一例社交焦虑障碍的认知行为治疗——基于案例解析的干预

摘要

本文结合一例社交焦虑障碍的认知行为治疗(CBT)案例,探讨社交焦虑障碍的案例解析和CBT过程.在对患者进行完整详细的横向和纵向案例解析基础上,针对患者的适应不良的认知和行为问题开展了15次系统规范的CBT治疗.结果显示患者Liebowitz社交焦虑量表(LSAS)分由49分减至26分,最初的治疗目标已达成.本案例报告提示"认知重建与暴露"结合的治疗策略可以用于治疗社交焦虑障碍.%To introduce the cognitive behavioral therapy-orientated case conceptualization and process for social anxiety disorder. Based on the detailed and integrated case conceptualization, 15 sessions of the systematic and standardized CBT treatments were conducted for maladaptive cognitive and behavioral problems. The results showed that the Liebowit Social Anxiety Scale (LSAS) score was reduced from 49 to 26, and the initial treatment goal was achieved. This case report suggests that "cognitive reconstruction combined with exposure" therapy strategy could be used to treat social anxiety disorder.