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For young people, anxiety is the most common childhood psychiatric condition.
A szorongás a legelterjedtebb gyerekkori beteges elmeállapot.
en-hu
These disorders start early, by age four, and by adolescence, one in 12 youths are severely impaired in their ability to function at home, in school and with peers.
Korai jelei már négyévesen megjelennek. Kamaszkorára minden 12. gyerek súlyosan károsult az otthoni, iskolai vagy személyes és társas kapcsolatainak kialakításában.
en-hu
These kids are so frightened, worried, literally physically uncomfortable due to their anxiety.
इससे बुरी तरह से प्रभावित होता है | ये बच्चे बहुत डरते हैं चिन्तित होते हैं, सच में, उनकी चिंता के कारण शारीरिक रूप से असहज होते हैं |
en-hi
It's difficult for them to pay attention in school, relax and have fun, make friends and do all the things that kids should be doing.
他们在学校里无法专心、 放松、玩耍、 交朋友, 以及做他们的年龄该做的事。
en-zh-cn
Anxiety can create misery for the child, and the parents are front and center in witnessing their child's distress.
Angst kann Elend für das Kind bringen und die Eltern sind die ersten Zeugen der Verzweiflung ihres Kindes.
en-de
As I met more and more children with anxiety through my work, I had to go back to mom and dad and ask them a couple of questions.
因为工作的缘故, 我接触了越来越多的孩子, 而我也不得不回去 问我父母一些问题。
en-zh-cn
"Why did you hold me down when I was so frightened of getting injections and force them on me?
“我那么害怕打针, 可当初你们为什么 逼我打针?
en-zh-cn
And why tell me these tall tales to make me go to school when I was so worried about being embarrassed again?"
為什麼在我那麼擔心 再次丟臉的時候, 你們要告訴我那些 荒誕的故事讓我去上學?」
en-zh-tw
They said, "Our hearts broke for you each time, but we knew that these were things that you had to do.
Они сказали: «Наши сердца каждый раз просто кровью обливались, но мы знали, что другого пути нет.
en-ru
We had to risk you becoming upset while we waited for you to get used to the situation with time and with more experience.
Wir mussten riskieren, dass du dich unwohl fühlst, während wir warteten, dass du dich an die Situation gewöhnst, mit der Zeit und mehr Erfahrung.
en-de
You had to get vaccinated.
你必須要接種疫苗。
en-zh-tw
You had to go to school."
Iskolába is kellett járj."
en-hu
Little did my parents know, but they were doing more than inoculating me from the measles.
मेरे माता -पिता नहीं जानते थे, पर वो मुझे खसरे का टीका लगवाने से ज्यादा कुछ कर रहे थे |
en-hi
They were also inoculating me from a lifetime of anxiety disorders.
他們也讓我接種了預防一生 要與焦慮疾病共存的疫苗。
en-zh-tw
Excessive anxiety in a young child is like a superbug -- and infectious, even multiplying, such that many of the youth that I see come in with more than one anxiety condition occurring at the same time.
बच्चे में बहुत ज्यादा चिंता एक सुपरबग की तरह है - और संक्रामक, बल्कि दोगुना होने वाले | इस तरह कि बहुत से बच्चे जिन्हे मैं देखती हूँ एक ही समय पर एक से ज्यादा चिंतामय स्थिति के साथ आते हैं |
en-hi
For example, they'll have specific phobia plus separation anxiety plus social anxiety all together.
比如,他們會有某種恐懼症, 再加上分離焦慮症, 再加上社交焦慮症,全加在一起。
en-zh-tw
Left untreated, anxiety in early childhood can lead to depression by adolescence.
При отсутствии лечения тревожность в раннем детстве может привести к депрессии в юности.
en-ru
It can also contribute to substance abuse and to suicidality.
Sie können auch zu Drogenmissbrauch und Suizid-Risiko führen.
en-de
My parents were not therapists.
A szüleim nem voltak terapeuták.
en-hu
They didn't know any psychologists.
