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Özel Moodist Hastanesi | +90 216 912 17 17 Facebook : / moodisthastanesi Twitter...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/4083955/a3bdd776f6cc2d8cd73632fe9099cb9a/564x318_1"},"target":"_self","position":"1","reqid":"1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=videoid:12995231781118428319","teaser":[{"list":{"type":"unordered","items":["Bu video, psikiyatri uzmanı Profesör Doktor Gültekin Ögel ile yapılan bir röportaj formatındadır.","Röportajda madde bağımlılığının tanımı, beyindeki etkileri, nedenleri ve tedavi süreci detaylı olarak ele alınmaktadır. İlk bölümde bağımlılığın sadece madde değil, sigara, internet ve kumar gibi diğer alanlarda da görülebileceği, beyindeki dopamin reseptörlerinin etkisi ve şüpheli davranışların belirtileri anlatılırken, ikinci bölümde tedavi sürecinin motivasyon, arınma ve yaşam değişimi aşamalarından oluştuğu açıklanmaktadır.","Röportajda ayrıca bağımlılığın ruhsal travma, dikkat eksikliği hiperaktivite ve depresyon gibi sorunlarla ilişkisi, bağımlılığa meyilli kişilik tipleri ve tedavi için AMATEM gibi merkezlerin yanı sıra ilk olarak psikiyatri veya psikoloji uzmanlarının görülmesi gerektiği vurgulanmaktadır."]},"endTime":1176,"title":"Madde Bağımlılığı Hakkında Bilgilendirici Röportaj","beginTime":0}],"fullResult":[{"index":0,"title":"Madde Bağımlılığı Tanımı","list":{"type":"unordered","items":["Madde bağımlılığı, tüm uyuşturucu maddelerinin beyni değiştirerek insanın yaşamını bozmaya başladığı bir durumdur.","Bağımlılık, kişinin kullandığı maddeyi artık durduramamasına işaret eder ve ilk 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ve kendini ifade edemeyenlerle çok hareketli ve kendini ifade eden kişilerde.","Bağımlılık için biyolojik faktörler, aile ve arkadaş çevresi gibi birçok faktör etkili olabilir.","Boşanmış ailelerin çocuklarının büyük çoğunluğu kullanmaz, ancak aile sistemi idare edilmiyorsa ve çevrede arkadaşlar varsa risk artar."]},"beginTime":435,"endTime":646,"href":"/video/preview/12995231781118428319?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=435&ask_summarization=1"},{"index":4,"title":"Madde Kullanımının Ruhsal Etkileri","list":{"type":"unordered","items":["Madde kullanımının yanında muhakkak bir sorun vardır, eskiden eşlik eden sorunlar diye bahsedilirken şimdi başlatan bir sorun olarak görülür.","Madde bağımlılığı psikolojik sorunlara yol açabilir veya zaten var olan sorunları tetikleyebilir.","Stresle başa çıkma becerilerinin kaybolması veya zaten düşük olanlarda daha çok alkol ve sigara kullanımı görülebilir."]},"beginTime":646,"endTime":675,"href":"/video/preview/12995231781118428319?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=646&ask_summarization=1"},{"index":5,"title":"Bağımlılık ve Eşlik Eden Sorunlar","list":{"type":"unordered","items":["Dikkat eksikliği hiperaktivite, depresyon ve duygusal dengelenme bozukluğu bağımlılıkla eşlik eden sorunlar olarak görülmektedir.","Son yıllarda bağımlıların önemli bir kısmında ruhsal travma veya aile içinde istismar vakası öyküsü bulunmaktadır.","Bağımlılık, sadece madde bağımlılığı değil, internet, insan, aşk, seks ve alışveriş gibi herhangi bir şeye gereğinden fazla meyil etmek de bir tür bağımlılık olarak değerlendirilebilir."]},"beginTime":690,"endTime":863,"href":"/video/preview/12995231781118428319?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=690&ask_summarization=1"},{"index":6,"title":"Bağımlılık Tedavisi Aşamaları","list":{"type":"unordered","items":["Bağımlılık tedavisinin ilk aşaması kişinin motive olmasıdır, ikinci aşama arınma aşamasıdır.","Arınma aşamasında beyni ve vücudun normal metabolik haline çevirme süreci yaşanır, bu süreçte uykusuzluk, sinirlilik ve terleme gibi problemler ortaya çıkabilir.","Üçüncü aşama değişim aşamasıdır; alışkanlık, yaşam düzeni, arkadaş ilişkileri ve zaman değerlendirmesi gibi birçok şeyin değiştirilmesi gerekir."]