Varapi Therapists COVID-19 Hotspots?

Kubva muna Kubvumbi 1 wegore rino, dunhu rekumusha kwangu reNew Mexico, semamwe matunhu mazhinji, rave pasi peEmergency Order nekuda kwedenda re COVID-19. Muna Kurume naApril, ini, pamwe nevamwe vatungamiriri vezvehutano nevatapi, takashanda nenyika yeNew Mexico Human Services Division, iyo federal Centers yeMedicaid neMedare (CMS), pamwe neSAMHSA, makambani mazhinji anotarisira, Superintendents of Insurance (ndiani anotarisira makambani einishuwarenzi ekutengesa) nemasangano emunyika akaita seNational Council for Behaeveal Health. Isu takashanda kugadzira mazano uye mirairidzo iyo yaibvumidza vanopa hutano kuzvipira kuti vape nhare uye kure kure kuitira kuti tibatsire kudzora kupararira kwe COVID-19, tichiri kupa hutano hwakakosha uye hwakakosha hutano hwepfungwa nekushandisa zvinodhaka kune vanhu vanotambura.

Mamwe matunhu nemabasa akafamba nekukurumidza kupfuura vamwe. Mune mamwe matunhu, mabhodhi ehunyanzvi ekupa marezinesi pamusoro pemabasa akadai sebasa rezvemagariro evanhu, kurapwa kwepfungwa, kana kurairwa zvinofamba zvishoma nezvishoma kupa mvumo kune avo vane marezinesi ekupa masevhisi ari kure. Nyika dzekumaruwa dzakadai seAlaska dzainge dziine zvivakwa zvine simba uye nemitemo yekuona kuti veruzhinji vaiwana rubatsiro kumabasa ari kure, uye nyika idzodzo dzakakwanisa kufamba zviri nyore kupfuura vamwe, dzaive nemiganhu yakasimba pakupihwa kwekurapa kure nemitemo inorema ine chekuita nemvumo. yevari kure hutano hutano hwepfungwa. Masangano akasiyana siyana ekuchengetedza akange aine nzira dzakasiyana dzekubvumidza nzira dzavaifanira kufamba nadzo kuti vape kurapa kure nevarwere vavo uye kubhadharwa nesangano rinotarisirwa (MCO). Dhipatimendi reU.S. reHutano neHuman Services rakaratidza kumiswa kwenguva pfupi kwekumisikidzwa kwezvikamu zveHIPAA, ichibvumira vanopa rubatsiro kushandisa chero nzira dzehunyanzvi dzinodiwa kuti vape rubatsiro runodiwa rwehutano, vasinganetseke zvakanyanya pamusoro pekuteedzana nezvinhu zvakaoma zveHi-Tech Act.

Nekudaro, nepakati pezhizha, kazhinji, mazhinji ezvipingamupinyi, hoops, zvinetswa, uye maburi zvakange zvafambiswa. MaAgency uye vanopa vakawana maccam, malaptop, Zoom maakaunzi, uye vakanyura mukati. Kusangano rangu, kugadzirwa kwedu kwekiriniki kwakadonhedzwa neinosvika makumi mashanu muzana muna Kubvumbi, kwakadzoka kuma 95 muzana muna Chikumi, uye iko zvino kungangoita zvikamu zvishanu muzana pamusoro peyakaenzana nhoroondo yedu ino nguva yegore, uye iri kukura. Isu, sevazhinji varapi uye vezvehutano vane hutano, tiri kuona kuwedzera kwakasimba mukuda, kubva kuvarwere vatsva nevakuru zvakafanana. Vanhu vazhinji vatakarapa munguva yakapfuura vakasvika pakubatanidza zvakare, kuva nerutsigiro mukuzviongorora, mukugadzirisa kushushikana kwavo, kushushikana, kushandisa zvinodhaka, uye kurwira kwehukama panguva ino isina kumboitika. Vazhinji vanoonga zvikuru mukana wekuwana masevhisi ari kure.