Nem ismertek pszichológusokat.
en-hu
All they knew is that these situations may have been uncomfortable for me, but they were not harmful.
वे केवल इतना जानते थे कि ये स्थितियां मेरे लिए असहज हो सकती हैं, परन्तु वे ख़तरनाक नहीं हैं |
en-hi
My excessive anxiety would harm me more over the long term if they let me avoid and escape these situations and not learn how to tolerate occasional distress.
Minha ansiedade excessiva teria me causado mais dano a longo prazo se tivessem me deixado evitar essas situações, escapar delas e não aprender a tolerar um sofrimento eventual.
en-pt-br
So in essence, mom and dad were doing their own homegrown version of exposure therapy, which is the central and key component of cognitive behavioral treatment for anxiety.
所以,基本上,我爸媽是在 用他們的方式對我進行暴露療法, 針對焦慮所做的認知行為治療 正是以這種療法為核心。
en-zh-tw
My colleagues and I conducted the largest randomized controlled study of the treatments of anxiety in children ages seven to 17.
Os meus colegas e eu realizámos o maior estudo aleatório controlado sobre o tratamento da ansiedade em crianças dos 7 aos 17 anos.
en-pt
We found that child-focused cognitive behavioral exposure therapy or medication with a selective serotonin reuptake inhibitor are effective for 60 percent of treated youth.
Descobrimos que a terapia infantil de exposição cognitiva-comportamental ou o uso de um inibidor seletivo de recaptação de serotonina é eficaz com 60% dos jovens tratados.
en-pt-br
And their combination gets 80 percent of kids well within three months.
Kombiniert helfen sie 80% der Kinder innerhalb von drei Monaten.
en-de
This is all good news.
這些都是好消息。
en-zh-tw
And if they stay on the medication or do monthly exposure treatments as we did in the length of the study, they could stay well for upwards of a year.
如果他們持續用藥, 或者像在我們的研究期間那樣 每月接受暴露療法, 他們能夠維持良好狀況一年以上。
en-zh-tw
However, after this treatment study ended, we went back and a did a follow-up study of the participants, and we found that many of these kids relapsed over time.
但是,在这个疗法实验结束后, 我们对之前的患者 进行跟踪研究, 发现过了一段时间, 有很多患者会复发。
en-zh-cn
And, despite the best of evidence-based treatments, we also found that for about 40 percent of the kids with anxiety, they remained ill throughout the course of the time.
即便在治疗效果最好的那一批患者中, 也有 40 % 的焦虑症儿童 持续表现出了焦虑的病状。
en-zh-cn
We've thought a lot about these results.
Pensamos muito sobre esses resultados.
en-pt-br
What were we missing?
Was hatten wir übersehen?
en-de
We've hypothesized that because we were focusing on just child-focused intervention, perhaps there's something important about addressing the parents and involving them in treatment, too.
Pusemos a hipótese de nos estarmos a focar apenas em intervenções em crianças. Talvez fosse importante abordar os pais e envolvê-los também no tratamento.
en-pt
Studies from my own lab and from colleagues around the world have shown a consistent trend: well-meaning parents are often inadvertently drawn into the cycle of anxiety.
Estudos realizados no meu laboratório e por outros colegas de todo o mundo demonstram uma tendência homogénea: os pais bem-intencionados são atraídos involuntariamente para o ciclo de ansiedade.
en-pt
They give in, and they make too many accommodations for their child, and they let their children escape challenging situations.
Eles cedem, fazem muitas concessões para seus filhos e deixam-nos escapar de situações desafiadoras.
en-pt-br
I want you to think about it like this: Your child comes into the house to you crying, in tears.
Stellen Sie sich vor: Ihr Kind kommt weinend nach Hause, in Tränen aufgelöst.
en-de
They're five or six years of age.
Возраст пять-шесть лет.
en-ru
"Nobody at school likes me! These kids are mean.
"Ninguém na escola gosta de mim! As crianças são malvadas.
en-pt-br
No one would play with me."
Keiner wollte mit mir spielen."
en-de
How do you feel seeing your child so upset?