},"beginTime":863,"endTime":946,"href":"/video/preview/12995231781118428319?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=863&ask_summarization=1"},{"index":7,"title":"Bağımlılık Tedavisinde Önemli Noktalar","list":{"type":"unordered","items":["Bağımlılık tedavisi toplam on iki aydır ve bu süre tamamlandığında geri dönmek çok zordur.","Bağımlılık nöral bir patika olduğu için, çok kullanılmış bir nöral resminin değişmesi en erken yüz günde olur.","Madde bağımlılığı tedavisinde önce 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Oturumda uzmanlar, katılımcılarla etkileşimli bir şekilde konuşmaktadır.","Video, afet dönemlerinde bağımlılık oranlarının nasıl arttığı, ruhsal travmaların bağımlılığa nasıl yol açtığı ve bu iki durum arasındaki ilişkileri açıklamaktadır. Sunum, bilimsel modeller ve beyin fonksiyonları üzerinden bağımlılık ve travma arasındaki döngüyü ele almakta, ardından soru-cevap oturumuyla devam etmektedir.","Videoda ayrıca, travma sonrası acıların kabul edilmesi, yalnız kalmamak, günlük rutinlere dönmek, bedene odaklanmak ve öz bakıma önem vermenin travma iyileşmesi için önemli stratejiler olduğu vurgulanmaktadır. Katılımcılar, deprem sonrası travma ve bağımlılık sorunlarıyla ilgili çeşitli sorular sormakta, uzmanlar ise bu konularda pratik öneriler sunmaktadır."]},"endTime":3643,"title":"Afetlerde Bağımlılık ve Ruhsal Travma Üzerine Bilgilendirme Oturumu","beginTime":0}],"fullResult":[{"index":0,"title":"Giriş ve Konuşmacıların Tanıtımı","list":{"type":"unordered","items":["Konuşmacı, ülkede yaşanan depremde hayatını kaybedenlere rahmet ve yaralılar için şifa dilemektedir.","Prof. Dr. Kültegin Ögel'in destek ve tecrübelerini paylaşması için katıldığına teşekkür edilmektedir.","Katılımcılara değerli vaktini ayırıp katılım gösterdikleri için teşekkür edilmektedir."]},"beginTime":1,"endTime":144,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1&ask_summarization=1"},{"index":1,"title":"Afetler ve Bağımlılık Arasındaki İlişki","list":{"type":"unordered","items":["Afetler ve ruhsal travmalar alkol, madde ve kumar kullanımını tetikleyebilir, kullanmayan kişiler bile kullanmaya başlayabilir.","Ruhsal travmalar, alkol, madde ve kumar kullanan kişiler için bağımlı olmaya yol açabilir veya bağımlı olanlarda bağımlılığın şiddetini artırabilir.","İyileşmiş bağımlılarda yeniden bağımlı olma riski artabilir ve eski travmalar canlanabilir."]},"beginTime":144,"endTime":266,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=144&ask_summarization=1"},{"index":2,"title":"Bağımlılık ve Ruhsal Travma İlişkisi","list":{"type":"unordered","items":["Dörtte üçünde bağımlılar ruhsal bir travma öyküsüne sahiptir ve bu oran son çalışmalarla daha da yüksektir.","Ruhsal travma öyküsü olanlarda bağımlılık gelişme riski izleme çalışmalarında dört-beş kat daha fazladır.","Afetlerden sonra bağımlılık oranı yüzde otuzbeş artmaktadır."]},"beginTime":266,"endTime":361,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=266&ask_summarization=1"},{"index":3,"title":"Afetlerde Ruhsal Sorunlar ve Bağımlılık","list":{"type":"unordered","items":["Afetler ruhsal sorunları artırdığı için birçok insan alkol, madde veya kumara başvurarak bu sorunlarla başa çıkmaya çalışır.","Afetler doğrudan bağımlılığı da tetikleyebilir ve bağımlı kişilerde ruhsal sorunlar çok fazla olur.","Afet olaylarında önce ruhsal sorunlar artır, ardından bağımlılık sorunları gelişmeye başlar."]