Sangano rangu rakaita ongororo yevanotipa makiriniki uye vakaona kuti zvikamu makumi matanhatu kubva muzana zvemasevhisi edu zvinopihwa nhare, dzakatenderedza makumi matatu kusvika makumi matatu kubva muzana dzinowanikwa kuburikidza nevhidhiyo (tine mvumo yekupa uye kubhadharisa masevhisi munzira ipi neipi). Tichine vashoma-mukati masevhisi masevhisi ari kuitika nevana vadiki vasingakwanise kutamba kurapa pamusoro pevhidhiyo skrini uye kwatiri kupa / kupa mishonga, asi vashandi vedu nevarwere vanopfeka mamask uye nharaunda kureba mune zvese izvi kusangana.

Makumi mana neshanu muzana evashandi vedu vakafunga kuti masevhisi ehutachiona anoshanda seyemunhu kurapwa, 31 muzana vakafunga kuti yakatonyanya kushanda, uye gumi muzana vakataura kuti yanga isinganyanyoita, uye ichipindira mukufambira mberi kwekiriniki. Makumi mana nemasere muzana evashandi vedu vakafunga kuti varwere vavo vaiona terevhizheni seyakaringana nekurapwa kwevanhu, 22 muzana vakataura kuti varwere vavo vaida telehealth pane kurapwa kwemunhu, uye hapana kana mumwe chete wekiriniki akataura kuti varwere vavo vaisada telehealth. .

Nekudaro, izvi zvese zvaenda pane zvakawanda, zvakareba kupfuura chero isu isu zvataifunga kuti zvaizoita! Mwedzi mishoma yapfuura, ini ndakatanga kunzwa nezve varapi munharaunda vaidzokera kune-munhu masevhisi. Ndakatanga kuona zvikumbiro zvekuendeswa kune varapi vaizopa mu-munhu masevhisi, kuvarwere vaisada kushandisa nzira dzemagetsi. Ndakaona vandaishanda navo vachikurukura kuti vakachengeteka here, vakapfeka mamask, vachiona varwere panze papatio, kana mumahofisi avo mahwindo akavhurika uye mweya wekunze uchipinda. Vanhu vari kuneta nekuregedza munharaunda uye zvipingaidzo zvehunyanzvi, uye vanoda kuona varapi vavo nevarwere vari munhu.

Nehurombo, varapi havasi vanodzivirirwa nezvematongerwo enyika nemakakatanwa ari kutsvaira nyika yedu, nezvekupfeka maski uye COVID-19. Ndakaona mumwe wandaishanda naye achiburitsa pachena kushora kwake kupfeka chifukidzo, achiti haafanire kupfeka chimwe nekuda kwehurema husina zita uye kuramba kupfeka masiki muzvitoro zveveruzhinji. Vese varapi vane varwere vasingade kupfeka mamask kana vari kukumbira varapi kuti vavanyore tsamba dzavasinga fanirwe. Zano: Ichi chinhu chaicho icho ini, nevamwe, chinoita kuti varapi vasaite. Icho chirevo chekuongorora uye chekurapa uye neruzhinji hutano uye maonero ekuti varapi vane marezinesi havana kukodzera kupa. Kupfuurirazve, kunyangwe iko kushushikana kana autism iri yepamutemo hutano hwepfungwa nyaya inoita kuti kupfeka chifukidzo kuve kunetsa, mhinduro inokodzera pakiriniki ndeyokukurudzira deensitization uye nzira dzekuratidzira (kupfeka-chifukidzo, kwete kune COVID-19) kuitira kubatsira vanhu kudzidza kudzidzira kushushikana kwavo kunzwa vakapfeka mask.

Zvino, muAlbuquerque, New Mexico, varapi vaviri vakaonekwa nevakuru vehutano se "nzvimbo dzinopisa." Nzvimbo inopisa munzvimbo yedu yeruzhinji terminology inotsanangura mabhizinesi anga aine bvunzo dzinoverengeka dzakanaka dzeCOVID-19 munguva yakatarwa. Sekureva kwevakuru vehurumende, varapi ava vaipa zvekurapa zvemukati, zvemukati mevanhu panguva iyo kana murapi kana murwere anga asina kupfeka chifukidziro. Kuchengetedza zvakavanzika, vakuru vehurumende havasi kuburitsa rumwe ruzivo.

