{"id":2082,"date":"2020-04-23T16:54:25","date_gmt":"2020-04-23T13:54:25","guid":{"rendered":"http:\/\/www.tpocg.org\/blog\/?p=2082"},"modified":"2020-04-23T16:58:16","modified_gmt":"2020-04-23T13:58:16","slug":"klinik-psikolog-nuray-altintastan-bagimlilik-psikolojisi","status":"publish","type":"post","link":"http:\/\/www.tpocg.org\/blog\/klinik-psikolog-nuray-altintastan-bagimlilik-psikolojisi","title":{"rendered":"Klinik Psikolog Nuray Alt\u0131nta\u015f\u2019tan Ba\u011f\u0131ml\u0131l\u0131k Psikolojisi"},"content":{"rendered":"\n

1)Nuray Alt\u0131nta\u015f kimdir?<\/strong><\/p>\n\n\n\n

Ben Klinik Psikolog Nuray Alt\u0131nta\u015f. Bal\u0131kesir do\u011fumluyum. \u0130\u015fletme Fak\u00fcltesi ve \u0130lahiyat Fak\u00fcltesi\u2019ni bitirdikten sonra, Psikolojiye ve e\u011fitime olan ilgim artt\u0131\u011f\u0131 i\u00e7in Psikolog olma karar\u0131 al\u0131p bu yolda uzun bir yolculu\u011fa ba\u015flam\u0131\u015f oldum. \u00dcsk\u00fcdar \u00dcniversitesi Psikoloji b\u00f6l\u00fcm\u00fcn\u00fc onur derecesiyle bitirdim. Y\u00fcksek lisans karar\u0131n\u0131n ard\u0131ndan, \u00dcsk\u00fcdar \u00dcniversitesi Klinik Psikoloji y\u00fcksek lisans program\u0131n\u0131 bitirdim. Psikiyatrik hastal\u0131klara kar\u015f\u0131 olan ilgim giderek artt\u0131\u011f\u0131 i\u00e7in e\u011fitimime \u201cBa\u011f\u0131ml\u0131l\u0131k\u201d alan\u0131nda da devam etmek istedim. \u00dcsk\u00fcdar \u00dcniversitesi Ba\u011f\u0131ml\u0131l\u0131k Dan\u0131\u015fmanl\u0131\u011f\u0131 ve Rehabilitasyon y\u00fcksek lisans program\u0131n\u0131 bitirdim. Tek hayalim kendi merkezimi a\u00e7makt\u0131. E\u011fitim ve psikoterapi alan\u0131nda farkl\u0131 bir vizyona sahip olan N\u00f6rovizyon Psikolojik Dan\u0131\u015fmanl\u0131k ve E\u011fitim Merkezi\u2019mi 2019 y\u0131l\u0131nda a\u00e7t\u0131m.<\/p>\n\n\n\n

 2)Ba\u011f\u0131ml\u0131l\u0131k nedir?<\/strong><\/p>\n\n\n\n

 Ba\u011f\u0131ml\u0131l\u0131k; bir maddenin ya\u015fam\u0131, sa\u011fl\u0131\u011f\u0131 olumsuz etkilemesine ve kullanmaya ba\u015flad\u0131ktan sonra ki\u015finin kendisini durduramamas\u0131na neden olmaktad\u0131r. Bu duruma ba\u011f\u0131ml\u0131l\u0131k denir.  Ba\u011f\u0131ml\u0131l\u0131k bir beyin hastal\u0131\u011f\u0131 olup, mutlaka tedavi edilmesi gerekmektedir. Fiziksel ba\u011f\u0131ml\u0131l\u0131k, kullan\u0131lan maddeye kar\u015f\u0131 bir adaptasyon geli\u015fmesine ba\u011fl\u0131 olarak maddenin varl\u0131\u011f\u0131na kar\u015f\u0131 duyulan fizyolojik bir istektir. Ruhsal ba\u011f\u0131ml\u0131l\u0131k ise ki\u015finin duygusal ya da ki\u015filik yap\u0131s\u0131 gere\u011fi, gereksinimlerini tatmin etme\/giderme amac\u0131 ile o maddeye d\u00fc\u015fk\u00fcnl\u00fc\u011f\u00fcd\u00fcr.<\/p>\n\n\n\n

