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一例抑郁症危机干预及认知行为治疗案例

Application of CBT in Crisis Intervention on a University Student Suffering From Depression

心理咨询理论与实践 / 2021,3(11)：805-813 / 2021-12-03 1104 556

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• 作者： 丁兰艳      张文娟      武成莉     
• 单位：

  西安电子科技大学心理健康教育中心，西安

• 关键词： 抑郁症；危机干预；认知行为治疗；大学生
• Depression; Crisis intervention; Cognitive behavioral therapy; College student
• 摘要： 本文以一位因抑郁症而严重影响学习生活、出现频繁自杀意念的大二男生为例，介绍了认知行为治疗，以及危机干预理论在处理危机案例中的应用。本案例中，咨询师给予来访者充分的理解和接纳，稳定来访者的情绪，消除其自杀念头。同时，采用认知疗法帮助来访者改变自我认知，提高自信，并让来访者掌握识别自己的自动思维的技巧，进而矫正自动思维，替代为更加合理的思维。咨询基本达到预期目的。焦虑和抑郁情绪都有一定程度的降低，自杀意念减少，自信心提高，对未来充满希望，人际关系有所改善。
• This paper introduced an example of a university student who was suffering from depression and frequent suicidal ideation, thus was unable to study and live normally. In this case, an application of Cognitive Behavioral Therapy (CBT) and the application of Crisis Intervention Theory worked well in dealing with crisis cases. At first, the counselor stabilized client’s mood and eliminated suicidal thoughts by providing the client full understanding and acceptance. At the same time, cognitive therapy is utilized to help visitors change his self-cognition and boosted his confidence. Additionally, the counselor helped the client to master how to recognize his automatic thinking process. And then the client was able to replace automatic thoughts with more reasonable thoughts. In sum, the expected objective of consultation, to a large extent, has been achieved. Anxiety and depression have been reduced to a certain extent. Suicidal thoughts have been reduced. The client’s self-confidence has been improved and was becoming optimistic for future life. Lastly, interpersonal relationships have been improved.
• DOI： https://doi.org/10.35534/tppc.0311101
• 引用： 丁兰艳，张文娟，武成莉．一例抑郁症危机干预及认知行为治疗案例［J］．心理咨询理论与实践，2021，3（11）：805-813．