आप अपने बच्चे को उदास देख कर कैसा महसूस करते हैं?
en-hi
The natural parenting instinct is to comfort that child, soothe them, protect them and fix the situation.
O instinto paternal mais comum é consolar a criança, tranquilizá-la, protegê-la e resolver a situação.
en-pt
Calling the teacher to intervene or the other parents to arrange playdates, that may be fine at age five.
Felhívják a tanárt, hogy lépjen közbe, vagy a másik szülőt, hogy egyeztessenek, ami jó lehet ötéves korban.
en-hu
But what do you do if your child keeps coming home day after day in tears?
Aber was tun, wenn das Kind Tag für Tag weinend nach Hause kommt?
en-de
Do you still fix things for them at age eight, 10, 14?
Você continua buscando soluções até os 8, 10, 14 anos?
en-pt-br
For children, as they are developing, they invariably are going to be encountering challenging situations: sleepovers, oral reports, a challenging test that pops up, trying out for a sports team or a spot in the school play, conflicts with peers ...
बच्चों के लिए, जैसे जैसे वे विकसित हो रहे होते हैं वे हमेशा ही चुनौतीपूर्ण परिस्थितियों का सामना करने जा रहे हैं : नींद, मौखिक रिपोर्ट, एक चुनौतीपूर्ण परीक्षा जो एक दम से आती है, एक खेल टीम के लिए प्रयास करना या स्कूल के खेल में एक जगह, साथियों से टकराव ...
en-hi
All these situations involve risk: risk of not doing well, not getting what they want, risk of maybe making mistakes or being embarrassed.
Todas estas situações têm riscos: o risco de não terem êxito, de não conseguirem o que querem, o risco de fazerem erros ou risco de constrangimentos.
en-pt
For kids with anxiety who don't take risks and engage, they then don't learn how to manage these types of situations.
對於有焦慮症的孩子來說, 他們若不冒風險去參與, 他們就不會學到 如何處理這類情況。
en-zh-tw
Because skills develop with exposure over time, repeated exposure to everyday situations that kids encounter: self-soothing skills or the ability to calm oneself down when upset; problem-solving skills, including the ability to resolve conflicts with others; delay of gratification, or the ability to keep your efforts going despite the fact that you have to wait over time to see what happens.
Mivel technikájuk idővel és tapasztalattal fejlődik, a mindennap átélt helyzetek számítanak, önnyugtató készség alakul ki bennük, vagy megtanulnak uralkodni magukon a bosszantó helyzetben. Képesek lesznek megoldani a felmerülő feladatokat, többek között a nézeteltéréseket, elodázni a elégtételt, vagy képesek lesznek kitartani, annak ellenére, hogy csak idővel derül ki az eredmény.
en-hu
These and many other skills are developing in children who take risks and engage.
ये और कई अन्य कौशल बच्चों में विकसित होते हैं जो जोखिम लेते हैं और शामिल होते हैं |
en-hi
And self-efficacy takes shape, which, simply put, is the belief in oneself that you can overcome challenging situations.
और सेल्फ - एफ्फिकेसी आकार लेती है, जो, सीधे शब्दों में कहें तो, अपने आप में विश्वास है कि आप चुनौतीपूर्ण स्थितियों से निपट सकते हैं |
en-hi
For kids with anxiety who escape and avoid these situations and get other people to do them for them, they become more and more anxious with time while less confident in themselves.
有焦慮症的孩子 若避開這些情況 並讓其他人為他們處理, 那麼他們便會隨時間 變得更加焦慮, 且對自己的信心更低。
en-zh-tw
Contrary to their peers who don't suffer with anxiety, they come to believe that they are incapable of managing these situations.
他們的狀況和沒有 焦慮症的同儕相反, 他們會漸漸相信他們 無能處理這些情況。
en-zh-tw
They think that they need someone, someone like their parents, to do things for them.
