Meta wiehed jiffissa, jidhollu go mohhu hsieb li ma jkunx jista jnehhih (fellus). Dan il-hsieb jibqa' jdur gol-mohh. L-individwu jinduna li dan il-hsieb mhux normali u jipprova jnehhih jew billi jobdi jew inkella jirrezistieh. Dawn iz-zewg approcji huma hziena ghaliex fl-ewwel kaz il-hsieb ma jmurx imma jigi rrinfurzat, filwaqt li fit-tieni kaz tinholoq tensjoni kbira fil-pazjent.
It-tipi ta' "flieles" huma hafna u s-sinjali taghhom narawhom kuljum. Hemm min jiffissa fuq xi persuna, li ghandu jdejh mahmugin, li laqqtet xi marda, il-flus, ir-religjon, u dubji bhal jekk sakkritx il-bieb tad-dar.
It-terapija tal-iffissazzjonijiet tiddependi fuq il-kaz. L-ahjar metodu hu fejn il-pazjent jikkonvinci ruhu li ma jobdix il-fellus tieghu minghajr ma jirrezistieh, fi kliem iehor jinjorah. B’hekk ma jkunx hemm rinforzar tal-iffissazzjoni u biz-zmien din tbatti. Pero meta l-kaz ikun gravi u jkun qed johloq problemi serji lil-pazjent (ez. fuq ix-xoghol) ghandhom jigu kkunsidrati meta ohra, bhall-farmacewtici. Dawn generalment ikunu kalmanti u antidepressivi.
Kazijiet estremi ta’ flieles iwasslu biex il-persuna ssir inkapaci li tiffunzjona fis-socjeta, jistghu iwasslu wkoll ghal aggressivita u sahansitra suwicidju. F’dawn il-kazi l-opinjoni ta’ psikjatra tkun essenzjali u gieli jaghti l-kaz li l-pazjent ikollu jigi referut fi sptar mentali.
Dr A. Cordina
Referenzi
- Eddy MF, Walbroehl GS. Recognition and Treatment of Obsessive-Compulsive Disorder. Am Fam Physician April 1, 1998
- Obsessive-Compulsive Disorder: What It Is and How to Treat It. Am Fam Physician March 1, 2000
- Heyman I, Mataix-Cols D, Fineberg NA. Obsessive-compulsive disorder. BMJ, Aug 2006; 333: 424 - 429 ; doi:10.1136/bmj.333.7565.424
- Merlo LJ, Storch EA. Obsessive-compulsive disorder: Tools for recognizing its many expressions. The Journal Of Family Practice, March 2006 • Vol. 55, No. 3
