Maitiro ekuwana murapi panguva yedenda
Dzidzo yehutanoCORONAVIRUS UPDATE: Sezvo nyanzvi dzichidzidza zvakawanda nezve novel koronavirus, nhau uye ruzivo rwunochinja. Nezvezvazvino padenda re COVID-19, ndapota shanyira iyo Nzvimbo dzekudzivirira nekudzivirira hosha .
Hutano sekuziva kwedu hwakataridzika zvishoma mazuva ano, nekuda kweiyo COVID-19 denda. Vanhu vari kusangana nematambudziko akakomba emari uye kusagadzikana pabasa - tisingataure kuti vanogona kunge vachirwara kana kuona vadikani vachirwara. Zvese izvi zvine chekuita nezvehutano hwepfungwa. Uyezve, kupararira kwevanhu munharaunda kudzivirira kupararira kwenoveli coronavirus zvinoreva kuti isu tiri vese vachisangana nekuzviparadzanisa muhupenyu hwedu hwezuva nezuva kupfuura vazhinji vedu taimboita. Uye izvo zvine mhedzisiro kuhutano hwepfungwa. A ichangopfuura kudzidza mukati Lancet vakawana kuti zvinokonzeresa zvepfungwa zvekushamwaridzana nevanhu zvinogona kubva pakutsamwa kusvika pakutya kusvika kunetsekana nekushungurudzika.
Uku kutsvagisa kuri kuunza dambudziko nyowani rehutano hwepfungwa muhurukuro pamwe chete neCOVID-19. Chirevo chitsva mu JAMA Yemukati Mushonga inotaura kuti isu tinofanirwa kutarisira kuwanda kwechirwere chepfungwa icho chinongobuda kubva mudenda iri. Njodzi hombe-zhinji dzinowanzo kuperekedzwa nekuwedzera mukati kuora mwoyo , post-traumatic stress disorder, kunwa zvinodhaka, huwandu hwakawanda hwedzimwe dambudziko repfungwa nehunhu, mhirizhonga mudzimba, nekushungurudzwa kwevana, nyora vanyori.
Iwo makuru manhamba uye akakurisa-madiki dzidziso anotyisa zvakakwana. Asi, kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga kushushikana , kushandisa zvinodhaka nekushandisa zvisizvo, uye kusurukirwa - zvakatonyanya kunetsa kana wakanamatira kumba.
Tiri kuona zvinhu zvishoma zviri kunyatso kwanda kuvanhu izvozvi - vamwe vanhu vari kunzwa kusurukirwa chaizvo uye kusurukirwa, vamwe vari kunzwa kushushikana zvisingaite uye kudzipwa kuva pamba nemhuri dzavo kana vavanogara navo kana zvimwe zvakakosha, uye vamwe vanhu vari kusangana kukanganisika kwekurara nekuti muviri wako haukanganwi kunetsekana neyakajairika tsika yako, anodaro Jenn Weaver, CAGS, LMHC, CRC kuPolaris Counselling & Consulting muProvidence, Rhode Island. Zviratidzo zvekushungurudzika zviri kukwira, asi kana usiri kugeza uye iwe uchirara pamubhedha vanhu vazhinji vari kuzvibvunza kuti, ‘Ndiri kushushikana here kana kuti ndinongorarama ndiri ndoga?’ Zvinonetsa, nekuti vanoonesana. Uye isu tese tinoda mumwe munhu wekutaura naye nezve izvi zvinhu.
Asi kutaura kune mumwe munhu mazuva ano kunouya nematambudziko matsva. Nekuti mapoka ekutsigira uye zvekupa mazano zvinonetsa kuwana mukati memunhu, iyo hutano hwepfungwa nzvimbo inofanirwa kuzvimisazve Zvino, tiri kuona shanduko hombe yemasevhisi nemikana yekubatana nevamwe ichiitwa kure. Iyi nzira iri kure yekurapa inonzi teletherapy kana telepsychiatry.
Chii chinonzi teletherapy?
