Monday, February 3, 2014

OCD in Nepal


/df #) jif{sL o'jtL x'g, plg af/Daf/ 6f]nfO{ /xlG5g\ . pgsf dgdf cgf}7f ;f]rfOx? cfO/xG5g\ . ha pgL 3/fo;L sfd ug{ vf]H5Lg ta o:tf ;f]rfOx? cgf}7f t:aL/ dgdf cfO ;tfpg] u5{g . pgnfO{ yfxf 5 of] ;f]rfO tl:j/ cfkm\g} xf] t/ pgL o;nfO{ lgoGq0f ug{ ;lSbgg\ . dgdf czflGt k}bf ul5{g\, pgL dgaf6 o:tf s'/f x6fpg vf]H5Lg\ t/ ufx|f] k5{ . pgL n'uf w'g, g'xfpg kfgLdf hfg} x'b}g . pgL ToxfFaf6 pDsg ;lSbgg\ . kfgL ;Fu hf]l8Psf] of] dg/f]u cgf}7f] x'G5 . ha pgL n'uf w'g hflG5g\, ta pgn] ToxfF 306fF} ljtfpg kg]{ x'G5 . ha n'uf w'Fb} hflG5g\, dgdf ;f]rfO cfpF5 n'uf cem} ;kmf eO;s]sf] 5}g cem} bz k6s kvfNg k5{, elg pgL kvfNg ;'? ul5{g\ . o;/L uGb} bz k6s k'/fpFl5g pgL s]xL l5g cfgGbsf] :jf; km]l5{g\ . km]/L ;f]rfO bf]xf]l/G5 clg 56\k6fpFl5g\ . To;f] t n'uf w'g], g'xfpg], xft w'g], 3/ ;kmf ug]{, 9f]sfdf r'Ss'n nufpg], k};f uGg] cflb ;dodf klg o:tf ;d:of cfpF5g\ .  /df h:tf] ;d:of ePsf w]/} dflg;x? 5g\, h:nfO{ of] /f]u xf] xf]Og eGg] yfxf 5}g . ha o:tf] ;d:of r/d pTsif{df k'U, ta 8fS6/sxfF lj/fdLx? cfOk'U5g\ . o:tf] ;d:ofnfO{ cA;]l;e sDkn;Le l8;c8{/(Obsessive Compulsive Disorder) elgG5 .
o:tf cgf}7f ;f]rfO, tl:j/, z+sf k}bf x'bf lj/fdL cflQg] u5[g\ . lstfa kl9/xFbf l;g]dfsf b[iox? Dgdf cfO/xg] / k9fOdf Wofg sd x'g] eO/xG5 . cUnf] kxf8df kndf hfFbf crfgs z+sf plJhg] knaf6 xfd kmfnf}  jf cUnf] 7fpFaf6 xfd kmfn' h:tf] x'g] x'G5 . To;f] t dgdf xfd kmfNg' x'b}g emg\ vt/f x'G5 eGg] klg yfxf 5 t/f o:tf cgfjZos cz'4 ;f]rfOn] ubf{ lj/fdLdf 56k6L k}bf x'G5, lj/fdL s] u/f}+ h:tf] x'g] / slxn] sfxL lrRofpg] klg u5{g\ .

3/df v's'/L rSs' jf  aGb's glhs} a:bf dgdf z+sf k}bf x'G5 . v's'/Ln] cfkm"nfO{ xflgG5, jf c?nfO{ xflgG5 To:tf] ug'{ x'b}g eGg] yfxf 5 ToxL klg o:tf] z+sf pkz+sf dgdf pQ]hLt eO/xG5g\ . s'g} cz'e 36gf 36\g] xf] ls < To;}n] lj/fdL o:tf] 7fpFdf a:g ?rfpFb}gg\, Tof] 7fpF 5f8]/ lx8\5g\ . of] t s]jn dgsf] x'/L dfq xf] . ;Fu} a:g] ;fyLnfO{ ;d]t yfxf x'b}g  of] PSn} k}bf dgf]j}1flgs ;d:of xf] .