他们会认为他们需要别人,例如父母, 来替他们做这些事。
en-zh-cn
Now, while the natural parenting instinct is to comfort and protect and reassure kids, in 1930, the psychiatrist Alfred Adler had already cautioned parents that we can love a child as much as we wish, but we must not make that child dependent.
虽然父母的本能就是安慰、保护 和安抚孩子, 但在 1930 年,精神科医师 阿尔弗雷德·阿德勒(Alfred Adler) 就劝诫过父母, 可以尽所能的爱自己的孩子, 但不要让他们过度依赖别人。
en-zh-cn
He advised parents to begin training kids from the very beginning to stand on their own two feet.
Aconselhou os pais a treinar os filhos desde o início a terem autonomia.
en-pt
He also cautioned that if children get the impression that their parents have nothing better to do than be at their beck and call, they would gain a false idea of love.
他也警告,如果孩子產生的印象是 他們的父母除了聽候差遣之外 沒有別的事好做, 他們對於愛也產生錯誤的看法。
en-zh-tw
For children with anxiety in this day and age, they are always calling their parents or texting distress calls at all hours of the day and night.
如今,患有焦虑症的孩子 总是习惯经常打电话给他们的父母, 或发短信求救。
en-zh-cn
So if children with anxiety don't learn the proper coping mechanisms when young, what happens to them when they grow up?
Ha a szorongó gyerekek kiskorukban nem sajátítják el a megoldási folyamatot, akkor mi történik velük felnőtt korukban?
en-hu
I run groups for parents of young adults with anxiety disorders.
我为患有焦虑症的青少年的家长 成立了一些互助小组。
en-zh-cn
These youth are between the ages of 18 and 28.
這些年輕人的年齡 在十八到二十八歲間。
en-zh-tw
They are mostly living at home, dependent on their parents.
大部分与父母同住, 依赖于他们的父母。
en-zh-cn
Many of them may have attended school and college.
很多人上过初中、高中和大学,
en-zh-cn
Some have graduated.
Alguns se formaram.
en-pt-br
Almost all are not working, just staying at home and not doing much of anything.
A maioria deles não trabalha, só fica em casa e não faz muita coisa.
en-pt-br
They don't have meaningful relationships with others, and they are very, very dependent on their parents to do all sort of things for them.
Não têm relações profundas com outras pessoas e estão muito, muito dependentes dos pais para qualquer tipo de atividade.
en-pt
Their parents still make their doctors appointments for them.
父母至今还帮他们预约看病,
en-zh-cn
They call the kids' old friends and beg them to come visit.
वे बच्चों के पुराने दोस्तों को कॉल करते हैं और उनसे मिलने आने की विनती करते हैं |
en-hi
They do the kids' laundry and cook for them.
Sie machen die Wäsche und kochen für sie.
en-de
And they are in great conflict with their young adult, because the anxiety has flourished but the youth has not.
E os pais estão num conflito enorme com seu jovem adulto, porque a ansiedade dele floresceu, mas a juventude não.
en-pt-br
These parents feel enormous guilt, but then resentment, and then more guilt.
Эти родители чувствуют огромную вину, потом обиду, и потом больше вины.
en-ru
OK, how about some good news?
Хорошо, а как насчёт хороших новостей?
en-ru
If parents and key figures in a child's life can help the child, assist them to confront their fears and learn how to problem-solve, then it is more likely that the children are going to develop their own internal coping mechanisms for managing their anxiety.
Ha a gyerek életének főszereplői és a szülők tudnak segíteni a gyereknek legyőzni a félelmét, és megtanulni a feladatmegoldást, akkor valószínűbb, hogy a gyerekben kialakul a szorongáskezelés belső mechanizmusa.
en-hu
We teach parents now to be mindful in the moment and think about their reaction to their child's anxiety.
现在,我们教导父母用心来思考 自己面对孩子焦虑时的反应。
en-zh-cn
We ask them, "Look at the situation and ask, 'What is this situation at hand?
Nós pedimos a eles que observem as situações e se perguntem: "Que situação é essa?
en-pt-br
How threatening is it to my child?
