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لماذا لا يزال الناس يمانعون الذهاب للعلاج النفسي؟

لماذا لا يزال الناس يمانعون الذهاب للعلاج النفسي؟ اعتقادات خاطئة تقف في طريق الحصول على المساعدة

Robert C. Ciampi LCSW

Posted Oct 11, 2020

لقد كتب الكثير في الماضي بخصوص ممانعة الناس الذهاب لتلقي العلاج النفسي، ابتداءً من جعل النفس أقوى، إلى صناعة قناعاتٍ أن مشاكلهم أصغر من أن تقارن بمشاكل الآخرين، وانتهاءً إلى خوفهم من فتح صندوق الفظائع والمشاكل، واقتناعهم أن مجرد الحديث إلى شخصٍ آخر لا يمكن ببساطة في أن يساعدهم. يصبح العلاج خارج الحسبان، حتى تجبر شدة الأعراض والمشاكل صاحبها على الذهاب للعلاج.

إليكم بعض الأفكار الخاطئة التي تقود الناس لتجنب العلاج النفسي. سأسرد لكم الأفكار وبعدها سأختبرها كي أساعد القارئ كي يدرك أن هنالك جانبًا آخر لم يؤخذ في الحسبان في تلك الأفكار.

وصمة العار حول العلاج:

إن الخبر السيء هو أنه لا تزال هنالك وصمة عار تحيط بالمشاكل الذهنية، ولكن الخبر الجيد هو أن عددًا من الرياضيين والموسيقيين والفنانين وغيرهم قد أفصحوا علنا بخصوص تلك المشاكل، وهذا أمر جيد؛ لأنه إذا أفصح شخص مشهور عن معاناته مع مشاكله الذهنية فكذلك نستطيع نحن. لقد حان الوقت كي نقف أمام النظرة القديمة، ونفهم أن صحتنا الذهنية مهمة بالتساوي مع صحتنا الجسدية. أرى أن يتحول مصطلح “العار” إلى “دعم تحمل الفرد للحصول على مساعدةٍ للصحة العقلية”. دعونا نتجاوز القيود القديمة والمحيطة بخصوص خدمات الصحة الذهنية.

خوف الظهور بمظهر الضعف:

إن خوف الظهور بمظهر الضعف هو عائق آخر لحصول المهنيين على خدمات الصحة النفسية عندما يحتاجون لذلك. إذ أن شعور الخجل من اللجوء للعلاج النفسي يبدو على ضباط الشرطة ورجال الإطفاء والممرضات والأطباء والموظفين الاجتماعيين وغيرهم من موظفي الصحة الذهنية، الذين يعملون بشكل مباشر على رعاية غيرهم؛ خوفًا من أن يجعلهم ذلك يبدون بمظهر الضعف. إن هؤلاء المهنيين يعملون لساعاتٍ طويلةٍ تحت الكثير من التوتر، وخوض تجربة الفقدان والأمراض وحتى الوفاة في عملهم اليومي، كما أن البعض منهم يعاني من حياة متوترةٍ داخل البيت كذلك. لا مشكلة لهؤلاء المهنيين الأقوياء أن يلجأوا للعلاج، خاصة الآن، كي يسردوا قصصهم فيما شاهدوه أو سمعوا عنه أو شهدوه خلال ساعات عملهم، فحتى أقوى المهنيين وأكثرهم أمانًا لديهم مشاعرهم التي قد يكبتونها، وبالتالي تفاقم من مشاكل الصحة الذهنية لديهم. إن الأشخاص الأقوياء يمكنهم طلب المساعدة كذلك، كما يمكن لأي شخصٍ آخر.

الخوف من التغيير:

الخوف من التغيير هو أمر صعب للتنفيذ عند الكثير من الناس، فالكثير من الناس يعيشون مع وضعهم غير المريح الذي يعرفونه عوضًا عن محاولتهم التغيير؛ لخوفهم من المجهول. إنه لأمر غريب كيف يستمر أناس عالقين وقلقين ومكتئبين وفي علاقاتٍ فظيعة لوقت طويل. إنهم يعلمون واقعهم السيء جيدًا عوضًا عن أخذ فرصة لإخراج أنفسهم من دائرة مشاعرهم تلك، وسيبقون عالقين بسبب خوفهم من المجهول. يفضل البعض الانتظار حتى يخرجوا من تلك الدائرة ليروا إن كانوا سيكونون أفضل، كما أن البعض في راحةٍ مع شعورهم بعدم السعادة بسبب أنهم يعيشون فترة السوء تلك لفترةٍ طويلة، فتقبلوا مشاعرهم بعدم السعادة كشعور طبيعي. الناس يتجنبون أخذ علاج مثبتٍ علميًا لأنهم يدعون أنهم إذا تحسنوا فلن يعودوا كما عهدوا أنفسهم مسبقًا. لا ينبغي النظر للتغيير على أنه أمر سيء، وهو يعطينا الفرصة كي ننضج. إذا كانت هنالك فرصة لتجعلك أكثر ثقة وأقل حزنًا وقلقًا وأكثر تحكمًا بحياتك فهل ستغتنمها؟؟   

العلاج غالٍ ويتطلب الكثير من الوقت

يتجنب الكثير الحصول على العلاج النفسي بسبب أنهم يقولون أنهم غير قادرين على دفع أجرة المعالج، أو أنهم ليس لديهم الوقت كي يلتزموا بالعلاج. إن الكثير من المعالجين النفسيين يعرضون فيما يسمى ” تكلفة المقياس المتدرج”، مما يعني أن المعالج منفتح على تقليل تكلفة علاجه حتى ينخرط الزبون في العلاج، وهذا يجب مناقشته مع المعالج قبل بدء أول جلسة. الوقت الذي يعطى للعلاج قد يكون عذرًا، لكن متوسط الجلسات تكون لمدة 45 – 50 دقيقة لمرةٍ أو مرتين أسبوعيًا، وأغلب المرضى يجدون وقتًا للحديث مع المعالج عندما يريدون فعلًا. إن الحصول على  العلاج قرار يرجع للشخص وحسب، ولكن هل ينبغي أن تقف عوائق التزام النفس أمام طلب المساعدة؟

