u0111\u1ed9ng. M\u1ed9t d\u1ea1ng tr\u1ecb li\u1ec7u kh\u00e1c g\u1ecdi l\u00e0 \u201ct\u1eadp nhi\u1ec5m v\u00e0 ng\u0103n ng\u1eeba \u0111\u00e1p tr\u1ea3\u201d r\u1ea5t hi\u1ec7u qu\u1ea3 \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c h\u00e0nh vi xung \u0111\u1ed9ng trong OCD.<\/li>\n<li><strong> Thu\u1ed1c:<\/strong>\u00a0B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb OCD. C\u00e1c lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n cho OCD l\u00e0 <strong>thu\u1ed1c gi\u1ea3i lo \u00e2u <\/strong>v\u00e0<strong> ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/strong>. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3i lo \u00e2u r\u1ea5t m\u1ea1nh v\u00e0 c\u00f3 nhi\u1ec1u lo\u1ea1i kh\u00e1c nhau. C\u00f3 thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 ngay t\u1eeb \u0111\u1ea7u, nh\u01b0ng n\u00f3i chung l\u00e0 <strong>kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng k\u00e9o d\u00e0i<\/strong>.<\/li>\n<\/ul>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m th\u01b0\u1eddng d\u00f9ng \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m, tuy nhi\u00ean ch\u00fang c\u0169ng \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch v\u1edbi OCD, c\u00f3 th\u1ec3 h\u01a1n c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3i lo \u00e2u. Th\u00f4ng th\u01b0\u1eddng m\u1ea5t kho\u1ea3ng 10 \u0111\u1ebfn 12 tu\u1ea7n th\u00ec thu\u1ed1c b\u1eaft \u0111\u1ea7u c\u00f3 hi\u1ec7u qu\u1ea3. M\u1ed9t v\u00e0i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n n\u00f4n, hay kh\u00f3 ng\u1ee7. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng kh\u00f4ng g\u00e2y tr\u1edf ng\u1ea1i l\u1edbn cho h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t n\u1ebfu b\u1eaft \u0111\u1ea7u v\u1edbi li\u1ec1u th\u1ea5p v\u00e0 t\u0103ng ch\u1eadm theo th\u1eddi gian. <strong> H\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n v\u1ec1 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i. <\/strong><\/p>\n<p>\u0110i\u1ec3m quan tr\u1ecdng c\u1ea7n bi\u1ebft l\u00e0 d\u00f9 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho nhi\u1ec1u ng\u01b0\u1eddi, ch\u00fang v\u1eabn c\u00f3 th\u1ec3 g\u00e2y r\u1ee7i ro cho ng\u01b0\u1eddi kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb em, tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean v\u00e0 thanh ni\u00ean. M\u1ed9t \u201cdanh s\u00e1ch \u0111en\u201d \u2013 nh\u1eefng c\u1ea3nh b\u00e1o nghi\u00eam tr\u1ecdng nh\u1ea5t m\u00e0 thu\u1ed1c k\u00ea \u0111\u01a1n c\u00f3 th\u1ec3 c\u00f3 \u2013 \u0111\u01b0\u1ee3c d\u00e1n l\u00ean nh\u00e3n c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m. Nh\u1eefng nh\u00e3n thu\u1ed1c n\u00e0y c\u1ea3nh b\u00e1o cho m\u1ecdi ng\u01b0\u1eddi l\u00e0 <strong>thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 l\u00e0m ng\u01b0\u1eddi