3)Ba\u011f\u0131ml\u0131l\u0131k belirtileri nelerdir?<\/strong><\/p>\n\n\n\n

Psikiyatrik bir sendrom olan ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n tan\u0131s\u0131 i\u00e7in a\u015fa\u011f\u0131da say\u0131lan \u00f6l\u00e7\u00fctlerin yaln\u0131zca \u00fc\u00e7\u00fcn\u00fcn bir arada g\u00f6r\u00fclmesi yeterlidir;<\/p>\n\n\n\n

\u2022 Kullan\u0131lan maddeye tolerans geli\u015fmesi<\/p>\n\n\n\n

\u2022 Madde kesildi\u011finde ya da azalt\u0131ld\u0131\u011f\u0131nda yoksunluk belirtilerinin ortaya \u00e7\u0131kmas\u0131<\/p>\n\n\n\n

\u2022 Madde kullan\u0131m\u0131n\u0131 denetlemek ya da b\u0131rakmak i\u00e7in yap\u0131lan ama bo\u015fa \u00e7\u0131kan \u00e7abalar<\/p>\n\n\n\n

\u2022 Maddeyi sa\u011flamak, kullanmak ya da b\u0131rakmak i\u00e7in b\u00fcy\u00fck zaman harcama<\/p>\n\n\n\n

\u2022 Madde kullan\u0131m\u0131 nedeni ile sosyal, mesleki ve ki\u015fisel etkinliklerin olumsuz etkilenmesi<\/p>\n\n\n\n

\u2022 Maddenin daha uzun ve y\u00fcksek miktarlarda al\u0131nmas\u0131<\/p>\n\n\n\n

\u2022 Fiziksel ya da ruhsal sorunlar\u0131n ortaya \u00e7\u0131kmas\u0131na ya da artmas\u0131na ra\u011fmen madde kullan\u0131m\u0131n\u0131 s\u00fcrd\u00fcrmek<\/p>\n\n\n\n

 4)Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n biyolojik y\u00f6nleri nelerdir?<\/strong><\/p>\n\n\n\n

 Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n geli\u015fmesinde beynin \u00f6d\u00fcl merkezi olarak bilinen ventral tegmental alan, beynin muhakeme, karar verme, d\u00fcrt\u00fc denetimi gibi bir\u00e7ok fonksiyonlar\u0131ndan sorumlu frontal korteks, duygular\u0131n y\u00f6netiminden sorumlu amigdala, \u00f6\u011frenme ile ili\u015fkili nucleus acumbens ve striatum gibi bir\u00e7ok beyin b\u00f6lgesinin sorumlu oldu\u011fu bilinmektedir. Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n her bir a\u015famas\u0131nda beynin farkl\u0131 b\u00f6lgelerinde de\u011fi\u015fiklikler meydana gelmektedir. Bu nedenle ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n geli\u015fimi \u00e7ok karma\u015f\u0131k bir s\u00fcre\u00e7tir. Normalde yemek yeme, m\u00fczik dinleme, seyahat etme gibi bize zevk veren uyaranlar beynin \u00f6d\u00fcl merkezinde dopaminin artmas\u0131na neden olur. Madde kullan\u0131m\u0131 da \u00f6d\u00fcl merkezinden y\u00fcksek miktarda dopamin salg\u0131lanmas\u0131na neden olur. Salg\u0131lanan bu dopamin ki\u015finin haz almas\u0131na neden olur. Madde al\u0131m\u0131n\u0131n tetikledi\u011fi dopamin sal\u0131n\u0131m\u0131 zaman i\u00e7erisinde frontal kortkesi etkileyerek yanl\u0131\u015f karar al\u0131nmas\u0131na, se\u00e7ilen eylemlerin madde kullan\u0131m\u0131 ile s\u0131n\u0131rl\u0131 kalmas\u0131na neden olmaktad\u0131r. Ayn\u0131 zamanda dopamin nucleus accumbens ve striatum gibi beynin \u00f6\u011frenme ile ilgili b\u00f6lgelerini de etkileyerek \u00f6\u011frenme yetisinin bozulmas\u0131na neden olur. Madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 geli\u015fen ki\u015filerin ayn\u0131 zamanda yeni bilgiyi \u00f6\u011frenme, kaydetme ve hat\u0131rlama yetilerinde de bozukluk geli\u015fmektedir. Tekrarlay\u0131c\u0131 ve a\u015f\u0131r\u0131 dopamin sal\u0131n\u0131m\u0131 do\u011fal \u00f6d\u00fcllendirici olarak bilinen ve normal \u015fartlarda ki\u015fiye keyif veren yemek yeme ve sanattan-m\u00fczikten keyif almas\u0131na da engel olmaktad\u0131r.<\/p>\n\n\n\n

