\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Klinik Psikolog G\u00fcrler G\u00fcz, do\u011fayla d\u00fczenli temas\u0131n ba\u011f\u0131ml\u0131l\u0131k tedavisindeki yeri ve \u00f6nemi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
Do\u011fa temelli m\u00fcdahaleler tedaviye ba\u011fl\u0131l\u0131\u011f\u0131 g\u00fc\u00e7lendirmede tamamlay\u0131c\u0131 bir rol oynuyor<\/strong>!<\/strong><\/p>\n Ba\u011f\u0131ml\u0131l\u0131k tedavisinde birinci basamak yakla\u015f\u0131mlar\u0131n farmakoterapi (ila\u00e7 destekli tedavi), bili\u015fsel-davran\u0131\u015f\u00e7\u0131 terapi ve yap\u0131land\u0131r\u0131lm\u0131\u015f rehabilitasyon programlar\u0131 oldu\u011funu hat\u0131rlatan\u00a0Klinik Psikolog G\u00fcrler G\u00fcz, \u201cAncak klinik literat\u00fcrde son y\u0131llarda \u2018ye\u015fil terapi\u2019 veya \u2018ekoterapi\u2019 ba\u015fl\u0131\u011f\u0131 alt\u0131nda incelenen do\u011fa temelli m\u00fcdahaleler, standart tedavinin yerini almasa da, n\u00fcks (tekrar ba\u015flama) riskini azaltmada ve tedaviye ba\u011fl\u0131l\u0131\u011f\u0131 g\u00fc\u00e7lendirmede tamamlay\u0131c\u0131 bir rol oynuyor.\u201d dedi.<\/p>\n Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n, \u00f6z\u00fcnde beynin \u00f6d\u00fcl sistemindeki bir dengesizlikle a\u00e7\u0131kland\u0131\u011f\u0131n\u0131 ifade eden G\u00fcz, \u201cMadde kullan\u0131m\u0131 ya da davran\u0131\u015fsal ba\u011f\u0131ml\u0131l\u0131klar (patolojik kumar, dijital\/internet ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 gibi), beyindeki dopamin sal\u0131n\u0131m\u0131n\u0131 do\u011fal s\u0131n\u0131rlar\u0131n \u00e7ok \u00fczerinde tetikler. Zamanla beyin bu yapay uyarana al\u0131\u015f\u0131r ve g\u00fcnl\u00fck hayattaki s\u0131radan zevkler bir sohbet, bir yemek, bir ba\u015far\u0131 hissi eskisi kadar tatmin edici gelmemeye ba\u015flar. Klinik dilde buna \u2018anhedoni\u2019 denir; basit\u00e7e, hazdan haz alamama hali.\u201d \u015feklinde konu\u015ftu.<\/p>\n Do\u011fa, stresi azaltarak n\u00fcks riskine kar\u015f\u0131 koruma sa\u011flayabilir!\u00a0<\/strong><\/p>\n Do\u011fada ge\u00e7irilen zaman\u0131n, farkl\u0131 bir kanaldan bu tabloya m\u00fcdahale etti\u011fini kaydeden G\u00fcz, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cAra\u015ft\u0131rmalar, do\u011fal ortamlarda ge\u00e7irilen s\u00fcrenin stres hormonu kortizol\u00fcn d\u00fczeyini d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fcn\u00fc ve bedeni \u2018sava\u015f ya da ka\u00e7\u2019 modundan \u00e7\u0131kar\u0131p dinlenme-onar\u0131m moduna soktu\u011funu g\u00f6steriyor. Ba\u011f\u0131ml\u0131l\u0131kla m\u00fccadele eden pek \u00e7ok dan\u0131\u015fanda g\u00f6zlemlenen ortak nokta, yo\u011fun stresin n\u00fcks riskini do\u011frudan art\u0131rd\u0131\u011f\u0131d\u0131r. Do\u011fa, bu stres y\u00fck\u00fcn\u00fc hafifleterek dolayl\u0131 ama etkili bir koruma sa\u011flar.