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失眠症的心理治疗案例-给力心理
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失眠症的心理治疗案例

失眠症的心理治疗案例
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发表时间:2015-02-06 16:49:25 328 0 0

小刘今年21岁,几个月前由父亲陪同看失眠门诊,在一群候诊的中老年病人中显得很醒目。他在一家电脑公司工作,由于职业关系,每天晚上他都要上会网找找软件领域的最新进展情况,后来他和一群喜欢晚上上网的朋友以及网友在论坛里遇到了,于是他对夜晚聊天越来越入迷,每天晚上都要到两三点才睡。开始时虽然睡得晚,但倒下去还能马上睡着,到早上七八点,要父母使劲叫唤、掀被子才能把他摇醒,每次都是考勤前的最后一分钟冲进办公室。

  后来他干脆躺下去也睡不着了,好不容易睡着了,也容易被惊醒,特别是后半夜睡觉迷迷糊糊的,做梦也梦见在论坛上和别人辩论,脑子里一团糨糊。时间一久,额头上青春痘一粒粒发出来,开始便秘,人也消瘦了很多,还感到心慌,经理批评他工作中经常出错。

  案例分析

  这种因为沉迷博客、论坛而出现失眠症的人群在临床上有越来越多的趋势,尤其是近一年来,增长极为迅速,年龄的跨度从十五六岁至四十多岁,主要集中在2030岁之间,以男青年更为多见。

  从病理原因看,这部分病人出现失眠症状的原因主要是晚上大脑过度兴奋。很多人都反映:晚上看博客、上论坛,时间过得飞快,不知不觉就到凌晨了。虽然年轻人的睡眠功能比较强,但久而久之,生物钟被扰乱,最后就会出现上网结束人还是睡不着,或是晚上不上网了在床上也难以入睡,失眠医学称之为“起始型失眠”。

  深睡眠的第一个时期是在晚上10点至11点,过了这个时期如果还不睡觉,人反而会更兴奋,这就是很多人上网到11点后反而更加精神的原因,到凌晨2点左右,人体进入第二个深睡眠期,这时候如果再不睡觉,即使白天睡得再多,也不能弥补。因为其他时段的睡眠主要是浅睡眠,人容易醒、多梦,睡眠质量不高。

  心理专家指出,在上网尤其是写博客、论坛讨论等需要高度集中注意力的精神活动中,人的大脑处于极度兴奋状态,而睡前精神的亢奋,会对失眠有巨大的直接影响,这与某些神经蒂质的功能失调有关,就像开关一样,总是开着,结果要关的时候就关不上,所以人体的亢奋状态转换不成抑制状态,久而久之,睡眠的规律被打乱。

  一般来说,在这类新失眠障碍族发病后的一段时间,他们倾向于很晚才起床,但有些人的工作是朝九晚五的,早晨六七点不起床也不行,因此,他们的睡眠时间相对较少,白天上班感到精力不够,很容易困乏,注意力很难集中,记忆力下降,不集中,工作中常常出错,效率也开始下降。一些人还开始出现了一些躯体症状,如胃口不好,眼睛看不清楚,头涨、心慌等等,各种失眠症状的表现因人而异,但体质相对较弱者,其失眠后的副反应会更加明显。

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本文作者

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长程个案

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