},"beginTime":361,"endTime":440,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=361&ask_summarization=1"},{"index":4,"title":"Bağımlılık ve Stresle Başa Çıkma Yolu","list":{"type":"unordered","items":["İnsanlar genellikle alkol, madde veya kumarı stresle başa çıkma yolu olarak kullanırlar.","İşten eve gelince bir kadeh içmek, gece yatmadan önce bir cigaralık içmek, sinirlenince sigara içmek gibi alışkanlıklar aslında stresle başa çıkma yollarıdır.","Afetlerde insanlar acı görüntüleri başa çıkmanın bir yolunu bulmak için alkol, madde veya kumarı kullanabilirler."]},"beginTime":440,"endTime":569,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=440&ask_summarization=1"},{"index":5,"title":"Bağımlılık ve Stres Döngüsü","list":{"type":"unordered","items":["Ruhsal travma yaşayan bir kişi, stres ve acıyı azaltmak için alkol, madde, sigara veya uyuşturucu kullanır.","Bu kaçınma davranışı geçici rahatlama sağlar, ancak madde kandan çekilince stres ve acı daha da artar.","Kişinin ses ve acısını azaltmaya çalışması, aslında bunları daha da artırmasına neden olur."]},"beginTime":589,"endTime":748,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=589&ask_summarization=1"},{"index":6,"title":"Bağımlı Vortex Modeli","list":{"type":"unordered","items":["Bağımlı vortex modeli, kullanıcıların durumlarını sakin, hafif stresli, aşırı endişeli, şalteri kapatmış ve farkında olmama halleri olarak tanımlar.","Şalteri kapatmış hali, donakalmayı içerir ve kullanıcılar alkol maddeyi bu durumu sağlayarak beynini korumak için kullanır.","Farkında olmama hali, bağımlılığın gelişmesi ve kompulsif davranışların başlamasıdır."]},"beginTime":748,"endTime":901,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=748&ask_summarization=1"},{"index":7,"title":"Polivagal Teori","list":{"type":"unordered","items":["Polivagal teori, bedensel sistemimizi anlatan, sosyal uyumlu, ses ve endişe, kaç ya da savaş, ve donakalma dönemlerini içeren bir teori.","Kaç ya da savaş döneminde kan basıncı yükselir, kalp atışları hızlanır ve adrenalin salınımı artar.","Donakalma döneminde ise kan basıncı ve kalp hızı düşer, utanç, şalteri kapatma, umutsuzluk ve depresyon gibi duygular ortaya çıkar."]},"beginTime":901,"endTime":1034,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=901&ask_summarization=1"},{"index":8,"title":"Beyin ve Travma İlişkisi","list":{"type":"unordered","items":["Hipokampus kısa dönemli hafızalar ve anıları kontrol eder, travma sonrası aynı olayların tekrar tekrar yaşanmasını sağlar.","Amigdala kaç-savaş ve donakalma emrini verir, orbitofrontal korteksi ise sosyal ve duygusal merkezdir.","Amigdala ve hipokampus'un travmada yaşattığı değişiklikler orbitofrontal korteksi etkiler, emosyonelleri değiştirir ve durma kapasitesini azaltır."]},"beginTime":1034,"endTime":1189,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1034&ask_summarization=1"},{"index":9,"title":"Acı Yaşamak ve İyileşme","list":{"type":"unordered","items":["Acı yaşanmalıdır ve ertelenmemelidir, aksi takdirde acı bizi peşimize takar.","Acılar bir kapasitesi vardır ve kronik dönemde zamanla acının niteliği değişmeye başlar.","Alkol, madde ve kumar iyileştirilmez, sadece yaraları sarmaz."]},"beginTime":1189,"endTime":1301,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1189&ask_summarization=1"},{"index":10,"title":"Alkol ve Ruhsal Travma İlişkisi","list":{"type":"unordered","items":["Alkol ve diğer maddeler ruhsal travmanın belirtilerini artırır ve her türlü belirtiyi güçlendirir.","Maddeler kullanıldığında geçici olarak stres yaşanmaz, ancak bu durum ertelenir ve madde geçtikten sonra tekrar yaşanır.","Maddeler kullanarak acıyı ertelemek, aslında yaşamı ertelemek demektir ve bu durum kişinin güçsüz hissetmesine neden olur."]},"beginTime":1309,"endTime":1427,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1309&ask_summarization=1"},{"index":11,"title":"İyileşme Yolları","list":{"type":"unordered","items":["Acılarda iyileşmenin yolu alkol, madde, kumar, sigara, yemek veya internet değildir.","İyileşme için alkol ve maddeye uzak durmak şarttır, çünkü ara sıra bile kullanmak acıları yaşamayı daha da uzatır.","Acıları kabullenmek, yenmeye veya bastırmaya uğraşmamak gerekir."]