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口吃症治疗心理咨询案例-给力心理
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口吃症治疗心理咨询案例

口吃症治疗心理咨询案例
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发表时间:2015-02-06 16:32:37 225 0 0

概况:患者男性,年龄24岁,大学文化,企业技术人员。自述幼年在农村生活,因模仿而出现口吃,常被人耻笑。学习努力,成绩较好,大学毕业后在城里工作。业务能力较强,但社交状况不好,口吃严重,令患者很痛苦很困惑。在一般工作场合,特别是开会、向领导汇报等重要的场合,患者很难应付,精神高度紧张,口吃严重,表达吃力,往往憋得满脸通红,几分钟也说不完整一句话。

为了矫治口吃,患者加入口吃沙龙,与其他患者交流踊跃,积极参与相关矫治口吃的活动,购买过专业口吃矫治仪器,但各种方法都不能产生持续满意的效果。在各种矫治训练活动中,都突出语言发音和胆量的训练,比如以慢节奏说话,在公共汽车上朗读等。训练时与其他口吃患者在一起,互相安慰鼓励,紧张程度大为减轻,当时觉得进步很大。可回到现实生活中,面对不能被理解的囧境,面对善意或无意的讥讽,精神还是会紧张,话说流利的愿望又被打破了,每次都这样。因为多次治疗,花费不菲。

诊断:社交恐怖症之口吃焦虑。

治疗:因为患者口吃严重,语言交流困难,所以导师首先为患者做放松治疗,使其情绪舒缓,表达状况获得改善。接着进行认知治疗,与患者交流思想,患者逐渐认识到,口吃与自己的表现和表达欲望过强有关,想表现好所以害怕表现不好,想把话说好所以害怕说不好话,这些心态引发情绪紧张和口吃暗示,导致口吃发生和加重。患者自己总结,过往的治疗之所以没有积极效果,主要是因为那些训练都鼓励表现和表达,虽然老师口头说放松,但所做活动都冲击性很大,训练当时激情澎湃,似乎问题已经解决。对效果预期高所以面对现实失落也大,反复也就成了必然。

过往治疗多强调放慢说话节奏,很多人认为可有好的治疗效果,可在这次治疗中,导师却一反常规,在一次朗诵练习中让患者不断加快速度,终于,患者找到了久违的轻松感觉,他说“太爽了”。针对社交恐怖症状,导师用系统脱敏疗法进行处理,半个月内经数次治疗,患者的情绪状况获得根本性改善,控制情绪能力持续增强,不再容易紧张恐惧。经现场检验,患者行动自如,偶有口吃,但不再焦虑。至此,治疗达到目标,患者表示满意。

说明:口吃症是语言表达障碍,是情绪紧张在说话上的表现,心理治疗以调整人际交往心态和放松情绪为目的,心理治疗达到目标后口吃现象自然而然地减少或消除。正常人也会偶尔口吃,只要不伴生焦虑情绪,就不能诊断为口吃症。

 

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