 5)Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n psikolojik taraf\u0131 nedir?<\/strong><\/p>\n\n\n\n

 Ba\u011f\u0131ml\u0131l\u0131k psikolojik a\u00e7\u0131dan de\u011ferlendirildi\u011finde ba\u015flang\u0131\u00e7ta ki\u015filere keyif vermekle birlikte, bu anl\u0131k keyifler giderek ruhsal bozuklu\u011fa sebep olmakta, iradenin kontrolden \u00e7\u0131kmas\u0131na ve akl\u0131n \u00e7al\u0131\u015famaz hale gelmesine neden olmaktad\u0131r. Bu ruhsal bozukluk kendisini; ki\u015finin ola\u011fan ya\u015fam\u0131na ve davran\u0131\u015flar\u0131na sirayet ederek \u00f6z bak\u0131m\u0131n azalmas\u0131 sosyal ya\u015famda geriye \u00e7ekilme \u015feklinde g\u00f6stermektedir. \u0130nsan\u0131n uyum g\u00fcc\u00fcn\u00fc zay\u0131flatarak, i\u015f ve okul hayat\u0131na devam edemeyen ki\u015fiyi ba\u015far\u0131s\u0131zl\u0131klara s\u00fcr\u00fcklemektedir.  Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n t\u00fcm etkileri zincirleme bir \u015fekilde birbirini etkileyerek, ki\u015fiden ki\u015fiye hayatlar\u0131n\u0131n farkl\u0131 alanlar\u0131nda farkl\u0131 sonu\u00e7lar do\u011fursa da, asl\u0131nda ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n psikoloji \u00fczerindeki etkisi nedeniyle ki\u015fileri muhtemel tekbir yola sokmaktad\u0131r bu da ba\u015far\u0131s\u0131zl\u0131k yoludur. Bahsetti\u011fimiz i\u015f okul ve sosyal hayattaki ba\u015far\u0131s\u0131zl\u0131klar\u0131n yan\u0131 s\u0131ra ki\u015filerdeki \u00f6fke kontrol mekanizmas\u0131n\u0131 bozarak gereksiz tart\u0131\u015fmalara, ba\u011f\u0131ml\u0131 ki\u015filerin toplumsal sorun \u00e7\u0131kartmalar\u0131na, anksiyete ve ani \u00f6fke patlamalar\u0131na yol a\u00e7arak ki\u015filerin adli problemlerle de kar\u015f\u0131la\u015fmas\u0131na neden olmaktad\u0131r. A\u00e7\u0131klam\u0131\u015f oldu\u011fumuz sebep sonu\u00e7 ili\u015fkileri de\u011ferlendirildi\u011finde, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n davran\u0131\u015fsal sosyal ve biyolojik olarak incelemesi yap\u0131lmas\u0131na ra\u011fmen her bireyde asl\u0131nda ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n psikolojik taraf\u0131n\u0131n ki\u015fileri en \u00e7ok etkileyen ve ki\u015filere en \u00e7ok zarar veren taraflar\u0131ndan oldu\u011funu g\u00f6rebiliyoruz.<\/p>\n\n\n\n

 6)Ba\u011f\u0131ml\u0131l\u0131k Tedavisi nas\u0131ld\u0131r?<\/strong><\/p>\n\n\n\n