\u201d<\/p>\n S\u00fcrd\u00fcr\u00fclebilir iyile\u015fme i\u00e7in b\u0131rak\u0131lan\u0131n yerine anlaml\u0131 bir \u015fey koyabilmek belirleyicidir!<\/strong><\/p>\n \u0130yile\u015fme s\u00fcrecinin \u00e7o\u011fu zaman \u2018yoksunluk ve istek\u2019 kavramlar\u0131 \u00fczerinden anlat\u0131ld\u0131\u011f\u0131n\u0131 aktaran G\u00fcz, \u201cMaddeden, davran\u0131\u015ftan, ortamdan uzak durmak. Ancak s\u00fcrd\u00fcr\u00fclebilir iyile\u015fme i\u00e7in as\u0131l belirleyici olan, b\u0131rak\u0131lan\u0131n yerine anlaml\u0131 bir \u015fey koyabilmektir.\u201d dedi.<\/p>\n Buna \u2018davran\u0131\u015fsal aktivasyon\u2019 denildi\u011fini ifade eden G\u00fcz, \u201cYani bo\u015falan zaman\u0131 ve enerjiyi doyurucu, sa\u011fl\u0131kl\u0131 bir aktiviteyle doldurmak. Do\u011fa, tam da bu bo\u015flu\u011fu doldurabilecek somut bir alternatif sunar. Bir do\u011fa y\u00fcr\u00fcy\u00fc\u015f\u00fc, bir bah\u00e7ede toprakla u\u011fra\u015fmak ya da sadece bir parkta oturup \u00e7evreyi fark etmek, ki\u015fiye kaybetti\u011fi kontrol duygusunu geri kazand\u0131rabilir. Ba\u011f\u0131ml\u0131l\u0131k s\u00fcrecinde s\u0131k\u00e7a yitirilen bu \u2018kendi hayat\u0131n\u0131 y\u00f6netebilme\u2019 hissi, psikolojide \u2018\u00f6z-yeterlilik\u2019 olarak adland\u0131r\u0131l\u0131r. Do\u011fada k\u00fc\u00e7\u00fck ama somut kararlar alarak (hangi rotay\u0131 se\u00e7ece\u011fine, bir bitkiyi nas\u0131l b\u00fcy\u00fctece\u011fine karar vererek) yeniden in\u015fa edilebilir. Bu, n\u00fcks\u00fc \u00f6nlemede kritik rol oynayan bir i\u00e7 kaynakt\u0131r.\u201d a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n Do\u011fa, ba\u011f\u0131ml\u0131l\u0131k tedavisini g\u00fc\u00e7lendiren destekleyici bir unsur!<\/strong><\/p>\n Do\u011fan\u0131n ba\u011f\u0131ml\u0131l\u0131k tedavisinde dahil edilmesini yap\u0131land\u0131r\u0131lm\u0131\u015f bi\u00e7imde kullanan modeller oldu\u011funa i\u015faret eden\u00a0Klinik Psikolog G\u00fcrler G\u00fcz, \u201cWilderness therapy (do\u011fa terapisi) programlar\u0131, \u00f6zellikle ergen ve gen\u00e7 yeti\u015fkinlerde, grup halinde y\u00fcr\u00fcy\u00fc\u015f, kamp ve hayatta kalma becerilerini terap\u00f6tik \u00e7al\u0131\u015fmalarla birle\u015ftiriyor. Bah\u00e7\u0131vanl\u0131k temelli rehabilitasyon programlar\u0131 ise, d\u00fczenli ve sab\u0131r isteyen bir u\u011fra\u015f\u0131n, d\u00fcrt\u00fc kontrol\u00fcn\u00fc ve \u2018sonucu ertelemeyi \u00f6\u011frenme\u2019 kapasitesini g\u00fc\u00e7lendirdi\u011fini g\u00f6steriyor.\u201d dedi.<\/p>\n T\u00fcrkiye’de de bu y\u00f6nde artan bir fark\u0131ndal\u0131k oldu\u011funa dikkat \u00e7eken G\u00fcz, \u201cBaz\u0131 rehabilitasyon merkezleri ve belediyeler, ba\u011f\u0131ml\u0131l\u0131kla m\u00fccadele eden bireyler i\u00e7in do\u011fa y\u00fcr\u00fcy\u00fc\u015fleri, ekolojik tar\u0131m at\u00f6lyeleri ve a\u00e7\u0131k hava programlar\u0131 d\u00fczenliyor. Bu uygulamalar hen\u00fcz standart tedavi protokol\u00fcn\u00fcn yerini almasa da, tedaviyi g\u00fc\u00e7lendiren ve s\u00fcrd\u00fcr\u00fclebilirli\u011fini art\u0131ran unsurlar olarak \u00f6ne \u00e7\u0131k\u0131yor.