{"id":17620,"date":"2026-02-06T00:36:07","date_gmt":"2026-02-06T00:36:07","guid":{"rendered":"https:\/\/bihavadis.com\/?p=17620"},"modified":"2026-02-06T00:36:07","modified_gmt":"2026-02-06T00:36:07","slug":"bagimlilik-tedavisinde-en-kritik-asama-eve-donus","status":"publish","type":"post","link":"https:\/\/bihavadis.com\/index.php\/2026\/02\/06\/bagimlilik-tedavisinde-en-kritik-asama-eve-donus\/","title":{"rendered":"Ba\u011f\u0131ml\u0131l\u0131k tedavisinde en kritik a\u015fama, eve d\u00f6n\u00fc\u015f!"},"content":{"rendered":"<p>\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL HASTANES\u0130 Klinik Psikolog \u00c7a\u011fr\u0131 Akyol \u00c7evirir, ba\u011f\u0131ml\u0131l\u0131k tedavisinde hastane s\u00fcrecinden sonra ba\u015flayan g\u00fcndelik hayata uyum a\u015famas\u0131nda, n\u00fcks riskleri, aile tutumu ve psikoterapinin rol\u00fc hakk\u0131nda bilgi verdi.<\/p>\n<p><strong>Tedavi sonras\u0131 hayata uyum, ba\u011f\u0131ml\u0131l\u0131k tedavisinin en kritik evresi!<\/strong><\/p>\n<p>Ba\u011f\u0131ml\u0131l\u0131k tedavisinin en zorlu ve ayn\u0131 zamanda en kritik evrelerinden birinin, ki\u015finin tedavi sonras\u0131nda g\u00fcndelik hayata yeniden uyum sa\u011flamas\u0131 oldu\u011funu aktaran Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cBu s\u00fcre\u00e7, hem hasta hem de hekim a\u00e7\u0131s\u0131ndan \u00e7e\u015fitli g\u00fc\u00e7l\u00fckler bar\u0131nd\u0131rmakla birlikte, tedavinin ayr\u0131lmaz bir par\u00e7as\u0131d\u0131r. \u00c7\u00fcnk\u00fc bu a\u015famada baz\u0131 durumlar \u00f6ng\u00f6r\u00fclebilirken, baz\u0131lar\u0131 beklenmedik \u015fekilde ortaya \u00e7\u0131kabilir.\u201d dedi.<\/p>\n<p>Ki\u015finin davran\u0131\u015f \u00f6r\u00fcnt\u00fcleri, ki\u015filik \u00f6zellikleri ve hastal\u0131k fark\u0131ndal\u0131\u011f\u0131n\u0131n bu s\u00fcrecin seyrini belirleyen temel unsurlar aras\u0131nda yer ald\u0131\u011f\u0131n\u0131 ifade eden \u00c7evirir, \u201cYatakl\u0131 servislerde ba\u011f\u0131ml\u0131l\u0131k tedavisi genel olarak \u00fc\u00e7 a\u015famada ele al\u0131n\u0131r: akut d\u00f6nem, idame d\u00f6nem ve kontrol d\u00f6nemi. Akut d\u00f6nem, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n en alevli oldu\u011fu, ki\u015finin mesleki, sosyal ve ailesel i\u015flevselli\u011finin ciddi bi\u00e7imde bozuldu\u011fu s\u00fcreci kapsar. Yo\u011fun kullan\u0131m d\u00f6ng\u00fcs\u00fcn\u00fcn, yoksunluk belirtilerinin ve iste\u011fin zirvede oldu\u011fu bu evrede, ki\u015finin yatakl\u0131 serviste tedavi alt\u0131na al\u0131nmas\u0131 \u00e7o\u011fu zaman ka\u00e7\u0131n\u0131lmazd\u0131r. Bu karar bazen hastan\u0131n iste\u011fiyle, bazen de hastal\u0131k bilincinin yeterince geli\u015fmemi\u015f olmas\u0131 nedeniyle hastan\u0131n iste\u011fi d\u0131\u015f\u0131nda al\u0131nabilir.\u201d \u015feklinde konu\u015ftu.<\/p>\n<p><strong>Ki\u015fi tedaviyi erteledik\u00e7e, zihinsel olarak hastal\u0131ktan ka\u00e7t\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyor!\u00a0<\/strong><\/p>\n<p>Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n do\u011fas\u0131 gere\u011fi, her hastan\u0131n \u2018tedavi olmal\u0131y\u0131m\u2019 fark\u0131ndal\u0131\u011f\u0131na sahip olmayabilece\u011fine de\u011finen Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cKi\u015fi tedaviyi erteledik\u00e7e, zihinsel olarak hastal\u0131ktan ka\u00e7t\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcr ve bu durum k\u0131sa vadede kendisine avantajl\u0131ym\u0131\u015f gibi gelebilir.\u201d dedi.<\/p>\n<p>Bu noktada hastal\u0131k bilinci, i\u00e7g\u00f6r\u00fc ve fark\u0131ndal\u0131\u011f\u0131n \u00e7o\u011fu zaman s\u0131n\u0131rl\u0131 oldu\u011funa i\u015faret eden \u00c7evirir, \u201cSosyal ili\u015fkilerde ya\u015fanan bozulmalar, evlilik sorunlar\u0131, mesleki kay\u0131plar ya fark edilmez ya da ertelenir. Oysa t\u00fcm bu unsurlar, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n ki\u015finin hayat\u0131nda yaratt\u0131\u011f\u0131 \u00e7ok y\u00f6nl\u00fc tahribat\u0131n g\u00f6stergesidir.\u201d ifadelerini kulland\u0131.<\/p>\n<p><strong>Hastane s\u00fcreci antrenman, g\u00fcndelik hayat as\u0131l s\u0131nav!\u00a0<\/strong><\/p>\n<p>Akut d\u00f6nemde temel m\u00fcdahalelerin ila\u00e7 tedavisi, psikoterapi ve sosyal destek oldu\u011funu aktaran Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cUyku ve i\u015ftah bozukluklar\u0131, duygu durum sorunlar\u0131 ve alg\u0131sal bozulmalar bu d\u00f6nemde s\u0131kl\u0131kla g\u00f6r\u00fcl\u00fcr.\u201d dedi.<\/p>\n<p>\u0130la\u00e7lar\u0131n yaln\u0131zca yoksunluk belirtilerini y\u00f6netmek i\u00e7in de\u011fil, beynin n\u00f6rokimyasal dengesini yeniden d\u00fczenlemek ve bili\u015fsel i\u015flevleri koruyabilmek i\u00e7in de kritik \u00f6neme sahip oldu\u011funu vurgulayan \u00c7evirir, \u015funlar\u0131 s\u00f6yledi:<\/p>\n<p>\u201cPsikoterapi ise hastal\u0131k bilincinin geli\u015fmesi ve ki\u015finin ya\u015fad\u0131klar\u0131n\u0131 anlamland\u0131rabilmesi a\u00e7\u0131s\u0131ndan vazge\u00e7ilmezdir. Ancak akut d\u00f6nemde belirtiler yat\u0131\u015fsa bile, hastal\u0131\u011f\u0131n tamamen kontrol alt\u0131na al\u0131nd\u0131\u011f\u0131ndan hi\u00e7bir zaman emin olunamaz. Altta kalan risk, uygun ko\u015fullarda yeniden alevlenebilir. Bu nedenle taburculuk sonras\u0131 ayakta tedaviye ge\u00e7i\u015f, tedavinin en \u00f6nemli a\u015famalar\u0131ndan biridir. Hastanede y\u00fcr\u00fct\u00fclen s\u00fcre\u00e7 bir anlamda antrenman, as\u0131l s\u0131nav ise ki\u015finin g\u00fcndelik hayata d\u00f6nd\u00fc\u011f\u00fc d\u00f6nemdir.\u201d<\/p>\n<p><strong>Hastanede sa\u011flanan izolasyon, ev ortam\u0131nda da s\u00fcrd\u00fcr\u00fclmeli!\u00a0<\/strong><\/p>\n<p>Ayakta tedavi s\u00fcrecinde ila\u00e7lar\u0131n d\u00fczenli kullan\u0131m\u0131n\u0131n, genellikle en az alt\u0131 ay s\u00fcreyle devam ettirildi\u011fini kaydeden Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201c\u0130la\u00e7lar\u0131n beyindeki etkileri zamanla ortaya \u00e7\u0131kar. Bu s\u00fcre\u00e7, k\u0131r\u0131k bir kolun al\u00e7\u0131ya al\u0131nmas\u0131na benzetilebilir; al\u00e7\u0131 iyile\u015ftirmez, iyile\u015fme i\u00e7in uygun ortam\u0131 sa\u011flar.\u201d dedi.<\/p>\n<p>Hastanede sa\u011flanan izolasyon ortam\u0131n\u0131n, m\u00fcmk\u00fcn oldu\u011funca ev ortam\u0131nda da s\u00fcrd\u00fcr\u00fclmesi gerekti\u011fine dikkat \u00e7eken \u00c7evirir, \u201cAksi h\u00e2lde d\u0131\u015f tetikleyiciler h\u0131zla devreye girebilir. \u00d6zellikle sanal kumar, madde ya da alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131nda telefon, sosyal medya ve eski sosyal \u00e7evre ciddi risk unsurlar\u0131d\u0131r.