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换个环境就会好？——认知行为疗法对环境适应引发焦虑情绪的咨询

Would I Choose an Environment that Perfectly Matches my Expectations? —A Case Formulation and Report of Cognitive Behavioral Therapy for a Client with Anxiety

Theory and Practice of Psychological Counseling / 2023,5(4): 324-334 / 2023-05-11 553 651

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• Authors: 王瑛瑛¹ 陈红¹ 李金亚²
• Information:

  1．西安建筑科技大学心理素质拓展与咨询中心，西安；
  2．西安高新区第五高级中学，西安

• Keywords:
  Anxiety; Environmental adaptation; Cognitive behavior therapy; Case formulation
  焦虑情绪; 环境适应; 认知行为疗法; 个案概念化
• Abstract: This study discusses how to make a cognitive behavioral therapyorientated case formulation for a client with anxiety caused by environmental adaptation, and shows the process of consult. Caused by high expectation of living and interpersonal environment and recent academic pressure, the client had the idea of dropping out of school because of the symptoms of restlessness, anxiety, doubt of his own ability, insomnia and other symptoms. After 20 times of consultation using CBT techniques such as positive and negative evidence, feasibility analysis, exceptional experience, and behavioral experiments, the client gradually developed a relatively rational attitude towards the environment and interpersonal relationship, the sense of self-worth was improved, and the anxiety was significantly relieved, achieving the expected goals. 本文探讨如何对一例因环境适应引发焦虑情绪困扰的来访者进行认知行为疗法个案概念化及咨询的过程。来访者因对环境和人际的高期待及近期学业压力，出现了烦躁、焦虑、怀疑自身能力、失眠等症状而产生了退学想法，运用证据法、 可行性分析、例外经验、行为实验等认知行为疗法的技术，经过20次的咨询， 来访者逐渐改变了对环境、人际和自我的过高要求，焦虑情绪得到明显缓解， 发展出对环境和人际较为理性的态度，自我价值感提升，达到了预期咨询效果。
• DOI: https://doi.org/10.35534/tppc.0504030
• Cite: 王瑛瑛，陈红，李金亚．换个环境就会好？——认知行为疗法对环境适应引发焦虑情绪的咨询案例报告［J］．心理咨询理论与实践，2023，5（4）：324-334．