" 'Quão ameaçadora é para o meu filho?
en-pt
And what do I ultimately want them to learn from it?'" Now of course, we want parents to listen very carefully, because if a child is being bullied seriously or put in harm's way, we want parents to intervene, absolutely.
我到底要他们从中学到什么?’ ” 当然,家长们也要明白, 如果一个孩子被霸凌或受伤, 我们肯定会要求父母介入, 毋庸置疑。
en-zh-cn
But in typical, everyday anxiety-producing situations, parents can be most helpful to their child if they remain calm and matter-of-fact and warm, if they validate the child's feelings but then help the child, assist them in planning how the child is going to manage the situation.
Mas em situação típicas, que produzam ansiedade, os pais podem ajudar imenso os filhos, se se mantiverem calmos, objetivos e afetuosos, se legitimarem os sentimentos da criança, mas a ajudarem a planear a forma como a criança lidará com a situação.
en-pt
And then -- this is key -- to actually have the child deal with the situation themselves.
Und das Wichtigste -- das Kind auch tatsächlich selbst die Situation regeln lassen.
en-de
Of course, it is heartbreaking to watch a child suffer, as my parents told me years later.
Claro que é de partir o coração ver uma criança sofrer, como meus pais me disseram anos depois.
en-pt-br
When you see your child suffering but you think you could swoop in and save them from the pain of it, that's everything, right?
当你看到你的孩子难过, 但你觉得可以马上 让他们摆脱痛苦, 这是最重要的,对吧?
en-zh-cn
But whether we are young or old, excessive anxiety leads us to overestimate risk and distress while underestimating our ability to cope.
पर चाहें हम छोटे हों या बड़े, अत्यधिक चिंता हमें जोखिम और संकट को बड़ा मनवाती है और सामना करने की हमारी क्षमता को कम |
en-hi
We know that repeated exposure to what we fear weakens anxiety, while building resources and resilience.
Многократное столкновение с тем, чего мы боимся, снижает тревожность, развивая внутренние ресурсы и устойчивость.
en-ru
My parents were on to something.
我父母知道這種重要性。
en-zh-tw
Today's hyper-anxious youth are not being helped by overly protective parenting.
Der heutigen hyper-nervösen Jugend kann nicht von überfürsorglichen Eltern geholfen werden.
en-de
Calmness and confidence are not just emotions.
冷靜和信心不只是情緒。
en-zh-tw
They are coping skills that parents and children can learn.
它們是父母和孩子 都能學習的因應技能,
en-zh-tw
It's a way of getting their head to meetings.
Είναι ένας τρόπος να πηγαίνουν το κεφάλι τους σε συναντήσεις.
en-el
So to understand more about TerraPower.
Só para eu compreender melhor o Terrapower.
en-pt
Other people have come up with 10,000.
Outras pessoas calculam 10 000.
en-pt
You need at least 20 hours a week of one-to-one teaching.
vão precisar de 20 horas semanais, pelo menos, de educação individual.
en-pt
All that being good and no real credit for it.
Die ganze Zeit artig gewesen und keine Anerkennung bekommen.
en-de
This is the world distribution of income of people.
Αυτή είναι η παγκόσμια κατανομή εισοδήματος των ανθρώπων.
en-el
Just cancel that next meeting.
Cancele essa reunião.
en-pt-br
PJ: And then sometimes, I will ask you why you prefer that face.
佩特:有時,我會問你, 你為什麼偏好那張臉。
en-zh-tw
"What do you mean?"
diye sordum.
en-tr
One woman came to see me about this.
Uma mulher pediu-me conselho.
en-pt
It needs to be rewarding.
Мора да буде задовољавајућ.
en-sr
I have a five-year-old son and a two-year-old daughter.
um filho com cinco anos e uma filha com três anos.
en-pt
We have our first stars.
یەکەمین ئەستێرەکانمان دروستبوون.
en-ku
Notice that information has become part of our story.
Мэдээлэл бидний түүхийн нэг хэсэг болсныг анзаараарай.
en-mn