cA;]l;e sDkn;Le l8;c8{/(Obsessive Compulsive Disorder) lj/fdLsf] dgsf] ;f]rfOsf] l;df g} x'b}g . dlGb/df uP/ b]jtfsf] af/]df g/fd|f] ;f]rfO, z+sf, pkz+sf cfpg] b]lv lnP/ cfsf; lsg lgnf] x'G5 eGg] ;Ddsf cToGt} ljlrqsf ;f]rfO lbdfudf hj/h:tL k:5g\ .  h;af6 lj/fdL o:tf ;f]rfO x6fpg s]xL sfd ug{ kg]{ x'G5 . k|fo o:tf lj/fdL dlGb/df uO{ w]/} a]/ a:g ;Sb}gg\ . ha ;f]rfO r/d pTsif{df k'U5, ta dlGb/af6 aflx/ lg:sLG5g\ . cfsf;df x]/L /xg ;Sb}gg\, xltof/ glhs a:g g;sL csf]{ 7fpFdf k'U5g\ . h'Qf df]hf nufpg] ljBfyL{ lbge/ h'Qf df]hf nufpFb}df ljtfpg] u5{g\ . hf8f] dlxgfdf g'xfpg afy?d hfg] lj/fdL 306f} ;Dd g'xfO/xG5g\ . 6fpsf] / zl//  lr;f] eO;Sbf klg kfgLaf6 aflx/ lg:sg ;Sb]gg\, slxn] sfxL t PSsf;L lrRofpg] u5{g\ .  xft  w]'Fg] ;f]rfO cfpg] / of] sfo{ bfx|f]l/Fbf xft /ftf] x'g hfG5 . o;/L kfgLaf6 aflxl/g cToGt} ufx|f] x'g] k|fo kfgLdfg} v]ln/g] x'gfn] o:tf] /f]unfO{ kfgL ax'nfx cyjf kfgL dgf]/f]u klg elgG5 .

 To;f] t k|sfzsf] pd]/ #) jif{ eof] . pm Ps ls;fg xf] . ut ! jif{ b]lv p;sf] dgdf Pp6} ljrf/ bf]xf]/L/xG5 . hj p ;'Tg nfU5 tj p;nfO{ p;sf] d"n 9f]sfdf r's'n nufPsf] af/] ;+sf p7\5, p 56\k6Ldf k5{, p x]g{ hfG5, x]bf{ r's'n nufO{ ;s]sf] b]V5 t/ km]/L hj p ;'Tg nfU5 Tolx s'/f bf]xf]/L /xG5 . o:t} p;n] vfgf vfPkl5 lbzf lk;fj u/]kl5 #)—$) k6s ;Dd xft w'g' k5{ . pgsf] dgdf ljrf/ cfpF5 xft kmf]x/ 5 clg p xft w'G5 s]lxIf]0f 5'6s/f ldN5 clg km]/L plx ;f]rfO{ cfFp5 / k6s k6s xft w'G5 . o;/L w]/} k6s xft w'Fbf xft g} ;'lGg/x]sf] 5 . o:t} hj p jf6f]df lx8\5 clg p;n] kmf]xf]/ j:t' b]V5 p 8/fpF5 kmf]xf]/ j:t' vfOPnf eg]/ . p;nfO{ yfx 5 kmf]xf]/ j:t' vfg' x'Fb}g eg]/ t/ pm vfFp vfFp h:tf] agfpg] 8/n] p TofFxf j:g ;Sb}g . To:t} Sexual thougtht -of}g ljrf/_ cfpgfn] p cfˆgf gft]bf/ s]6L 5]p j:g ;Sb}g . p;nfO{ yfx 5 p;sf] ;f]rfO{ unt / Senseless xf] t/ p To;jf6 5'6sf/f kfpg ;Sb}g . o:tf] ;d:ofnfO{ Obsessive Compulsive disorder elgG5 .


