一例暴露疗法治疗大学生惊恐障碍的案例报告
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- 英文论文题名：Exposure therapy for the treatment of Panic disorder:A case study
- 论文作者：谷莉 ; 曲舸征
- 年：2015
- 作者机构：天津师范大学心理与行为研究院;国民心理健康评估与促进协同创新中心;天津师范大学心理咨询中心;
- 会议召开时间：2015-10-16
- 会议录名称：第十八届全国心理学学术会议摘要集——心理学与社会发展
- 英文会议录名称：Proceedings of the 18th National Academic Congress of Psychology
- 语种：中文
- 分类号：B842.6
- 学会代码：ZGXG
- 会议名称：第十八届全国心理学学术会议
- 会议地点：中国天津
- 主办单位：中国心理学会
- 学会名称：中国心理学会
- 页数：1
- 文件大小：737k
- 原文格式：D
- 会议级别：全国
摘要
惊恐障碍是一种急性焦虑发作的焦虑性神经症,又称为惊恐发作,其临床症状表现为频繁的、无预料性的惊恐发作。具体表现为发作时体验到强烈的濒死感或失控感,以及出汗、心跳加快、震颤等自主神经症状,发作间期出现回避行为和预期性焦虑。暴露疗法作为重要的行为治疗方法之一,在恐惧性神经症、焦虑性神经症及强迫性神经症的治疗中应用广泛。本文报告了一例采用暴露疗法有效治疗大学生惊恐障碍的心理咨询案例。本案例提示暴露疗法对惊恐障碍的治疗有很好疗效,而有效实施暴露疗法的关键是在(1)暴露实施前了解来访者的身体状况,排除器质性疾患(必要时需临床诊断书);(2)帮助来访者制定切实可行的暴露计划;(3)在咨询师的指导下定期进行合理的自我暴露;(4)暴露时的重点是不使用安全行为,改变注意焦点和呼吸方式以减轻焦虑情绪;(5)完成暴露后充分讨论以纠正不合理观念,进行合理的认知重建,并给予来访者表扬以提高其信心,促进治疗进展。
Panic disorder(PD) is an acute anxiety disorder, also known as panic attack, featuring clinically frequent and unpredictable episodes. Exposure therapy, one of the most important behavioral therapies, has been widely used in the treatment of phobic disorder, anxiety disorder and obsessive compulsive disorder. The case presented in this article features the effective utilization of exposure therapy in the treatment of an undergraduate with panic disorder. Essential points for the effective application of exposure therapy are as follows:(1) Understand the client's physical conditions before the exposing procedure, making sure there is no organic disease involved(ask for clinical diagnostic information if necessary).(2) Help the client form an applicable exposing procedure.(3) Expose under the guidance of the counselor following a fixed schedule.(4) Safe behavior must not to be resort to. Shifting focal points and changing breathing patterns are encouraged to relieve anxiety.(5) A thorough discussion should follow a complete exposure for the purpose of rectifying irrational beliefs and rational cognitive reconstruction. The client should be praised to boost his belief in a good prognosis for the benefit of future treatment.
Panic disorder(PD) is an acute anxiety disorder, also known as panic attack, featuring clinically frequent and unpredictable episodes. Exposure therapy, one of the most important behavioral therapies, has been widely used in the treatment of phobic disorder, anxiety disorder and obsessive compulsive disorder. The case presented in this article features the effective utilization of exposure therapy in the treatment of an undergraduate with panic disorder. Essential points for the effective application of exposure therapy are as follows:(1) Understand the client's physical conditions before the exposing procedure, making sure there is no organic disease involved(ask for clinical diagnostic information if necessary).(2) Help the client form an applicable exposing procedure.(3) Expose under the guidance of the counselor following a fixed schedule.(4) Safe behavior must not to be resort to. Shifting focal points and changing breathing patterns are encouraged to relieve anxiety.(5) A thorough discussion should follow a complete exposure for the purpose of rectifying irrational beliefs and rational cognitive reconstruction. The client should be praised to boost his belief in a good prognosis for the benefit of future treatment.
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