Ungamthola kanjani umelaphi ngesikhathi ubhadane

Imfundo Yezempilo

OKUSHA KWE-CORONAVIRUS: Njengoba ochwepheshe befunda kabanzi nge-coronavirus yenoveli, izindaba nolwazi lushintsha. Okwakamuva ngobhadane lwe-COVID-19, sicela uvakashele Izikhungo Zokulawulwa Nokuvikelwa Kwezifo .

Impilo njengoba sazi ukuthi ibukeka ithe ukwehluka kulezi zinsuku, sibonga ubhadane lwe-COVID-19. Abantu babhekene nobunzima obukhulu bezezimali kanye nokuphazamiseka emisebenzini — ingasaphathwa eyokuthi bangagula noma babuke abantu obathandayo begula. Konke lokhu kunomthelela empilweni yengqondo. Futhi, ukusabalala kwezenhlalo okusabalele ukuvimbela ukusabalala kwe-coronavirus yenoveli kusho ukuthi siyikho bonke babhekana nokuhlukaniswa okuningi ezimpilweni zethu zansuku zonke kunalokho iningi lethu ebelingenza njalo. Futhi lokho kunomthelela empilweni yengqondo. Okwakamuva funda phakathi I-Lancet ithole ukuthi imiphumela engokwengqondo yokuqhela kwezenhlalo ingahle isuke entukuthelweni iyekwesaba ukucindezeleka kwangemva kwenhlekelele.

Lolu cwaningo luletha inkinga entsha yempilo yengqondo engxoxweni eceleni kwe-COVID-19. Umbiko omusha ku Imithi Yangaphakathi yeJAMA ithi kufanele silindele ukuchichima kokugula kwengqondo okuyovela nakanjani kulo bhubhane. Izinhlekelele ezinkulu zivame ukuhambisana nokwanda ukudana , post-traumatic stress disorder, drug abuse, uhla olubanzi lokunye ukuphazamiseka kwengqondo nokuziphatha, udlame lwasekhaya, nokuhlukunyezwa kwezingane, babhale ababhali.

Izinombolo ezinkulu kanye nemibono emikhulu yesabisa ngokwanele. Kodwa, lapho uhlangabezana nokulala okungafanele, amaphupho amabi, noma ukucindezeleka okubonakala kungapheli — noma uzama ukubhekana nakho ukukhathazeka , ukusetshenziswa kwezidakamizwa nokuxhashazwa, kanye nesizungu-kuyinselele enkulu uma ubhajwe ekhaya.

Sibona izinto ezimbalwa ezijwayeleke kakhulu kubantu njengamanje — abanye abantu bazizwa behlukaniswe bodwa futhi benesizungu, abanye bazizwa bekhungathekile ngendlela emangalisayo futhi beklingene ngokuba sekhaya nemindeni yabo noma abahlala nabo noma abanye ababalulekile, kanti abanye abantu babhekene ukuphazamiseka kokulala ngoba umzimba wakho awuzikhohlwa izingcindezi zesimiso sakho esijwayelekile esithuthukiswayo, kusho uJenn Weaver, i-CAGS, i-LMHC, i-CRC ePolaris Counselling & Consulting eProvidence, eRhode Island. Izimpawu zokudangala ziyakhuphuka, kepha uma ungagezi futhi uhlala embhedeni abantu abaningi bayazibuza, ‘Ngabe ngicindezelekile noma ngisinda ngokuvalelwa yedwa?’ Kuyinkohliso, ngoba babukelana. Futhi sonke sidinga umuntu esizokhuluma naye ngalezi zinto.

Kodwa ukukhuluma nomuntu kulezi zinsuku kuza nezinselelo ezintsha. Ngoba amaqembu okusekela nezinsizakusebenza zokweluleka kunzima ukufinyelela kuzona mathupha, indawo yezempilo yengqondo kufanele izakhe kabusha. Manje, sibona ukushintsha okukhulu kwezinsizakalo namathuba okuxhumana nabanye enziwa ukude. Lesi sitayela esikude sokwelapha sibizwa nge-teletherapy noma i-telepsychiatry.

Yini i-teletherapy?

