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Schizophrenia, obsessive covert mental rituals and social anxiety: Case report

机译:精神分裂症,强迫性秘密心理仪式和社交焦虑症:病例报告

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摘要

This case study reports the outcomes of cognitive therapy for social anxiety in a 45-year-old man with a 27-year history of paranoid schizophrenia. The intervention targeted the overlapping and interrelated symptoms of social anxiety and delusional beliefs. After 11 sessions of treatment, the patient showed no improvement in social anxiety, avoidance or self-consciousness. Failure to make significant progress was potentially due to treatment of social anxiety rather than the obsessional delusional thoughts. Clinicians should be cautious to distinguish between anxiety associated with obsessional delusions, non-obsessional delusions and non-delusional thoughts when treating social anxiety in schizophrenia.
机译:该案例研究报告了对一名患有偏执型精神分裂症27年历史的45岁男性进行社交焦虑的认知疗法的结果。干预的目标是社交焦虑和妄想信念的重叠和相互关联的症状。经过11个疗程的治疗,患者的社交焦虑,回避或自我意识未见改善。无法取得重大进展可能是由于社交焦虑而不是痴迷的妄想。当治疗精神分裂症的社交焦虑时,临床医生应谨慎区分与痴迷,非痴迷和非妄想相关的焦虑。

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