\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n<p><strong>Erken sorumluluk, ba\u011f\u0131ml\u0131l\u0131ktan uzak kalmay\u0131 g\u00fc\u00e7lendiriyor! \u00a0<\/strong><\/p>\n<p>Taburculuk sonras\u0131 ki\u015finin g\u00fcnl\u00fck ya\u015fam\u0131nda belli bir rutin olu\u015fturmas\u0131n\u0131n b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cUyku d\u00fczeni, beslenme, sorumluluk alma ve disiplinin korunmas\u0131 tedavinin temel yap\u0131 ta\u015flar\u0131d\u0131r.\u201d dedi.<\/p>\n<p>Ki\u015finin \u2018hasta\u2019 kimli\u011fine s\u0131\u011f\u0131n\u0131p sorumluluklardan ka\u00e7mas\u0131n\u0131n iyile\u015fmeyi geciktirdi\u011fini aktaran \u00c7evirir, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n<p>\u201cKi\u015fi ne kadar erken sorumluluk al\u0131r ve hayata adapte olursa, ba\u011f\u0131ml\u0131l\u0131ktan uzak kalma ihtimali o kadar artar. Psikoterapinin s\u00fcrd\u00fcr\u00fclmesi bu noktada kritik bir rol oynar. \u00c7\u00fcnk\u00fc ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 besleyen temel unsurlar; i\u00e7sel \u00e7at\u0131\u015fmalar, duygusal bo\u015fluklar, stresle ba\u015f etme g\u00fc\u00e7l\u00fckleri ve d\u00fcrt\u00fcselliktir. Ki\u015fi \u00e7o\u011fu zaman ac\u0131dan ka\u00e7mak i\u00e7in hazza y\u00f6nelir. Terapide ama\u00e7, bu d\u00f6ng\u00fcy\u00fc fark etmek, iste\u011fi y\u00f6netebilmek ve ki\u015finin i\u00e7g\u00f6r\u00fcs\u00fcn\u00fc g\u00fc\u00e7lendirmektir.\u201d\u00a0<\/p>\n<p><strong>Sinyallerin erken fark edilmesi, n\u00fcks\u00fcn \u00f6nlenmesi a\u00e7\u0131s\u0131ndan \u00f6nemli!\u00a0<\/strong><\/p>\n<p>Ba\u011f\u0131ml\u0131l\u0131kta s\u0131k kar\u015f\u0131la\u015f\u0131lan durumlardan birinin de kayma oldu\u011funu dile getiren Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cKayma, ki\u015finin bir s\u00fcre madde veya davran\u0131\u015ftan uzak kald\u0131ktan sonra yeniden kullan\u0131ma y\u00f6nelmesidir.\u201d dedi.<\/p>\n<p>Bu s\u00fcrecin genellikle ani olmad\u0131\u011f\u0131n\u0131 a\u00e7\u0131klayan \u00c7evirir, \u201c\u00d6ncesinde r\u00fcyalar, tetikleyici d\u00fc\u015f\u00fcnceler, \u00e7evresel uyaranlar ve duygusal dalgalanmalar g\u00f6r\u00fcl\u00fcr. Ya\u011fmurdan \u00f6nce havan\u0131n kapatmas\u0131 gibi, kayman\u0131n da \u00f6nc\u00fc i\u015faretleri vard\u0131r. Bu sinyallerin erken fark edilmesi, n\u00fcks\u00fcn \u00f6nlenmesi a\u00e7\u0131s\u0131ndan hayati \u00f6neme sahiptir. Ailenin ve sosyal \u00e7evrenin tutumu, tedavinin seyrini do\u011frudan etkiler. A\u015f\u0131r\u0131 kontrolc\u00fc, su\u00e7lay\u0131c\u0131 veya bask\u0131lay\u0131c\u0131 yakla\u015f\u0131mlar tedaviye direnci art\u0131rabilir. Ayn\u0131 \u015fekilde \u2018iyi polis\u2013k\u00f6t\u00fc polis\u2019 tutumlar\u0131 da sa\u011fl\u0131kl\u0131 de\u011fildir. \u00d6nemli olan, hastay\u0131 s\u00fcrekli sorgulamak yerine, kullan\u0131m davran\u0131\u015f\u0131na zemin haz\u0131rlayan nedenler \u00fczerinde durmakt\u0131r.