I-Teletherapy ifana nje nezinsizakalo zokwelashwa kwezempilo yengqondo ozijwayele — kepha esikhundleni sokuhlangana ehhovisi lomelaphi noma lomeluleki wakho, uhlangana ngenkomfa yevidiyo ebukhoma noma ngocingo. Ngemuva kokuvala ukuqokwa kwethu ngabantu futhi sinikeze amaklayenti ethu amaseshini we-teletherapy, cishe ama-50% athi azovuma ukukuzama, kusho uWeaver. Ngaphandle kwamakhasimende ayevulekile, wonke ayefana no-'Wow, lokho bekungcono kakhulu kunendlela ebengicabanga ukuthi kuzoba ngayo. '

Futhi abanye abeluleki ezweni lonke nabo babona impendulo enhle evela kumakhasimende abo aguquka esuka ekuvakasheni komuntu ukuya emihlanganweni ebonakalayo. Sibuze amaklayenti ethu ukuthi azame i-teletherapy ngoba ecabanga ukuthi ngeke ifane noma ibe wusizo kepha labo abazimisele ukuyizama ngemuva kwemizuzu embalwa yokuqala baphawula njalo ukuthi kuvamile kangakanani-nokuthi kusiza futhi kuyaqinisekisa kanjani kunjalo, kusho u-Evan Center, MS, LCPC, umongameli weCentre Counselling eBozeman, eMontana. Ngingakhuthaza noma ngubani ocabanga ukwelashwa njengamanje ukuthi azame ngempela i-teletherapy. Kuyafaneleka ukuba nomuntu ozokhuluma naye.

Kepha ngemuva kokuthatha isinqumo sokuthi usukulungele ukukhuluma nothile, kubalulekile ukwazi ukuthi uzosikhokhela kanjani iseshini (noma uma ufanelekile ukuthola i-teletherapy yamahhala). Ngenxa yenkinga ye-COVID-19, i-Medicare kanye nezinkampani eziningi zomshuwalense bandise ukumbozwa (okungenani okwesikhashana) ukufaka ukwelulekwa nge-telehealth kusuka kochwepheshe bezengqondo, odokotela bezengqondo, abeluleki bezempilo yengqondo, kanye nabasebenzi bezempilo bezempilo. Izinhlobo ezithile zokwelashwa kweqembu nazo zingahlanganiswa. Funda: Ungaba ne-aphoyintimenti yokwelashwa-ekhaya, esikhathini esizayo esiseduze, ngamanani afanayo obungeke uwakhokhele isikhathi sokuhlangana nomuntu.

OKUSHIWO: Yini ongayilindela ekuqokweni kwakho kokuqala kwe-telehealth

Ungayithola kanjani i-teletherapy

Uma unomshuwalense wezempilo wangasese , abahlinzeki abanjengo-Aetna neBlue Cross Blue Shield njengamanje basusa ama-copay ngokuvakashelwa kwe-in-network telehealth, kufaka phakathi lezo ezingahlobene nezimpawu ze-COVID-19 (okungukuthi, izindaba nezimpawu zempilo yengqondo). Njengamanje izifundazwe ezinjengeMontana, iMassachusetts, iCalifornia, ne-Arizona ziyalele bonke abahlinzeki bomshuwalense ukuthi babhekane nezinsizakalo ze-telehealth, futhi igunya kwezinye izifundazwe lizoza. Kodwa konke kusezingeni lesifundazwe-futhi njengoba uWeaver ekubeka, Ishintsha nsuku zonke. Kepha ingxenye enkulu, phakathi nalolu bhubhane izikhathi eziningi zokwelulekwa nge-telehealth zimbozwa ngokugcwele.

Ngokwengeziwe, umqashi wakho anganikela nge- uhlelo losizo lwabasebenzi (EAP) njengengxenye yephakheji yakho yezinzuzo, enikezela ngezinsizakalo (njengokululekwa) ezisiza abasebenzi ukubhekana nezinkinga ezithile eziphazamisa inhlalakahle yabo nokusebenza kwabo, ngokusho kwe-American Psychiatric Association (APA). Shayela umnyango wakho we-HR noma ukhulume nomqashi wakho ngala mathuba.

Ukubona ukuthi inkampani yakho yomshuwalense iyazemboza izikhathi zakho zokwelulekwa, shayela inombolo yesevisi yamakhasimende ngemuva kwekhadi lakho lomshuwalense bese ubuza. Okunye okungahle kwenzeke ngokungakufanelekeli ukuthola i-teletherapy yamahhala ngomshwalense wakho wangasese uma ubona umuntu ngaphezu komugqa wombuso (njengokuthi uma uhlala eNew Hampshire futhi ubona owelapha eMassachusetts).