Hazvina kujeka kana varapi vacho vaigara vachiita COVID-19 kuongorora (tembiricha, zvingangoitika, zvingangoita zviratidzo) zvevarwere vavo kana ivo pachavo. Hazvinawo kujeka kuti vanga vachidzidzira kusimukira munharaunda panguva yekurapa, kurega kubata, uye kusara tsoka nhanhatu. Hatizive kana vaiuraya hutachiona pamahofisi avo pakati pevarwere kana kudzikisira traffic munzvimbo yavo yekumirira. Asi, varapi vacho vaisada kupfeka masiki, kana varwere vavo, uye havana kunzwa sekunge vaida. Uye zvinosuruvarisa, vakapedzisira vaparadzira COVID-19 semhedzisiro.

Psychotherapy, muhofisi yakavharwa kwemaminitsi makumi mashanu asi usina kupfeka mask, kusangana kwakanyanya. Kunyangwe iwe ukaramba wakareba tsoka nhanhatu, iwe unowoneswa kufema uye kufema kwemumwe munhu ari mumba, akafumurwa kwenguva yakareba yakakwana yenguva iyo njodzi yako yehutachiona inogona kunge yakanyanya kukwirira kana mumwe munhu aine hutachiona. Iko hakuna madhigirii akawandisa ekuparadzaniswa pakati pevarapi, sevapi vezvehutano, uye zvipatara, nzvimbo dzekuchengetedza kwenguva refu, uye vanhu vane njodzi dzakadai sevakaremara, vakwegura, uye avo vane mamiriro ekurapa anokanganisa. Mune dzino nyowani uye dzichikurumidza-kuchinja nguva, zvinoramba zvisina kujeka kuti ndeipi nhanho yemutoro vanopa hutano hwepfungwa vanogona kubata kana vakaparadzira COVID-19 kuburikidza nekuregeredza.

Nekuda kweizvozvo, zvakakosha kuti varapi vateedzere varwere vedu maitiro ekuchengetedza kuchengetedzeka, mutoro, uye hunhu hwehukama hwehunhu. Takarwa nesimba kuti tiwane masevhisi ari kure kuti tizvidzivirire isu, mhuri dzedu, nevarwere vedu. Kusiyana nemamwe mabasa mazhinji ezvehutano, isu tinokwanisa kupa huwandu hweshumiro yedu kure, tichideredza njodzi yekuzvionera pachedu nevanhu vatinorapa. Ibasa redu rehunyanzvi kuita kudaro, kuramba muyedzo wekupa kuneta, kushungurudzika, uye pfungwa, uye nekugona kupira hutano kana hupenyu.

IAmerican Psychoanalytic Association yakagadzira yakanyatsofungisisa nhungamiro pamusoro pokutangazve kwe-mu-munhu kurapwa, kunowanikwa pano. Kuti uve wakachengeteka, uye chikamu chemhinduro pane chikamu chechinetso, varapi vanofanira kuramba vachi:

• Ipai kure, telehealth services kwese uye chero pazvinogoneka;
• Kuitisa zvakajairwa, zvezuva nezuva kuzviongorora pachavo uye chero varwere vavanofanira kusangana navo-mu-munhu;
• Vanoongororwa kana vakafumurwa, voparadzaniswa nevamwe kusvika zvabviswa, uye kurudzira varwere vavo kuti vaite zvimwe chete;
• Pfeka masiki ivo pachavo, vanoda kuti varwere vavo vaapfeke, uye vadzidze kushamwaridzana-kusimudzira panguva ye-mu-munhu masevhisi;
• Bvisa imba yekumirira uye uve nevarwere vakamirira mumotokari yavo kana kunze kusvikira vatanga kurapwa;
• Deredza kureba kwechero munhu-wekuonana, chero pazvinogoneka. Kana uri-munhu kusangana kuchidikanwa, ita iyo yemasanganiswa modhi yechimwe chiitiko, uye runhare kana telehealth kune iyo yakareba chikamu chechikamu.
• Kurudzira varwere vavo kuti varambe vachikurudzirwa uye nemoyo murefu panguva dzino dzekuyedza.