\u201d a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n<p><strong>Ba\u011f\u0131ml\u0131l\u0131kta en \u00e7ok zarar g\u00f6ren ve en ge\u00e7 onar\u0131lan alan: G\u00fcven!\u00a0<\/strong><\/p>\n<p>Ba\u011f\u0131ml\u0131 bireylerin ge\u00e7mi\u015fte ya\u015fad\u0131klar\u0131 yo\u011fun haz deneyimlerini \u00f6zlemle an\u0131msamalar\u0131n\u0131n do\u011fal oldu\u011funu aktaran Klinik Psikolog \u00c7a\u011fr\u0131\u00a0Akyol\u00a0\u00c7evirir, \u201cBu durum, bir t\u00fcr yas s\u00fcreci olarak da de\u011ferlendirilebilir. Ki\u015fi, art\u0131k eskisi kadar yo\u011fun haz alamad\u0131\u011f\u0131n\u0131 fark etti\u011finde hayal k\u0131r\u0131kl\u0131\u011f\u0131 ya\u015fayabilir.\u201d dedi.<\/p>\n<p>\u0130yile\u015fme s\u00fcresinin ki\u015fiden ki\u015fiye de\u011fi\u015fti\u011fini hat\u0131rlatan \u00c7evirir, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n<p>\u201cBu s\u00fcre\u00e7 ki\u015finin hastal\u0131k fark\u0131ndal\u0131\u011f\u0131na, sosyal deste\u011fine, beynin maruz kald\u0131\u011f\u0131 hasara ve ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n kronikle\u015fme d\u00fczeyine ba\u011fl\u0131d\u0131r. Bu nedenle ba\u011f\u0131ml\u0131l\u0131k i\u00e7in kesin bir iyile\u015fme s\u00fcresi tan\u0131mlamak m\u00fcmk\u00fcn de\u011fildir. Ailelerin bu s\u00fcre\u00e7te sevgi, \u015fefkat ve sab\u0131r g\u00f6stermesi; ancak ayn\u0131 zamanda sa\u011fl\u0131kl\u0131 s\u0131n\u0131rlar koyabilmesi gerekir. A\u015f\u0131r\u0131 kayg\u0131 bula\u015f\u0131c\u0131d\u0131r ve ki\u015fiyi bask\u0131 alt\u0131nda hissettirebilir. G\u00fcven, ba\u011f\u0131ml\u0131l\u0131k s\u00fcrecinde en \u00e7ok zarar g\u00f6ren alanlardan biridir ve yeniden in\u015fas\u0131 zaman al\u0131r. G\u00fcvenememek anla\u015f\u0131labilir bir durumdur; ancak g\u00fcvensizli\u011fi s\u00fcrekli hastaya yans\u0131tmak, iyile\u015fmeyi olumsuz etkileyebilir. Bu nedenle bir ad\u0131m geriden, dikkatli ama sakin bir izleme daha sa\u011fl\u0131kl\u0131 bir yakla\u015f\u0131md\u0131r.\u201d<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL HASTANES\u0130 Klinik Psikolog \u00c7a\u011fr\u0131 Akyol \u00c7evirir, ba\u011f\u0131ml\u0131l\u0131k tedavisinde hastane s\u00fcrecinden sonra ba\u015flayan g\u00fcndelik hayata uyum a\u015famas\u0131nda, n\u00fcks riskleri, aile tutumu ve psikoterapinin rol\u00fc hakk\u0131nda bilgi verdi.<\/p>\n","protected":false},"author":1,"featured_media":17621,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[3345,467,3344,544,577],"class_list":["post-17620","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bagimlilik","tag-hasta","tag-kisinin","tag-sure","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/17620","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=17620"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/17620\/revisions"}],"predecessor-version":[{"id":17622,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/17620\/revisions\/17622"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/17621"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=17620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=17620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=17620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}