Uma ungomunye we BaseMelika abayizigidi ezingama-59 embozwe yiMedicare , umthetho omusha ohlobene nobhubhane une isuse imingcele esinesikhathi eside ikhona ekusebenziseni kwakho kwezinsizakalo ze-telehealth (isikhathi salesi simo esiphuthumayo sezempilo somphakathi, lokho). I-Health Insurance Portability and Accountability Act, noma i-HIPAA, phambilini yayivimbela ukusetshenziswa kwamafoni ukwenza ukuvakashelwa kwe-telehealth ngenxa yezinkinga zobumfihlo, kepha leyo mingcele manje isusiwe. Lokho kusho ukuthi ungaba nama-aphoyintimenti akho ngaphezu kwezinhlelo zokusebenza ngaphandle kwemiphumela ekufinyeleleni kwakho kwe-Medicare.

Uma umbozwe ngu I-Medicaid kanye nezinhlelo Zomshuwalense Wezempilo Wezingane (CHIP) Ukutholakala kwe-telehealth ngokujwayelekile kuyehluka ngezwe. Ukuvikelwa okuphuthumayo kwe-COVID-19 kwandise izinsizakalo zeziguli ezintsha nezisunguliwe ezweni lonke — kufaka phakathi ukwelashwa ngakunye nomndeni. Imikhawulo yendawo nezinsizakalo iphakanyisiwe okwesikhashana.

Uma ungenawo umshwalense nhlobo —Noma uma okwamanje ingakutholi insiza ye-telehealth noma ye-teletherapy — kunezinye izinsiza ezikhona, njenge Izikhungo Zezempilo Ezifanelekayo . Lezi yizikhungo ezenzelwe umphakathi ezinikeza ukunakekelwa kubandakanya nezinsizakalo zezempilo yengqondo nezinsizakusebenza zokusebenzisa kabi izidakamizwa. Bagunyaziwe ukuhlinzeka ngezinsizakalo ze-telehealth noma ngabe ungakaze ube yisiguli esisodwa phambilini futhi kudingeka ukuthi ubeke phambili iziguli ezihlala ngaphakathi kwezindawo zazo zesevisi. Uma lokhu kuzwakala kuyindlela enhle kuwe, ungasesha isikhungo sezempilo endaweni yangakini lapha . Ukukhokhela ngasese i-teletherapy kungenye indlela, uma kungabiza kuwe.

Uwajoyina kanjani amaqembu okusekela ukusetshenziswa kwezidakamizwa

Ukulwa nokulutha nokusetshenziswa kwezidakamizwa / ukuhlukunyezwa kungazizwa kungenakwenzeka uma ungenakho ukwesekwa okudingayo. Kepha ngenhlanhla, ukwelashwa kweqembu njengezinsizakusebenza ze-Alcoholics Anonymous kanye ne-Narcotic Anonymous kuyatholakala cishe manje. Amawebhusayithi afana Ukuhlangana okuku-inthanethi , nikeza umkhombandlela wemihlangano ye-Zoom kanye nezinombolo zokungena. I-Virtual Narcotic Engaziwa inikeza imihlangano ngocingo naku-inthanethi futhi. Ungasesha imihlangano ngeNarcotic Anonymous lapha .

Ungamthola kanjani umelaphi

Manje njengoba usuyazi inkululeko yezimali nemikhawulo ye-teletherapy, isinyathelo esilandelayo ukuthola owelaphi ongcono kakhulu, umeluleki nohlelo ngawe nezidingo zakho . Futhi yebo, lokho kungaba wukwethuka okusabisayo uma ungenaye umelaphi ohlinzeka nge-teletherapy. Kepha izindaba ezinhle ukuthi futhi, kunezinsizakusebenza zokuthola umdlalo omuhle.

1. Sebenzisa isiqondisi esiku-inthanethi

I-Teladoc , Amwell , Usizo olungcono , MDLive , futhi Udokotela Wokufuna wonke angamawebhusayithi ahlonishwayo akuxhuma nabasebenzi bezempilo yengqondo. Ngokwengeziwe, iPsychology Namuhla ine umkhombandlela womelaphi lokho kukuvumela ukuthi uhlunge abelaphi abanikela nge-teletherapy, kanye nokuhlunga ngesifunda kanye nokukhethekile. Uma wazi ukuthi ungathanda ukukhuluma nomelaphi wesifazane noma umelaphi omdala kunawe, ungaqiniseka ukuthi yilokho okutholayo, kusho uWeaver. Cabanga ngalokho okudingayo. Zama ukuthola lokho ngqo, futhi ungachofozi kothile ngoba nje eku-zip code yakho.

