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运用认知行为疗法对一名双相情感障碍学生的干预报告

A Report on the Intervention of Cognitive Behavioral Therapy in a Student with Bipolar

心理咨询理论与实践 / 2023,5(10)：765-773 / 2023-10-24 276 171

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• 作者： 张斌     
• 单位：

  三峡大学，宜昌

• 关键词： 认知行为疗法；幻听；躁狂；抑郁
• Cognitive behavioral therapy; Hearing voices; Mania; Depression
• 摘要： 本文是一例童年创伤、幻听、躁狂和抑郁引发双相情感障碍的案例报告。来访者是一名大三男生，存在的问题有幻听、情绪波动大、抑郁、自我认同感低、思维奔逸、被害性焦虑和自杀意念。首先对来访进行评估，然后运用认知行为疗法对其进行8次心理咨询，期间使用认知与行为的横向分析和纵向分析、应激反应认知双循环模型等技术和方法。咨询期间以及咨询结束三个月内，来访者未出现自伤行为，能够使用咨询中学到的方法调节自我情绪，学业自我效能感有所提升。
• This is a case report of bipolar disorder caused by childhood trauma, auditory hallucinations, mania, and depression. The client is a male junior in college. His problems include auditory hallucinations, mood swings, depression, low sense of self-identity, runaway thinking, homicidal anxiety and suicidal ideation. First, the visits were evaluated, and then eight psychological consultations were conducted using cognitive behavioral therapy, during which techniques and methods such as horizontal and vertical analysis of cognition and behavior, and double-cycle model of stress response cognition were used. During the counseling period and within three months after the counseling, the client did not show any self-injury behavior, and was able to use the methods learned in the counseling to regulate his own emotions, and his academic self-efficacy was improved.
• DOI： https://doi.org/10.35534/tppc.0510076
• 引用： 张斌．运用认知行为疗法对一名双相情感障碍学生的干预报告［J］．心理咨询理论与实践，2023，5（10）：765-773．