International Open Access Journal Platform

画语·沙盘·心桥：抑郁复发者的整合式咨询

Painting Language Sandplay and Heart Bridge: Integrated Counseling for Patients with Recurrent Depression

Theory and Practice of Psychological Counseling / 2026,8(1): 24-31 / 2026-01-27 31 17

View Download PDF

• Authors: 刘雁霞 岳欣
• Information:

  桂林师范学院，桂林

• Keywords:
  Recurrent depression; College student; Integrated Psychological counseling; Painting therapy; Social function recovery
  抑郁复发; 大学生; 整合式心理咨询; 绘画疗法; 社会功能恢复
• Abstract: This case report focuses on the counseling practice for Xiaomei, a 21-year-old junior student majoring in art education with recurrent depression. Due to family conflicts, relationship setbacks, and academic pressure, the client suffered from recurrent depression and anxiety symptoms, accompanied by self-harm behaviors and suicidal ideation, due to family conflicts, relationship setbacks, and academic pressure. She had previously discontinued medication without medical advice, resulting in symptom exacerbation. The counseling adopted an integrated approach, including cognitive therapy, painting psychological analysis, solution-focused coaching, and sandplay therapy, combined with pharmacotherapy. After 18 counseling sessions, the client’s emotional distress was alleviated and social functioning improved. Results showed significant reductions in anxiety and depression scale scores, cessation of self-harm behaviors, and gradual recovery of social support systems. However, deep-seated family trauma and relapse risks require long-term intervention. This study indicates that pharmacotherapy combined with integrated psychological counseling exerts positive effects on cases of recurrent depression, and the counselor’s professional growth is crucial for enhancing intervention effectiveness. 本案例报告聚焦一名21岁美术教育专业大三学生小梅（化名）的抑郁复发咨询实践。来访者因家庭矛盾、情感挫折及学业压力，出现抑郁、焦虑症状复发，伴有自伤行为及轻生念头，此前因自行停药导致症状反复。咨询采用整合式方法，包括认知疗法、绘画心理分析、焦点解决教练技术及沙盘疗法，同步结合药物治疗，通过18次咨询有效缓解情绪、改善其社会功能。结果显示，来访者焦虑、抑郁量表得分显著下降，自伤行为完全消失，社会支持系统逐步重建；但深层家庭创伤及复发风险仍需长期干预。研究表明，药物治疗联合整合式心理咨询对抑郁复发个案具有积极干预效果，咨询师的专业能力对提升干预效能至关重要。
• DOI: https://doi.org/10.35534/tppc.0801004 (registering DOI)
• Cite: 刘雁霞, 岳欣. (2026). 画语·沙盘·心桥：抑郁复发者的整合式咨询. 心理咨询理论与实践, 8(1), 24-31.