         of] Pp6f o:tf] /f]u xf] h;df jf/Djf/ ljrf/, ;f]rfO{, b[io Brian df cfO/xFbf 56k6L x'G5 . lj/fdLnfO{ of] x6fpg rfFxbf rfFxb} klg lbdfudf cfO{ ;tfpg] u5{ . of] x6fpg lj/fdLnfO{ s'g} lqmofsnfk ug'{ kg]{ x'G5, h:t} xft 5'g,] r's'n nufP gnufPsf] r]s ug]{ cflb . To;kl5 o;jf6 Ifl0fs kmfObf x'G5 t/ km]/L bf]x/L /xG5 .
       of] /f]u nfu]sf lj/fdL k6s k6s xft wF'bf xft g} ;'glgo/ cfPsf x'G5g, slt lj/fdLdf depression sf nIf0fx? klg kfOG5g\ . of] /f]usf lj/fdL dgleq cg]sf} ;f]rfO{af6 u|l;t x'G5g\ . dgdf b[Zox? klg cfO/xG5 . o:tf dflg; dlGb/ hfFbfklg ;d:of cfpF5 . b]jtfnfO{ s'lNrg] ;f]rfO{, b]jtfsf] of}g ;f]rfO cfO/xG5 . af6f]df k'ndf lx8F\bf xfDkmfNg]  ;f]rfO{ kmf]xf]/df a:g\'vfn] ;f]rfO dg 56k6 eO{/xG5 . wfl/nf] xltof/ glhs j:bf csf}nfO xfGg] ;f]rfO{, h'g ug'{ x'b}g eGg] yfxf x'bFf kgL k6s k6s cfO{/xG5 . sltko lj/fdL jfy?ddf 306f} ;Dd a:5g\ . / lr;f]n] s7fl/G5 .




s] sf/0fn] of] /f]u x'G5 <
of] /f]usf] vf; sf/0f yfxf 5}g t/ dl:t:sdf ;]/f]6f]lgg\ eGg] /;fog sf] u8a8L x'Fbf of] /f]u nfU5 eGg] wf/0ff 5 . o;jfx]s ;f]r]sf] sfd ;kmn gx'Fbf tyf dl:tissf] ;+qmd0fkl5 klg of] /f]u ePsf] kfOPsf] 5 . a+zf0f'ut?kdf klg of] /f]u ;g]{ u5{ .

of] /f]usf] pkrf/ s;/L ul/G5 <
ljleGg vfnsf cf}iflwsf] k|of]u tyf dgf]j}1fgLs pkrf/ ;f]rfO kl/jt{g u/fpg], lj/fdLsf] ;f]rfOcg;f/ WOfg s]lGb|t x'g glbg] pkrf/ u/fOG5 . of] /f]u s]xL lj/fdL s8f kl5 uP/ s8f dfgl;s /f]u klg b]vf k5{ . kfgL ;Fu ;DalGwt b]lvg] of] /f]unfO{ kfgL dfgl;s /f]u klg elgG5 . o:tf lj/fdLdf ljlrqsf z+sf pkz=sf cfpg] x'gfn], b}lgs sfd ug{ klg ufx|f] kg]{ x'G5 . o:tf s'/f ;Fu} a:g] dflg;nfO{ yfx} x'b}g, lsg g'xfO/xG5, lsg xft yf]O/xG5 eg] s;}n] Vofn} u/]sf] x'b}g . p;sf] jfgL o:t} /x]5 eg]h:tf] x'g] t/ ;d:of hl6n aGb} hfFbf dfq of] /f]u nfu]sf] yfxf x'g] u5{ . Pshgf lj/fdL k'?if eG5 d dlxnfsf] sDd/ eGbf tn x]g{ ;lSbg . s]xL o:tf lj/fdLdf rfFxL ljleGg z+sf pkz=sf cfpg] x'gfn] x/]s sfddf l9nf]kg cfpg] x'G5 .

lj/fdL ha ;kmfO{ u5{, ta dl:tisdf ;f]rfO cfpF5 , ltdLn] krf; k6s ;kmf ug'{ k5{, lj/fdL ;kmf ub}{ hfG5 krf; k6s ;kmf ub{ Ifl0fs cfgGb ldN5,  clg km]/L tTsfn csf]{ ;f]rfO cfpF5 km]/L krf; k\6s ;kmf ug]{ clg lj/fdL lbSs x'G5 / lbge/ o;d} cndlnO/xG5 . 3/sf] 9f]sfdf r'Ssn nufpFg] s'/fdf klg o:tf] nIf0f b]lvG5, Ps b'O k6s ljl;{g' ;d:of xf] t/ of] /f]usf] lj/fdL ha d'n 9f]sfdf r'Ssn nufO sf]7fdf k'U5g\ t/ ;f]rfO cfpF5 r'Ss'n nufPsf] 5}g . pgL cf]5\ofgaf6 p7]/ x]g{ hfG5g\, r'Ssn t nufPs} 5 km]/L kmls{P/ cf]R5\ofgdf k'U5g\ km]/L ;f]R5g\ r'Ssn t nufPsf] 5}g . pgL km]/L x]g{ hfG5g\ of] ;d:of bf]xf]l//xG5 / jfSs x'G5g\ . cA;]l;e sDkn;Le l8;c8{/(Obsessive Compulsive Disorder) sf lj/fdLx? .