s\u1eed d\u1ee5ng c\u00f3 th\u1ec3 c\u00f3 \u00fd t\u01b0\u1edfng t\u1ef1 s\u00e1t ho\u1eb7c c\u00f3 h\u00e0nh vi t\u1ef1 s\u00e1t<\/strong>. Ng\u01b0\u1eddi s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi h\u1ecd m\u1edbi s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<p>C\u00f3 ng\u01b0\u1eddi m\u1eafc OCD \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi li\u1ec7u ph\u00e1p nh\u1eadn th\u1ee9c h\u00e0nh vi, \u0111\u1eb7c bi\u1ec7t l\u00e0 li\u1ec7u ph\u00e1p \u201ct\u1eadp nhi\u1ec5m v\u00e0 ng\u0103n ng\u1eeba \u0111\u00e1p tr\u1ea3\u201d. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c l\u1ea1i \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi thu\u1ed1c. V\u1eabn c\u00f3 ng\u01b0\u1eddi \u0111\u00e1p \u1ee9ng t\u1ed1t nh\u1ea5t v\u1edbi ph\u1ed1i h\u1ee3p c\u1ea3 hai. H\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 bi\u1ebft \u0111i\u1ec1u tr\u1ecb n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t cho b\u1ea1n.<\/p>\n<p>OCD th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c v\u00e0\/ho\u1eb7c tr\u1ecb li\u1ec7u t\u00e2m l\u00fd d\u1ef1a tr\u00ean ti\u1ebfp x\u00fac\/ph\u01a1i nhi\u1ec5m, trong \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0111\u1ed1i di\u1ec7n v\u1edbi nh\u1eefng t\u00ecnh hu\u1ed1ng g\u00e2y s\u1ee3 h\u00e3i hay lo l\u1eafng v\u00e0 tr\u1edf n\u00ean \u00edt m\u1eabn c\u1ea3m v\u1edbi ch\u00fang h\u01a1n (gi\u1ea3i m\u1eabn c\u1ea3m). Vi\u1ec7n S\u1ee9c Kh\u1ecfe T\u00e2m Th\u1ea7n Qu\u1ed1c Gia Hoa K\u1ef3 (NIMH) \u0111ang h\u1ed7 tr\u1ee3 nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi cho nh\u1eefng b\u1ec7nh nh\u00e2n OCD kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c tr\u1ecb li\u1ec7u th\u00f4ng th\u01b0\u1eddng. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m nh\u1eefng d\u1ea1ng \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p v\u00e0 b\u1ed5 sung, c\u0169ng nh\u01b0 nh\u1eefng k\u0129 thu\u1eadt hi\u1ec7n \u0111\u1ea1i nh\u01b0 k\u00edch th\u00edch n\u00e3o s\u00e2u.<\/p>\n<h2 id=\"song-chung-voi-ocd\u00a0roi-loan-am-anh-cuong-buc\">S\u1ed1ng chung v\u1edbi r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng b\u1ee9c<\/h2>\n<p><em>\u201cT\u00f4i kh\u00f4ng th\u1ec3 l\u00e0m g\u00ec \u0111\u01b0\u1ee3c m\u00e0 kh\u00f4ng l\u00e0m c\u00e1c \u0111\u1ed9ng t\u00e1c nghi th\u1ee9c \u0111\u00f3. N\u00f3 x\u00e2m ph\u1ea1m v\u00e0o m\u1ecdi m\u1eb7t cu\u1ed9c s\u1ed1ng c\u1ee7a t\u00f4i. T\u1eadt \u0111\u1ebfm th\u1eadt s\u1ef1 l\u00e0m t\u00f4i b\u1ecb m\u1eafc k\u1eb9t qu\u00e1. T\u00f4i g\u1ed9i \u0111\u1ea7u ba l\u1ea7n thay v\u00ec m\u1ed9t l\u1ea7n ch\u1ec9 v\u00ec s\u1ed1 ba l\u00e0 may m\u1eafn m\u00e0 s\u1ed1 m\u1ed9t th\u00ec kh\u00f4ng. T\u00f4i m\u1ea5t nhi\u1ec1u th\u1eddi gian khi \u0111\u1ecdc b\u1edfi v\u00ec t\u00f4i \u0111\u1ebfm s\u1ed1 d\u00f2ng trong m\u1ed9t \u0111o\u1ea1n. Khi \u0111\u1eb7t \u0111\u1ed3ng h\u1ed3 b\u00e1o th\u1ee9c m\u1ed7i t\u1ed1i, t\u00f4i ph\u1ea3i ch\u1ec9nh \u0111\u1ebfn th\u1eddi gian m\u00e0 t\u1ed5ng s\u1ed1 gi\u1edd v\u00e0 ph\u00fat kh\u00f4ng ph\u1ea3i l\u00e0 s\u1ed1 \u2018x\u1ea5u\u2019.