\u201d diye konu\u015ftu.<\/p>\n Do\u011fa tedavinin yerini almaz ama dayan\u0131kl\u0131l\u0131\u011f\u0131 art\u0131rabilir!\u00a0<\/strong><\/p>\n Do\u011fan\u0131n ba\u011f\u0131ml\u0131l\u0131k tedavisinde neden \u00f6nemli oldu\u011funa a\u00e7\u0131kl\u0131k getiren G\u00fcz, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n \u201c\u00dc\u00e7 ana etkisi var. \u0130lki bedensel etki. Stres hormonlar\u0131n\u0131n azalmas\u0131, uyku kalitesinin artmas\u0131 ve genel gerginli\u011fin d\u00fc\u015fmesi, d\u00fcrt\u00fc kontrol\u00fcn\u00fc destekleyen bir zemin olu\u015fturur. \u0130kincisi duygusal etki. Do\u011fada ge\u00e7irilen zaman, kayg\u0131 ve depresif belirtilerde azalmayla ili\u015fkilendiriliyor; bu da ba\u011f\u0131ml\u0131l\u0131\u011fa s\u0131k\u00e7a e\u015flik eden duygusal ini\u015f \u00e7\u0131k\u0131\u015flar\u0131 yumu\u015fatabilir. \u00dc\u00e7\u00fcnc\u00fcs\u00fc ise anlam ve ba\u011f kurma. Do\u011fa, ki\u015fiye kendinden daha b\u00fcy\u00fck bir b\u00fct\u00fcn\u00fcn par\u00e7as\u0131 oldu\u011fu hissini vererek, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n getirdi\u011fi yaln\u0131zla\u015fma ve anlams\u0131zl\u0131k duygusuna kar\u015f\u0131 bir denge noktas\u0131 olu\u015fturur.<\/p>\n Elbette do\u011fa, tedavinin yerini alacak sihirli bir form\u00fcl de\u011fil. Ba\u011f\u0131ml\u0131l\u0131kta ila\u00e7 deste\u011fi, psikoterapi ve gerekti\u011finde yap\u0131land\u0131r\u0131lm\u0131\u015f rehabilitasyon s\u00fcre\u00e7leri vazge\u00e7ilmezdir. Ancak do\u011fayla kurulan d\u00fczenli ve bilin\u00e7li temas, bu s\u00fcre\u00e7lerin yan\u0131nda ki\u015finin dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 art\u0131ran, n\u00fcks riskini azaltan ve iyile\u015fmeyi kal\u0131c\u0131 k\u0131lan de\u011ferli bir destek unsuru olarak g\u00f6r\u00fclebilir.\u201d<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Klinik Psikolog G\u00fcrler G\u00fcz, do\u011fayla d\u00fczenli temas\u0131n ba\u011f\u0131ml\u0131l\u0131k tedavisindeki yeri ve \u00f6nemi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n","protected":false},"author":1,"featured_media":34054,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-34053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/34053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=34053"}],"version-history":[{"count":1,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/34053\/revisions"}],"predecessor-version":[{"id":34055,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/34053\/revisions\/34055"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media\/34054"}],"wp:attachment":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=34053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=34053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=34053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}