Imitholampilo eminingi ezimele yasendaweni yezempilo yengqondo noma imitholampilo yokuhlala esibhedlela yabagula ngengqondo izindawo ezinengqondo zokubheka nazo.

2. Hlela ukuhlangana nokubingelela ngaphambi kokuqokwa kwakho kokuqala

Bobabili isikhungo no-Weaver batusa ukusesha ku-inthanethi ukuthola umelaphi esifundeni sakho okubonakala sengathi kungalunga. Bese uzama indlela yesinyathelo sengane. Kuyisicelo esijwayelekile, esisebenzayo ukubuza ongaba ngumelaphi ukuthi avele akhulume ocingweni imizuzu eyi-10 noma eyi-15 ukuze nibe nombono wokuqala ngomunye nomunye, kusho isikhungo. Kufanele kube nokwethembana kwemvelo nokukhululeka ngokukhuluma nomelaphi wakho ongaba khona. Ngalokho, uzokwazi ukungena ngokujulile ezingxoxweni nasezikhathini zakho — futhi uzobona futhi uzizwe izinzuzo. Iningi labantu linamandla okufunda abanye ngokushesha futhi akufanele ube namahloni uma ucingo lokuqala olufushane lungalingani kahle. Kulungile. Isho nje bese uqhubeka.

UWeaver uyavuma: Noma yimuphi umelaphi omuhle angavuma ukuthatha ucingo lwemizuzu eyi-10 ukuze aphendule imibuzo futhi ahlangane ukuze anqume ukuthi kuyafana yini noma cha. Mane ubuze, 'Ngimusha kulokhu, ngingakwazi yini ukushaya ucingo lwemizuzu eyi-10 ukubona ukuthi lokhu kufanelekile yini?' Isimo esibi kunazo zonke umuntu uthi cha futhi kuleso simo ngeke ufune ukusebenza nalowodokotela kungakhathalekile.

3. Cela isincomo

Enye indlela yokuthola umelaphi onedumela elihle endaweni yakho yindlela enhle yakudala yomlomo. Kuvame kakhulu ngo-2020 ukukhuluma ngompetha wakho, ngakho-ke uma ukhululekile buza abantu abakumbuthano wakho, kusho uWeaver.

Ngemuva kokuthola ukulingana okufanele, hlela izikhathi zakho ukuthi zikulungele kakhulu. Ukwelashwa yilokho okudingayo ukuthi kube yikho, kusho isikhungo. Kuhle impela ukukhuluma nomuntu ongatshalwanga ngokomzwelo empilweni yakho. Angizukudlala — lokhu kumayelana nawe nemicabango nemizwa yakho. Yisuse esifubeni sakho. Ukuba nomuntu ongakhiyelwe endlini nawe ongakulalela futhi akhulume nawe ngokungakhethi unamandla amakhulu.

Futhi olunye uhlangothi olukhanyayo? Sonke isikhathi esilondoloziwe obungasichitha usiya lapho ubuya khona nalapho ubuya khona, uhleli egumbini lokulinda, futhi uzilungiselela ukuphuma ngomnyango. Sibona abantu abaningi abazama i-teletherapy ukunamathela kuyo ngoba kulula kakhulu ukungena osukwini lwakho-futhi noma ngabe kukhona ubhadane noma cha, kwesinye isikhathi kunzima ukuthola isikhathi. Lapho ungangena futhi uphume ocingweni ngemizuzu engama-45 bese uthola zonke izinzuzo zokwelashwa kwendabuko, kunzima ukuba nezaba zokungakwenzi, kusho isikhungo.

Uma udinga usizo olwengeziwe ngokuthola izinsiza zempilo yengqondo, xhumana ne- INational Alliance on Mental Illness ngo-1-800-950-NAMI (6264) noma ubathumele i-imeyili ku-info@nami.org. Ngokwengeziwe, uma usenkingeni futhi udinga usizo ngokushesha, sicela ushayele le Inqubo Kazwelonke Yokuvimbela Ukuzibulala ngo-1-800-273-8255 noma uxoxe ku-inthanethi nomeluleki mahhala.