“Teacher, I’ve started to look forward to the future.” — Reflections and Guidance on the Psychological Distress of a University Student with Obsessive Symptoms
Keywords:
Exposure and response prevention; University student; Obsessive symptoms
暴露与反应阻止;大学生;强迫症状
Abstract:
Guided by the core philosophy of Taoism, “Let nature take its course and act as it should be”, seven sessions of psychological counseling over a ten-week period were conducted for a university student with obsessive symptoms using the method of exposure and response prevention. Baseline and postcounseling assessments of symptom severity were conducted using the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and the Patient Health Questionnaire-9 (PHQ-9). The results indicated a reduction in obsessive symptoms, a decrease in depression scores, and an improvement in social functioning following the counseling. This paper provides a detailed record of the counseling process, analysis of key points of the case, intervention strategies and measures, as well as insights and experiences gained.
在道家思想“顺其自然,为所当为”的核心理念指导下,采用暴露与反应阻止的方法对1例有强迫症状的大学生进行10周7次的心理咨询,并运用耶鲁-布朗强迫量表(Y-BOCS)、抑郁自评量表(PHQ-9)对症状的严重程度进行基线和咨询后评估。结果显示,咨询后来访者的强迫症状得到缓解,抑郁情绪得分下降,社会功能有所改善。本文详细记录了咨询的过程、个案关键点分析、干预思路与举措及经验启示。