Teletherapy yakangofanana neyehutano hwepfungwa hutano hwaunoziva-asi pachinzvimbo chekusangana muhofisi yako yekurapa kana yeanopaira, unosangana kuburikidza nemhenyu musangano wevhidhiyo kana nerunhare. Mushure mekunge tavhara edu-munhu kugadzwa uye tikapa vedu varipo vatengi teletherapy zvikamu, vangangoita makumi mashanu muzana vakati vaizove vachida kuzviedza, Weaver anodaro. Kunze kwevatengi vaive vakavhurika-pfungwa kwazviri, vese vaive vakaita se'Wow, izvo zvaive nenzira iri nani kupfuura zvandaifunga. '
Uye vamwe vanachipangamazano kutenderera nyika vari kuonawo mhinduro yakanaka kubva kune vatengi vavo vari kuchinja kubva kune-munhu kushanyira kumisangano chaiyo. Takabvunza vatengi vedu kuti vayedze teletherapy nekuti vaifunga kuti hazvingafanani kana kubatsira asi avo vaida kuzviedza mushure memaminetsi ekutanga vanogara vachitaura kuti zvakajairika sei- uye zvinobatsira uye zvinonyaradza ndizvo, anodaro Evan Center, MS, LCPC, purezidhendi weCentre Counselling muBozeman, Montana. Ini ndinokurudzira chero munhu anofunga kurapwa izvozvi kuti anyatso kupa teletherapy kuyedza. Zvakakosha kuti uve nemumwe munhu wekutaura naye.
Asi mushure mekusarudza iwe wagadzirira kutaura kune mumwe munhu, zvakakosha kuti uzive kuti iwe uchabhadhara sei chikamu (kana kana iwe uchikodzera kuwana mahara teletherapy). Nekuda kwedambudziko re COVID-19, Medicare uye makambani mazhinji einishuwarenzi akawedzera kufukidza (zvirinani kwenguva pfupi) kuti abatanidze kuraira kwehutano kubva kune vepfungwa, varapi vezvepfungwa, vanachipangamazano vehutano hwepfungwa, uye vane marezinesi emakiriniki evashandi vemagariro. Dzimwe nzira dzekurapa kweboka zvakare dzinogona kuvharwa. Verenga: Unogona kuve neyakagadzirirwa kurapwa-kumba, munguva pfupi iri kutevera, pamitengo yakafanana iwe yaungadai wakabhadhara musangano we-mu-munhu.
RELATED: Chii chaunotarisira pane yako yekutanga telehealth musangano
Maitiro ekuwana teletherapy
Kana iwe uine yega inishuwarenzi yehutano , vanopa saAetna neBlue Cross Blue Shield parizvino vari kumisa macopay ekushanya kwe-neterevhizheni kushanya, kusanganisira izvo zvisina hukama nezviratidzo zveCOPVID-19 (kureva, nyaya dzehutano hwepfungwa nezviratidzo). Parizvino nyika dzakaita seMontana, Massachusetts, California, neArizona dzakaraira vese mainishuwarenzi kuti vabhadhare masevhisi eterehealth, uye mvumo mune dzimwe nyika inogona kunge iri kuuya. Asi zvese zviri pahurongwa-ne-nyika hwaro-uye sekutaura kunoita Weaver, Zvinoshanduka mazuva ese. Asi kune chikamu chikuru, panguva yeiyi denda zvakanyanya [mu-network] zvikamu zvekupa mazano nezvehutano zvinofukidzwa zvizere.
Uyezve, waunoshandira anogona kupa chirongwa chekubatsira vashandi (EAP) sechikamu chebhenefiti yako, iyo inopa masevhisi (sekupa mazano) ayo anobatsira vashandi kugadzirisa zvimwe zvinhu zvinovhiringidza kugara kwavo pamwe nekuita basa, sekureva kweAmerican Psychiatric Association (APA). Fonera wako HR department kana taura kune waunoshandira nezve iyi mikana.
Kuti uone kana yako inishuwarenzi kambani inovhara ako ekuraira zvikamu, fonera iyo sevhisi yevatengi kuseri kwekadhi rako reinishuwarenzi uye bvunza. Imwe inogona kusarudzika yekusave wakakwanirisa yemahara teletherapy kuburikidza neako wega inishuwarenzi ndeye kana iwe uri kuona mumwe munhu pamusoro penyika mutsara (sekunge iwe uchigara muNew Hampshire uye urikuona murapi muMassachusetts).
