Mgr. Zuzana Navrátilová PhD.

Psychológ, Psychoterapeut Slovenskej psychoterapeutickej spoločnosti

lieky-s-alkoholom

Lieky s alkoholom

By

On 30 marca, 2016

In Články

Obraciam sa na Vás s otázkou, dúfam, že vaši odborníci mi odpovedia.

Mám schizoidnú poruchu osobnosti. Užívam antidepresíva, ale veľmi mi chutí alkohol. Zatiaľ mi táto kombinácia nič nespôsobila, necítim, že by mi to škodilo. Môže to ovplyvniť nejako moje zdravie, nebudem mať väčšiu sklony dostať Alzheimerovu chorobu?

Ďakujem vám za skorú odpoveď.

 Alena z Lučenca

lieky-s-alkoholomSnáď by bolo fajn na začiatok, ešte kým vám odpoviem na otázku, vysvetliť čitateľom, čo je to schizoidná porucha osobnosti. Mnohí poznajú aspoň z počutia schizofréniu, ktorý by sa so schizoidnou poruchou osobnosti nemala zamieňať. Vy sama nepíšete, či vám to niekto niekedy vysvetlil, resp. ako rozumiete svojmu ochoreniu. Pre každého, kto má určité vážnejšie alebo menej vážne psychické ochorenie, je dôležité porozumenie svojho psychického stavu.

Porucha, ktorou trpíte vy a mnoho ďalších ľudí, by sa dala zjednodušene vysvetliť na príklade, ako sa každý človek snaží stať sa nezameniteľnou osobnosťou. Vidíme to napríklad na tom, ako citlivo reagujeme, ak niekto zmení alebo skomolí naše meno,. Nechceme byť ľubovoľne zameniteľní. Snaha odlíšiť sa od ostatných je nám daná práve tak, ako protikladné úsilie patriť ako sociálne bytosti ku skupinám alebo kolektívom. Chceme mať možnosť žiť pre svoje osobné záujmy a zároveň by sme chceli žiť s blízkymi. Úsilie ľudí so schizoidnou poruchou osobnosti smeruje k tomu, aby boli čo najviac nezávislí, samostatní, od nikoho neboli závislí, nikomu neboli zaviazaní, nikoho nepotrebovali. Preto sa dištancujú od ľudí, nenechajú ich priblížiť sa k sebe, držia si od nich dostup. Ak sa tento dostup zmenší, prežívajú to ako ohrozenie svojej existencie, svojho životného priestoru a rozvíjajú tak strach z medziľudskej blízkosti, ktorý je pre nich typický. Len veľmi málo takýchto ľudí vyhľadá aj odbornú pomoc psychiatra alebo psychológa. Vy zrejme do tejto skupiny patríte, keďže užívate antidepresíva.

Vo svojom krátkom liste uvádzate svoje ochorenie, lieky, alkohol, ale aj obavy z rozvinutia Alzheimerovej choroby ako aj o vlastné zdravie. Váš strach sa zdá byť logický a celkom prirodzený vo vzťahu ku kombinácii alkoholu a liekov. Kombinovať lieky ovplyvňujúce psychiku s alkoholom je za každých okolností zdraviu škodlivé a rizikové.

Z krátkodobého hľadiska môžete ich kombinovaný účinok vnímať ako uvoľnenie, rozpustenie problémov a napätia. Takýmto spôsobom môžete siahať po riešení svojich problémov, avšak nezdravým spôsobom a len na krátky čas.

Z dlhodobého hľadiska to však ovplyvňuje nielen vaše psychické funkcie, ale aj schopnosť rozlišovať prospešnosť a rizikovosť takéhoto konania. Zodpovedať otázku o sklone k Alzheimerovaej chorobe by vám však mal váš psychiater, ktorého pravidelnú návštevu by bolo vhodné zvážiť, aj s ohľadom na zlepšenie kvality vášho života a zdravia. Návšteva by vám prípadne mohla pomôcť hľadať zdravšie spôsoby riešenia vašich ťažkostí.

 

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