T\u0131pk\u0131 di\u011fer kronik hastal\u0131klarda oldu\u011fu gibi ba\u011f\u0131ml\u0131l\u0131kta da tamamen iyile\u015fme yani hastal\u0131\u011f\u0131n hi\u00e7 olmam\u0131\u015f gibi ortadan kalkmas\u0131 m\u00fcmk\u00fcn de\u011fildir. \u0130yile\u015fme yerine d\u00fczelme ya da de\u011fi\u015fim demek daha do\u011fru olacakt\u0131r. Buradaki de\u011fi\u015fimden kastedilen ki\u015finin kullan\u0131m\u0131n\u0131 durdurmas\u0131n\u0131n yan\u0131 s\u0131ra kulland\u0131\u011f\u0131 maddeye kar\u015f\u0131 duydu\u011fu iste\u011fi kontrol alt\u0131na alabilmesi, d\u00fczenli bir hayata devam edebilmesi, ya\u015fad\u0131\u011f\u0131 olumsuz olaylarla alkol ya da madde olmadan ba\u015f edebilmesi, stresle ba\u015f etme g\u00fcc\u00fcn\u00fcn ve olumsuz duygular\u0131 kontrol etme becerisinin geli\u015fmi\u015f olmas\u0131 olarak tan\u0131mlanabilir. Ki\u015finin tedavisinde kullan\u0131ma sebep olabilecek fakt\u00f6rlerin saptanmas\u0131 ve bu ihtiya\u00e7lar\u0131n alkol ve madde olmadan kar\u015f\u0131lanabilecek d\u00fczeye gelmi\u015f olmas\u0131 hedeflenmektedir. Ancak tedavide bu noktalar eksik b\u0131rak\u0131ld\u0131\u011f\u0131nda ve ki\u015finin tekrar kullan\u0131m olmas\u0131 durumunda hastal\u0131\u011f\u0131n alevlenmesi ve k\u0131sa s\u00fcre i\u00e7erisinde sorunlu kullan\u0131m haline d\u00f6nmesi beklenen bir durumdur.  \u0130yile\u015fme ki\u015fiden ki\u015fiye bir tak\u0131m farkl\u0131l\u0131klar g\u00f6sterse de genellikle her d\u00f6nemin kendine ait \u00f6zellikleri vard\u0131r. Tedavide kullan\u0131lan y\u00f6ntemler;<\/p>\n\n\n\n

 1<\/strong>.Bireysel Psikoterapi<\/p>\n\n\n\n

 2<\/strong>.Ba\u011f\u0131ml\u0131l\u0131kla \u0130lgili Grup Terapileri<\/p>\n\n\n\n

 3<\/strong>.Etkile\u015fim Grup Terapileri<\/p>\n\n\n\n

 4<\/strong>.\u0130la\u00e7 Tedavisi<\/p>\n\n\n\n

 5<\/strong>.N\u00f6romod\u00fclasyon y\u00f6ntemler (Derin Beyin Uyar\u0131m (Deep TMS)) Tedavisi<\/p>\n\n\n\n

 6<\/strong>.Aile E\u011fitimleri<\/p>\n\n\n\n

Haz\u0131rlayan: Mesleki Bilgilendirme ve Fark\u0131ndal\u0131k Platformu-  \u0130rem Erdem, Merve Akp\u0131nar<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Bundan sonra her ay Ak\u0131l Defterim\u2019de payla\u015faca\u011f\u0131m\u0131z Mesleki Bilgilendirme Platformu R\u00f6portaj Serisinin bu ayki rop\u00f6rtaj\u0131 ”Ba\u011f\u0131ml\u0131l\u0131k Psikolojisi”, Sevgili Klinik Psikolog Nuray Alt\u0131nta\u015f’\u0131n \u015fahane anlat\u0131m\u0131yla kar\u015f\u0131n\u0131zda.<\/p>\n","protected":false},"author":1,"featured_media":2087,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,10],"tags":[627,27],"yoast_head":"\nKlinik Psikolog Nuray Alt\u0131nta\u015f\u2019tan Ba\u011f\u0131ml\u0131l\u0131k Psikolojisi | Ak\u0131l Defterim<\/title>\n<meta name=\"description\" content=\"Psikoloji \u00f6\u011frencilerinin kaleminden yaz\u0131lar.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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