Kana iwe uri mumwe we 59 mamirioni eAmerica yakafukidzwa neMedicare , mitemo mitsva ine chekuita nedenda ine akaregera kurambidzwa kwenguva refu pane yako yekushandisa telehealth masevhisi (kwenguva yeiyi yeruzhinji hutano emergency, ndiko kuti). Iyo Inishuwarenzi Inishuwarenzi Kutakurika uye Kuzvidavirira Mutemo, kana HIPAA, yaimbo rambidza kushandiswa kwefoni kuitisa telehealth kushanya nekuda kwekunetseka kwehukama, asi izvo zvirambidzo izvozvi zvabviswa. Izvi zvinoreva kuti iwe unogona kuve neako akagadzwa pane maapplication pasina mhedzisiro kune yako Medicare kufukidza.
Kana iwe wakafukidzwa ne Medicaid uye Vana Hutano Inishuwarenzi Zvirongwa (CHIP) , telehealth kufukidza kazhinji inosiyana nenyika. COVID-19 kufukidzwa kwechimbichimbi kwakawedzera masevhisi evarwere vatsva uye vakagadzwa pasirese - kusanganisira kurapa kwemunhu uye kwemhuri. Kurambidzwa pane nzvimbo nemasevhisi zvakasimudzwa kwechinguva.
Kana iwe usina inishuwarenzi zvachose -Kana kana parizvino isingavhare chero telehealth kana teletherapy sevhisi iwe - kune zvimwe zviwanikwa zviripo, senge Federally Anokodzera Hutano Nzvimbo . Idzi ndidzo nharaunda-dzinovakirwa nzvimbo dzinopa chengetedzo kusanganisira dzehutano hwepfungwa uye zvekushandisa zvinodhaka. Vanobvumidzwa kupa telehealth services kunyangwe iwe usati wambove murwere pane imwe kare uye unodikanwawo kuisa pamberi varwere vanorarama mukati menzvimbo dzebasa ravo. Kana izvi zvichinzwika sesarudzo yakanaka kwauri, unogona kutsvaga nzvimbo yezvehutano munharaunda yako pano . Kuzvimiririra kubhadhara teletherapy ndeimwe sarudzo, kana ichikwanisika kwauri.
Maitiro ekubatanidza mapoka ekutsigira zvinodhaka
Kurwira kupindwa muropa nekushandisa zvinodhaka / kushungurudzwa kunogona kunzwa kusingakwanisike kana iwe usina rutsigiro rwaunoda. Asi nerombo rakanaka, kurapa kweboka senge Alcoholics Anonymous uye Narcotic Anonymous zviwanikwa zviri kuwanikwa parizvino. Mawebhusaiti senge Online Kubatana , ipa dhairekitori remisangano yeZoom pamwe chete nenhamba dzekufona. Virtual Narcotic Anonymous inopa misangano parunhare uye online zvakare. Unogona kutsvaga misangano kuburikidza neNarcotic Anonymous pano .
Nzira yekuwana sei murapi
Iye zvino zvaunoziva kuti rusununguko rwemari nezvirambidzo zveteretherapy ndezvipi, danho rinotevera ndere kutsvaga arapi ekurapa, chipangamazano, uye chirongwa yako nezvido zvako . Uye hongu, izvo zvinogona kuve zvinotyisa kutsvaga kana iwe usati uine murapi ari kupa teletherapy. Asi nhau dzakanaka ndedzekuti zvakare zvakare, kune zviwanikwa zvekuwana yakanaka mutambo.
1. Shandisa dhairekitori repamhepo
Teladoc , Amwell , Rubatsiro rwuri nani , MDLive , uye Chiremba paChidimbu ese mawebhusaiti ane mbiri anokubatanidza iwe nevashandi vehutano hwepfungwa. Pamusoro pezvo, Psychology Nhasi ine murapi dhairekitori izvo zvinokutendera iwe kusefa varapi vanopa teletherapy, pamwe nefaera nenharaunda uye hunyanzvi. Kana iwe uchiziva iwe ungasarudza kutaura kune mukadzi murapi kana murapi mukuru kwauri, unogona kuve nechokwadi kuti ndizvo zvaunowana, Weaver anodaro. Funga nezve izvo zvaunoda. Edza kuwana izvo chaizvo, uye usabaya pane mumwe munhu nekuti ari mu zip code yako.