\u201d<\/em><\/p>\n<p><em>\u201cVi\u1ec7c m\u1eb7c qu\u1ea7n \u00e1o v\u00e0o m\u1ed7i bu\u1ed5i s\u00e1ng th\u1eadt kh\u00f3 kh\u0103n, v\u00ec t\u00f4i c\u00f3 m\u1ed9t quy tr\u00ecnh, v\u00e0 n\u1ebfu t\u00f4i kh\u00f4ng theo \u0111\u00fang quy tr\u00ecnh \u0111\u00f3, t\u00f4i s\u1ebd th\u1ea5y lo \u00e2u v\u00e0 s\u1ebd ph\u1ea3i thay qu\u1ea7n \u00e1o l\u1ea1i. T\u00f4i lu\u00f4n lo l\u1eafng n\u1ebfu t\u00f4i kh\u00f4ng l\u00e0m m\u1ed9t vi\u1ec7c g\u00ec \u0111\u00f3, ba m\u1eb9 c\u1ee7a t\u00f4i s\u1ebd ch\u1ebft. T\u00f4i c\u00f3 nh\u1eefng \u00fd ngh\u0129 kinh kh\u1ee7ng v\u1ec1 vi\u1ec7c l\u00e0m h\u1ea1i cha m\u1eb9 m\u00ecnh. T\u00f4i bi\u1ebft l\u00e0 r\u1ea5t phi l\u00fd, nh\u01b0ng \u00fd ngh\u0129 \u0111\u00f3 g\u00e2y th\u00eam lo l\u1eafng v\u00e0 c\u00f3 nh\u1eefng h\u00e0nh vi v\u00f4 ngh\u0129a. T\u00f4i kh\u00f4ng th\u1ec3 l\u00e0m nhi\u1ec1u vi\u1ec7c quan tr\u1ecdng c\u1ee7a m\u00ecnh ch\u1ec9 v\u00ec m\u1ea5t qu\u00e1 nhi\u1ec1u th\u1eddi gian v\u00e0o nh\u1eefng nghi th\u1ee9c nh\u01b0 v\u1eady.\u201d<\/em><\/p>\n<p><em>\u201cT\u00f4i bi\u1ebft l\u00e0 nh\u1eefng nghi th\u1ee9c n\u00e0y r\u1ea5t v\u00f4 l\u00fd, v\u00e0 t\u00f4i x\u1ea5u h\u1ed5 t\u1ed9t c\u00f9ng v\u00ec n\u00f3, nh\u01b0ng t\u00f4i kh\u00f4ng th\u1ec3 v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c cho \u0111\u1ebfn khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.\u201d<\/em> (tr\u00edch t\u1eeb R\u1ed1i lo\u1ea1n \u00c1m \u1ea3nh C\u01b0\u1ee1ng b\u1ee9c: khi nh\u1eefng \u00fd ngh\u0129 kh\u00f4ng mong mu\u1ed1n x\u00e2m chi\u1ebfm: B\u1ecb OCD l\u00e0 nh\u01b0 th\u1ebf n\u00e0o?)<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.nimh.nih.gov\/health\/topics\/obsessive-compulsive-disorder-ocd\/index.shtml\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nimh.nih.gov\/health\/topics\/obsessive-compulsive-disorder-ocd\/index.shtml<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng b\u1ee9c th\u01b0\u1eddng xuy\u00ean xu\u1ea5t hi\u1ec7n c\u00e1c \u00fd ngh\u0129 \u00e1m \u1ea3nh, ch\u00fang th\u00f4i th\u00fac h\u1ecd ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c h\u00e0nh vi nghi th\u1ee9c&#8230;<\/p>\n","protected":false},"author":217,"featured_media":4885,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5231,3764,5148,5149,5230],"tags":[3765,4012],"series":[1435],"coauthors":[2087],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>R\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng b\u1ee9c l\u00e0 g\u00ec? - Y H\u1ecdc C\u1ed9ng 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