},"beginTime":1427,"endTime":1500,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1427&ask_summarization=1"},{"index":12,"title":"Günlük Rutinler ve Acı","list":{"type":"unordered","items":["Günlük rutinlere dönerek acıyı yenmek ya da bastırmak için değil, hayatın içinde olduğumuzda acıyı kabullenmek daha kolaydır.","Acıyı kabul etmenin en iyi yolu acılarla savaşmak değil, acılarla beraber olmaktır.","Acıyı kabul eden kişinin alkol, maddeye veya bağımlılık testine ihtiyacı olmayacaktır."]},"beginTime":1500,"endTime":1592,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1500&ask_summarization=1"},{"index":13,"title":"Yalnız Kalmamak ve Sosyal Desteğin Önemi","list":{"type":"unordered","items":["Yalnız kalmak bağımlılığı tetikleyen bir faktördür, emekli olan kişilerde alkol ve madde kullanımı artar.","Sosyal desteğin artması, kaygıları ve travmaları azaltan bir faktör haline gelir.","Yalnız kalmak ve acıyı ertelemek, acının devamına yol açar."]},"beginTime":1592,"endTime":1685,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1592&ask_summarization=1"},{"index":14,"title":"Boşluk ve Bedene Odaklanmak","list":{"type":"unordered","items":["Boşluk bağımlılığı tetikler ve ruhsal travma ile birlikte iyileştirici bir faktör değildir.","Bir şeylerle uğraşmak, boşluğu doldurmak acıdan kaçmak yerine günlük hayatı doldurmak anlamına gelir.","Bedene odaklanmak ve bedenimizi hissetmek önemlidir, tıraş olmak, öz bakımına bakmak veya nefes alıştırmaları gibi teknikler bedeni hissettirmeye yardımcı olur."]},"beginTime":1685,"endTime":1849,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1685&ask_summarization=1"},{"index":15,"title":"Boşluk ve Sağlıksız Çözümler","list":{"type":"unordered","items":["Odaklanmazsanız, boş kalırsanız veya yalnız kalırsanız, bir başka sağlıksız yöntem bulacaksınız.","Alkol içmek veya sigara içme miktarını artırma gibi sağlıksız çözümler ortaya çıkabilir.","Son iki-üç haftada bir danışanın günde bir paket sigara içtiği yerine üç paket içmeye başladığı belirtilmiştir."]},"beginTime":1849,"endTime":1870,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1849&ask_summarization=1"},{"index":16,"title":"Afet Döneminde Kararlar ve Sorgulamalar","list":{"type":"unordered","items":["Afet dönemlerinde alınan kararlar genellikle yanlıştır ve bu dönemlerde hayatımızı, geleceğimizi, geçmişimizi ve ilişkilerimizi sorgulamaya çalışırız.","Bu sorgulamalar ve kararlar günümüzdeki stres ve sıkıntıları artırır, bu nedenle bunları biraz ertelemek gerekir.","Afet dönemlerinde zihin sürekli çalışır ve bu durumu durdurmak için insanlar sigara, alkol veya uyuşturucu kullanmaya başlar."]},"beginTime":1880,"endTime":1971,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1880&ask_summarization=1"},{"index":17,"title":"Spor ve İyileşme Planları","list":{"type":"unordered","items":["Spor yapmak zihni durdurmak için en iyi yöntemdir çünkü endorfin salgılar ve acıyı alır.","Herkesin bir iyileşme planı olmalıdır; saç kesmek, spor yapmak gibi aktiviteler bu planın parçaları olabilir.","Sürekli olayı düşünmek yerine kendiniz için bir iyileşme planı yapmak önemlidir, aksi takdirde sorun devam eder ve bağımlılık riski artar."]},"beginTime":1971,"endTime":2073,"href":"/video/preview/9438212132535571661?parent-reqid=1766888941401479-6850361738430961663-balancer-l7leveler-kubr-yp-klg-101-BAL&text=OGEL&t=1971&ask_summarization=1"},{"index":18,"title":"Bağımlılık ve Afet Dönemi","list":{"type":"unordered","items":["Bağımlılar afet dönemlerinde durumları zorlaşır, ulaşım azalır ve 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