Keywords:
Social anxiety disorder; Cognitive Behavioural Therapy; Case study
社交焦虑障碍;认知行为治疗;案例分析
Abstract:
This paper explores the case analysis and CBT process of social anxiety disorder through a case of Cognitive Behavioural Therapy (CBT) for social anxiety disorder. Firstly, an in-depth analysis of the visitor’s core problems was conducted from both cognitive and behavioural levels, and based on this, a conceptual model of the case was developed to clarify the mechanisms that sustained her social anxiety and to provide a theoretical basis for the subsequent treatment. A total of 18 sessions of systematic CBT were conducted, focusing on cognitive restructuring, exposure practice and attention training, which resulted in a significant reduction of social anxiety and normalisation of the visitor’s scale results. The results show that CBT with cognitive restructuring and exposure training as the core methods can effectively help visitors with social anxiety disorder to improve their negative beliefs and avoidance behaviours, and enhance their real-life coping abilities, which has good practical value.
本文通过一例社交焦虑障碍的认知行为治疗(CBT)个案,探讨社交焦虑障碍的案例解析和CBT过程。首先从认知与行为两个层面对来访者的核心问题进行深入分析,并在此基础上建立个案概念化模型,以明确维持其社交焦虑的机制,为后续的咨询提供理论依据。本案例共开展了18次系统规范的CBT,重点采用认知重建、暴露练习与注意力训练等方法,最终使来访者的社交焦虑显著缓解且量表评估结果已达到正常水平。案例结果表明,以认知重建和暴露训练为核心的CBT方法,能够有效帮助有社交焦虑障碍的来访者改善其负性信念和回避行为,提升现实生活中的应对能力,具有良好的实践价值。