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“老师，我开始期待未来了”——对一例有强迫症状大学生心理困扰的引导和思考

“Teacher, I’ve started to look forward to the future.” — Reflections and Guidance on the Psychological Distress of a University Student with Obsessive Symptoms

Theory and Practice of Psychological Counseling / 2024,6(12)：833-839 / 2025-01-06 153 93

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• Authors: 陈壮有      刘勉      柳卓君     
• Information:

  东莞理工学院心理健康教育与咨询中心，东莞

• Keywords: 暴露与反应阻止；大学生；强迫症状
• Exposure and response prevention; University student; Obsessive symptoms
• Abstract: 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。
• 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.
• DOI: https://doi.org/10.35534/tppc.0612101
• Cite: 陈壮有，刘勉，柳卓君．“老师，我开始期待未来了”——对一例有强迫症状大学生心理困扰的引导和思考［J］．心理咨询理论与实践，2024，6（12）：833-839.