Makiriniki mazhinji akasununguka ehutano hwepfungwa kana makiriniki anogara munzvimbo dzepfungwa inzvimbo dzakanaka dzekutarisa.
2.Ronga kusangana uye kwazisa usati wasangana
Vaviri Center uye Weaver vanokurudzira kutsvaga pamhepo kuti uwane murapi mudunhu rako zvinoita kunge vanogona kukodzera. Uyezve edza mucheche nhanho kusvika. Ichi chikumbiro chakajairika, chinoshanda kukumbira anogona kuve murapi kuti angotaura pafoni kwemaminetsi gumi kana gumi nemashanu kuitira kuti mugone kuratidzirana, Center inoti. Panofanirwa kuve nekuvimbwa kwechisikigo uye kurerukirwa nekutaura kune wako anogona kurapwa. Nezvo, iwe unozogona kusvetuka zvakadzama mukutaurirana kwako uye zvikamu-uye iwe uchanyatsoona nekunzwa mabhenefiti. Vanhu vazhinji vane kugona kuverenga vamwe nekukasira uye haufanire kuve nekunyara kana yekutanga pfupi yekufona isiriyo yakakodzera kukodzera. Izvo zvakanaka. Ingozvitaura woenderera mberi.
Weaver anobvuma: Chero murapi akanaka anobvuma kutora maminetsi gumi kufona newe kuti upindure mibvunzo uye tisangane kuti tione kana iri mutambo wakakodzera kana kwete. Ingobvunza kuti, 'Ndiri mutsva pane izvi, ndinogona here kuva nemaminetsi gumi ekufona newe kuti ndione kana ichi chakakodzera?' Chakaipisisa mamiriro ezvinhu mumwe munhu anoti kwete uye mune iyo kesi haungade kushanda. nemurapi iyeye zvisinei.
3. Kumbira kurudziro
Imwe nzira yekuwana murapi ane mukurumbira munharaunda yako nezwi rekare rekare remuromo nzira. Zvakajairika mu2020 kutaura nezvekurapa kwako, saka kana iwe wakasununguka bvunza vanhu vari mudenderedzwa rako, Weaver anodaro.
Mushure mekunge mawana kukwana kwakaringana, ronga zvikamu zvako kuti zvive zvakanyanya kukukodzera. Therapy ndizvo zvaunoda kuti zvive, Center anodaro. Zvakanaka chaizvo kutaura kune mumwe munhu asina kugadzikana mune zvemweya muhupenyu hwako. Ini handisi kuzopinda mukutamba-izvi ndezvewe uye pfungwa dzako uye manzwiro. Bvisa pachifuva chako. Kuti uve nemunhu asina kuvharirwa mumba newe anokwanisa kuteerera nekutaura newe zvisina tsvete zvine simba chaizvo.
Uye rimwe divi rakajeka? Yese nguva yakachengetwa iyo iwe yaungadai wakapedza kuenda kuenda uye kubva kwawakagadzwa, kugara mumba yekumirira, uye kuzvigadzirira kuti ubude pamusuwo. Isu tinoona vanhu vazhinji vanoedza teletherapy kunamatira nayo nekuti iri nzira iri nyore kukwana muzuva rako-uye kunyangwe paine denda kana kwete, dzimwe nguva zvinonetsa kuwana nguva. Kana iwe uchikwanisa kupinda nekubuda kunze kwekufona mumaminetsi makumi mana nemashanu uye uwane mabhenefiti erapi echinyakare, zvakaoma kuva nezvikonzero zvekusazviita, Center anodaro.
Kana iwe uchida rubatsiro rwakawandisa nekutsvaga zviwanikwa zvehutano hwepfungwa, bata iyo Sangano reNational Alliance pamusoro pePfungwa pa1-800-950-NAMI (6264) kana email painfo@nami.org. Pamusoro pezvo, kana iwe uri mudambudziko uye uchida rubatsiro nekukasira, ndapota fona iyo Nyika Yese Kuzviuraya Kudzivirira Lifeline pa1-800-273-8255 kana kutaura online pamwe nemupi wezano mahara.
