\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Klinik Psikolog \u00c7a\u011fr\u0131 Akyol \u00c7evirir, ba\u011f\u0131ml\u0131l\u0131k tedavisinde taburculuk sonras\u0131 s\u00fcrecin, tedavinin en zorlu ve belirleyici a\u015famalar\u0131ndan biri oldu\u011funa dikkat \u00e7ekti. \u00c7evirir\u2019e g\u00f6re hastane ko\u015fullar\u0131nda sa\u011flanan yap\u0131land\u0131r\u0131lm\u0131\u015f d\u00fczen, ki\u015finin g\u00fcnl\u00fck hayata d\u00f6n\u00fc\u015f\u00fcyle birlikte yerini tetikleyicilere a\u00e7\u0131k bir ortama b\u0131rakabiliyor. Bu nedenle tedavinin kal\u0131c\u0131l\u0131\u011f\u0131, \u201cev ya\u015fam\u0131na uyum\u201d evresinde al\u0131nan \u00f6nlemlerle yak\u0131ndan ili\u015fkili.<\/p>\n
\u00c7evirir, yatakl\u0131 servislerde ba\u011f\u0131ml\u0131l\u0131k tedavisinin genel olarak akut d\u00f6nem, idame d\u00f6nem ve kontrol d\u00f6nemi \u015feklinde \u00fc\u00e7 a\u015famada ele al\u0131nd\u0131\u011f\u0131n\u0131 belirterek, akut d\u00f6nemde yoksunluk belirtileri, yo\u011fun istek ve i\u015flevsellik kayb\u0131n\u0131n \u00f6ne \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade etti. Bu evrede ila\u00e7 tedavisi, psikoterapi ve sosyal deste\u011fin temel m\u00fcdahaleler oldu\u011funu vurgulayan \u00c7evirir, belirtiler yat\u0131\u015fsa bile riskin uygun ko\u015fullarda yeniden alevlenebilece\u011fine i\u015faret etti.<\/p>\n
Taburculuk sonras\u0131 ayakta tedavi d\u00f6neminde ila\u00e7lar\u0131n d\u00fczenli kullan\u0131m\u0131n\u0131n genellikle en az alt\u0131 ay s\u00fcrd\u00fcr\u00fcld\u00fc\u011f\u00fcn\u00fc belirten \u00c7evirir, hastanede sa\u011flanan izolasyon ortam\u0131n\u0131n evde de m\u00fcmk\u00fcn oldu\u011funca korunmas\u0131 gerekti\u011fini s\u00f6yledi. Aksi halde d\u0131\u015f tetikleyicilerin h\u0131zla devreye girebilece\u011fini kaydeden \u00c7evirir, \u00f6zellikle sanal kumar, madde ve alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131nda telefon, sosyal medya ve eski \u00e7evrenin risk fakt\u00f6r\u00fc olabildi\u011fini dile getirdi.<\/p>\n
\u00c7evirir, taburculuk sonras\u0131 d\u00f6nemde uyku d\u00fczeni, beslenme, disiplin ve sorumluluk alma al\u0131\u015fkanl\u0131klar\u0131n\u0131n tedavinin temel yap\u0131 ta\u015flar\u0131 oldu\u011funu belirterek, ki\u015finin \u201chasta\u201d kimli\u011fine s\u0131\u011f\u0131n\u0131p sorumluluklardan ka\u00e7mas\u0131n\u0131n iyile\u015fmeyi geciktirebilece\u011fini ifade etti. Bu noktada psikoterapinin, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 besleyen i\u00e7sel \u00e7at\u0131\u015fmalar, stresle ba\u015f etme g\u00fc\u00e7l\u00fckleri ve d\u00fcrt\u00fcsellik gibi alanlarda fark\u0131ndal\u0131k kazand\u0131rd\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n
Ba\u011f\u0131ml\u0131l\u0131kta s\u0131k kar\u015f\u0131la\u015f\u0131lan durumlardan birinin \u201ckayma\u201d oldu\u011funu belirten \u00c7evirir, bunun genellikle aniden geli\u015fmedi\u011fini; \u00f6ncesinde r\u00fcyalar, tetikleyici d\u00fc\u015f\u00fcnceler, \u00e7evresel uyaranlar ve duygusal dalgalanmalar gibi i\u015faretler g\u00f6r\u00fclebilece\u011fini s\u00f6yledi. Bu \u00f6nc\u00fc sinyallerin erken fark edilmesinin, n\u00fcks\u00fcn \u00f6nlenmesinde hayati rol oynad\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n
\u00c7evirir, aile ve sosyal \u00e7evrenin tutumunun tedavinin seyrini do\u011frudan etkiledi\u011fini belirterek, a\u015f\u0131r\u0131 kontrolc\u00fc, su\u00e7lay\u0131c\u0131 veya bask\u0131lay\u0131c\u0131 yakla\u015f\u0131m\u0131n tedaviye direnci art\u0131rabilece\u011fini kaydetti. \u201c\u0130yi polis\u2013k\u00f6t\u00fc polis\u201d \u015feklindeki tutumlar\u0131n da sa\u011fl\u0131kl\u0131 olmad\u0131\u011f\u0131n\u0131 ifade eden \u00c7evirir, as\u0131l oda\u011f\u0131n ki\u015fiyi s\u00fcrekli sorgulamak de\u011fil, kullan\u0131ma zemin haz\u0131rlayan nedenleri anlamak olmas\u0131 gerekti\u011fini dile getirdi.<\/p>\n
Ba\u011f\u0131ml\u0131l\u0131k s\u00fcrecinde en \u00e7ok zarar g\u00f6ren alanlardan birinin g\u00fcven oldu\u011funu vurgulayan \u00c7evirir, yeniden in\u015fan\u0131n zaman ald\u0131\u011f\u0131n\u0131 belirtti. Ailelerin sevgi, \u015fefkat ve sab\u0131r g\u00f6stermesi gerekti\u011fini ifade eden \u00c7evirir, buna kar\u015f\u0131n sa\u011fl\u0131kl\u0131 s\u0131n\u0131rlar\u0131n da korunmas\u0131n\u0131n \u00f6nemine dikkat \u00e7ekti: \u201cG\u00fcvensizli\u011fi s\u00fcrekli hastaya yans\u0131tmak iyile\u015fmeyi olumsuz etkileyebilir; dikkatli ama sakin bir izleme daha sa\u011fl\u0131kl\u0131 bir yakla\u015f\u0131md\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
Uzmanlara g\u00f6re ba\u011f\u0131ml\u0131l\u0131k tedavisinde as\u0131l s\u0131nav, hastane s\u00fcreci tamamland\u0131ktan sonra ba\u015fl\u0131yor. Taburculuk sonras\u0131 g\u00fcndelik hayata uyumun, \u201ckayma\u201d ve n\u00fcks riskini belirleyen en kritik d\u00f6nem oldu\u011funu belirten Klinik Psikolog \u00c7a\u011fr\u0131 Akyol \u00c7evirir, ev ortam\u0131nda da m\u00fcmk\u00fcn oldu\u011funca \u201cizolasyon\u201d d\u00fczeninin korunmas\u0131, psikoterapi ve sosyal deste\u011fin ise kesintisiz s\u00fcrd\u00fcr\u00fclmesi gerekti\u011fini vurgulad\u0131.<\/p>\n","protected":false},"author":6,"featured_media":5352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[846,845,842,843,844],"class_list":["post-5351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-ailedestegi","tag-ayaktatedavi","tag-bagimlilik","tag-nuksriski","tag-psikoterapi"],"yoast_head":"\n