s:tf dflg;nfO{ of] /f]u nfUg] ;Defjgf a9L x'G5 <

of] /f]u cGToGt} g}ltsjfg cfkm"n] eg]sf] g} x'g'kg]{ csf{sf] sfddf lrQ ga'em\g]
 vfnsf dflg;nfO{ nfpg] ;Defjgf a9L x'G5 . o:tf] dflg;x? cToGt} g}ltsafg /xG5g\ . /  c?af6 klg To:tf] cfzf u5{g\, t/ ;dfh To:tf 5]g . ;fy} ;xg ;Sg] Iftf xd x'g] , ;fgf] s'/fklg dgdf 7'nf] ?kdf lng] dflg;nfO{ a9L x'g] ;Defjgf /xG5 .

cA;]l;e sDkNl;e l8:c8{/ jf/] hfGg} kg]{ s'/fx?


·       o:tf lj/fdLn] n'uf w'g' x'b}g . jf kfgLdf u/Lg] s'g}klg sfdaf6 6f9f x'g'k5{ .
·       o:tf lj/fdLn] dgdf Pp6] s'/f lnO/xg' x'b}g . af/Daf/ ;f]rfO kl/jt{g ug'{ k5{ .
·       vt/f x'g] ;fdfg / vt/f :yfgdf lj/fdLnfO{ /fVg' x'b}g .
·       lj/fdLnfO{ hltg} 7"nf] ;d:of b]vf k/] klg of] s]jn lj/fdLsf] dgdf dfq /xG5 . ;Fu}sf] ;fyLnfO{ klg s]xL yfxf x'b}g .
·       slxn]sfxL l8k|];g x'g ;S5 To:tf] eP pkrf/ ug'{ k5{ .
·       kl5 s8f dflgl;s /f]u klg nfUg ;S5g\ .
·       wfdL emfFqmLaf6 of] /f]u gx'g] x'gfn] e|ddf kg'{ x'b}g .
·       pkrf/ u/] of] /f]u lgsf] x'G5 .
·       o:tf lj/fdLsf] dgdf jf/Djf/ s'/f cfO/xg] x'gfn] cToGt 56k6L x'G5 . lj/fdLsf] s'g} s'g} s'/fdf e'Nbf ;d:of sd x'G5 .




s;/L Mentally Healthy aGg] <

  • cgfjZos s'/fdf af/Da/ Psf]xf]/f] ulx/f] ;f]rfO{ gug]{ .
  • csf{sf] pknlAwnfO{ ;lhn} u|x0f ug]{ / v'zL x'g] .
  • k'/fgf ?9LjfbLsf s'/f h'g jt{dfgdf em'§f ;fljt ePsf 5g\ ltgdf ljZjf; gug]{ .
  • x/]s sfddf v';L, ;Gt'i6 / ;'vL aGg l;Sg] .
  • h] 5 To;df ;Gt'i6 x'g], t/ ldx]gt ug{ g5f8\g] .
  • nfu" kbfy{, /S;L, 8«U; ;]jg ubf{ dfgl;s /f]u nfUg] ;Defjgf w]/} /xg] ePsf]n], oL j:t'af6 6f9f /xg] .
  • b}lgs lhjgdf :jf:Yo k|lt:kbf{ ug]{ .
  • ;dfhdf, 3/ kl/jf/df b'i6tfsf] jftfj/0fsf] cGTo ug]{ .
  • clt g}ltsjfg gaGg] / c?af6 klg To:tf] a9L cfzf gug]{ .
  • cfˆgf ;d:of cfˆgf] kl/jf/, ;fyLefO{nfO{ eGg] afgL ug]{ h;af6 dgsf] pQ]hgf -lrGtf_ sd ug{ ;xof]u ldN5 .
  • dgnfO{ ;w} zfGt /fVg] .



8f l; kL ;]8fO{

gzf tyf  dgf]/f]u laz]if1   

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