مقاومة العائلة اللجوء للعلاج:

بعض الناس يقولون أنهم لا يعتزمون الاتصال بطبيب نفسي لأن والديهم لم يفعلوا ذلك مطلقًا فلماذا يقومون هم بذلك؟؟ هذه المقاومة العابرة للأجيال قد ترجع إلى الأجداد الذين كانوا يرددون هذا الشيء نفسه. لقد أخبر الكثير من الناس بأن لا يتحدثوا للغرباء عن مشاكلهم؛ وإنما يجب أن يبقى ذلك ضمن العائلة فقط، لكن ماذا لو كانت تلك المشاكل بسبب العائلة؟ أين سيتجهون حينها إذن؟ إن هذا التفكير ضيق الأفق يبعد أولئك عن الحصول على المساعدة التي يحتاجون. حتى اللجوء إلى أفراد العائلة بخصوص مشاكل الفرد قد يسبب سوء الفهم، وأن ينبذ بعضهم البعض الآخر، وأن يجعل بعض العلاقات الحميدة علاقات غير ممكنة الإصلاح. حتى تكون مشاكل الفرد أقل سوءًا فيجب الاتصال بطبيب نفسي كي يمكن مناقشتها مع شخصٍ محايد خارج العائلة.

العلاج عمل شاق

إن إحداث التغييرات الشخصية ومعرفة القرارات الصعبة والبحث عن طريق جديد للأمام ليس أمرًا سهلًا دائمًا. إنها تتطلب الكثير من الجهد، ليس فقط أثناء الجلسات بل حتى خارج الجلسات كذلك، وحتى تستفيد من العلاج بأكبر قدر فالجهد المناقش في الجلسات يجب أن يرتبط بالحياة اليومية للفرد، ثم إعادة تقييمها في الجلسة القادمة. كل من يرجو العلاج السريع لمشاكله الاعتيادية والمعقدة سيصاب بخيبة الأمل أثناء مراحل العلاج. إن العمل في مهنة العلاج النفسي تطلب الوقت الطويل لفهم المشكلات وتطبيق المهارات لمساعدة الشخص على أن يوجه حياته بنجاحٍ اكبر. يتطلب العلاج الالتزام لإحداث التغييرات التي ستقود لحياة أكثر هناءً.

أصدقائي هم المرشدون لي:

بعض الأشخاص يقولون أنهم بإمكانهم أن يفصحوا لأصدقائهم عن مشاكلهم، دون الحاجة للطبيب النفسي، وعلى الرغم من أن الصديق المساند قد يكون مصدرًا مريحًا فالأصدقاء ليسوا موضوعيين كالمعالج النفسي. إن الأصدقاء يميلون للوقوف جنب أصدقائهم حتى لو كان صديقهم المحتاج للمساعدة يتخذ قراراتٍ خاطئة تجاه مشاكله. الأصدقاء قد يختلقون الشائعات أيضًا عن أصدقائهم الآخرين، مما يسبب الأذى والعدائية وغياب الثقة بينهم، كما أن الأصدقاء سيظلون يستمعون لنفس المشكلة مرارًا وتكرارًا من دون تقديم أي حل. الأصدقاء بالعموم قد يكونون مساندين وأصحاب مجموعةٍ واحدةٍ عندما تصعب الأمور ولكن لا ينبغي أن يحلوا محل الطبيب النفسي المتخصص.  

هل ستكون محادثاتنا سرية؟

الإفصاح عن المشاكل عند بعض الأشخاص للطبيب النفسي يكون مصدر قلق إن كانت المعلومات ستبقى سريةً أم لا. يمتلك المعالجون النفسيون التزامًا أخلاقيًا بالسرية، فأية ملاحظات أو معلومات موثقة أو مصادر إلكترونية ستكون مرتبطة بالقانون والمعايير الأخلاقية، وبالنسبة للمعالج فعدم التزامه بذلك سيوقعه في خطر الإبلاغ عنه للمجلس (هيئة تعطي التراخيص لممارسة العلاج النفسي) أو سحب الرخصة منه بل وإيقافه عن ممارسة المهنة. الحالة الاستثنائية الوحيدة التي بها يشارك المعالج المعلومات لسلطةٍ أخرى هو أن يكون هنالك شخص ما مصدر خطر لإيذاء شخص آخر ( واجب التحذير )، أو أن يؤذوا أنفسهم أو أن يخططوا لتدمير ملكية شخصٍ ما. كذلك ينطبق الأمر على الإهمال أو استغلال الأطفال أو كبار السن، وفي حالات نادرة قد تستدعى وثائق العلاج عن طريق المحكمة القانونية. بخلاف كل الظروف المدرجة السابقة فإن كل الوثائق المتعلقة بالزبون يجب أن تبقى سرية.

لقد كتب الكثير سلفًا عن الأمثلة السابقة كأسباب لتجنب الناس الذهاب للعلاج. يتجنب بعض الناس الذهاب للإرشاد النفسي حتى لو كان ذهابهم ذاك سيجعل حياتهم وحياة الآخرين أكثر رضىً. بالنسبة للآخرين العالقين بالعوائق السابقة فعليهم سؤال أنفسهم: عندما يكون ألم عدم الذهاب للعلاج أكبر من الخوف من الذهاب نفسه فأي واحدٍ ستختار؟؟

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