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一位初二学生的强迫症心理治疗案例-给力心理
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一位初二学生的强迫症心理治疗案例

一位初二学生的强迫症心理治疗案例
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发表时间:2015-02-06 15:22:01 278 0 0

一、主诉:

小C,男,15岁,在读六年级第二学期时,在学习方面经常钻牛角尖,但经过父母、老师的帮助,在一个暑假内恢复,初一时已基本好转,但到了初二下学期又出现了这样的情况,思想感到紧张,并且由开始在学习上钻牛角尖发展到了所有事情上面。具体表现为:

1、 总是在回忆自己做过的事情,想了之后又会渐渐遗忘,回忆不起来时会感到很焦虑;

2、 每次做作业时,在拿笔前脑海里会有杂念,迟迟不敢下笔,然后又会去回忆刚才的事。

3、 当自己做题目想不起如何做,或者老师讲过的内容不会自己就会很紧张,由此回忆引发一系列的胡思乱想。

4、 如果不小心,笔或者其它的东西与自己接触,总想去回忆刚才接触的过程,或者去查看自己有没有接触过后的痕迹。

5、 考试时也会经常回忆自己的事情,以至于经常考试来不及。

6、 与同学间有过言语争论后,尝尝忘不掉这件事情,又回去回忆事情发生的具体过程。

小C说这些回忆把自己弄得疲惫不堪,想要去控制,但是就是控制不住,考试耽误了很多次,学习成绩下降,做作业效率非常低,眼看着要转入初三,进入考高中的关键时期,因此前来咨询,希望能够有个高效率的初三生涯。

二、治疗情况:

吴力苏老师运用乐天心理平衡疗法对小C进行治疗,来上海乐天治疗共4个月,每周做一次心理咨询,心理治疗。两个月后,强迫性回忆的基本消失,思维变得轻松自由很多。现在虽然有时有些郁闷,但是很快就能过去,可以说已经康复了。对自己也比较有信心了。

三、主要的治疗过程:

1、认识抑郁、强迫的根本原因。

对学习过分看重结果,不允许自己出错。

对思维的结果有过分的强求,比如我一定要想清楚,一定要严密,不能遗漏等。

当过度思维造成紧张恐惧,低落的情绪以后,不能很好的面对这些情绪,产生对抗,导致情绪不能顺畅。使情绪症状经进一步强化。

咨客在思维方面也存在过于强求自己必须要想清楚,或者过分控制自己的思维,导致思维不够自由,产生强迫思维。

2、改变认知。

认识到学习的不可能百分之百都能正确的,人的思维也不是都是严密的,既然发生了,对你来说就是合理的。认识到失败的意义。认识到人就是会遇到挫折的,人的情绪也不是都是开心,快乐的,不快乐,痛苦也是人的一种状态,认识到存在就是合理的。

3、改变原来的对抗的应对方式,建立新的和谐的应对方式。

让各种思维和情绪自由流过,采用和平共处的方式处理自己的问题,而不是用对抗的方式或自我强求的方式。建立自由的思维,和情绪。体会自由带来的轻松。

4、学会认可现状,现状虽然不是很完美,虽然有些糟糕,但是这些目前就属于你,但是这些是暂时的,一起都会变化的,不好的状况会过去的。

5、行为治疗方法、发挥主观能动性,做有意义的事。

有意义的事可以尽力去做,但是允许做的不好,做到什么程度就什么程度。对结果不要强求。

6、最后达到无为和回归婴儿本性。(老子思想在心理治疗上的运用)

对自己的未来不做规定,这样内心才能自由,就像婴儿一样,没有有规定和成见。回归本来固有的自然本性,使心理问题得到康复。

7、 巩固咨询辅导

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本文作者

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长程个案

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