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一位博士的抑郁症、强迫症心理治疗案例-给力心理
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一位博士的抑郁症、强迫症心理治疗案例

一位博士的抑郁症、强迫症心理治疗案例
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发表时间:2015-02-06 13:35:20 446 0 0

一、主诉:


A君,男,35岁,博士学位,从小学业优秀,是父母的骄傲,朋友同学学习的榜样,每次考试都必须要考第一名,若考到第二名就会认为自己不够好,回家后努力找出错的题目进行反复练习,争取下次重回第一名的宝座。博士毕业后,在一高科技公司工作,工作认真负责,责任感非常强,不允许自己做错事,哪怕是一件微不足道的小事,由于工作业绩很好,因此平步青云,30岁就任公司的副总经理职位,并和自己女友结婚。一切都非常顺利。两年后,由于投资失败,大受打击,心灰意冷,远赴美国哥哥那里,在哥哥的帮助下,在美国定居,但无论如何都无法融入美国社会,似乎在中国的很多规则无法在美国那里适用,对未来没有信心,担心工作做不好,总觉得力不从心,工作效率不高,担心老板不要自己,感觉对不起公司等自责情绪,还有就是总担心同事和客户对自己有看法,怀疑别人会害自己等。渐渐地他觉得连日常的交流都不会了,因而认为自己很没有用,不愿意出门,慢慢地连和家里人也不愿意说话,晚上常常失眠,早上起不来,妻子渐渐地无法忍受丈夫的巨大落差,提出了离婚,这个对A君来说又是一个非常大的打击,认为自己一无是处,不应该活在世上,于是吞了一瓶安定自杀。幸好哥哥的探望救了他一命,于是哥哥强制带他去美国某家医院进行治疗,诊断结果为重度抑郁症,服药三个月。经过美国医院药物和心理咨询辅导,有些改善,但是抑郁的情绪,时常还会困扰自己,而且由于过去曾有过自杀的行为,先有恐高的症状,害怕自己会去跳楼,觉得自己无法克制,有时有跳楼的冲动(强迫意向)而且自己信基督,时常会想些基督里的故事,有时搞得自己很害怕,很恐惧(强迫思维属于强迫性穷思竭虑。)进而发展出一些强迫症的症状故在亲人的介绍下,回到国内,找到乐天心理咨询中心,前来寻求心理治疗,心理咨询。


二、治疗情况:


吴力苏老师运用乐天心理平衡疗法对A君进行治疗,来上海乐天治疗共5个月,每周做一次心理咨询,心理治疗。两个月后,恐高,和自杀的冲动基本消失,两个月后不再纠缠哪些故事里的事了,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。工作也能很好的完成,对自己也比较有信心了。


三、心理咨询疗法主要的治疗过程:


1、认识抑郁、强迫的根本原因。 
对结果有过分的强求,比如我一定要成功,不允许自己失败。 
当投资失败以后,不能很好的面对现状,不能够认识到失败是人生的必然经过。而且对于失败后产生的低落情绪不能很好的认识,产生对抗,导致情绪不能顺畅,自由。产生抑郁情绪。

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。 
认识到失败既然发生了,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,不好的状况的会过去的。


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。 
7、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。 
8、巩固咨询辅导


四、咨询方案:


(一)咨询目标 
1、短期目标: 
通过心理咨询,让咨客了解抑郁,强迫的本质,为什么症状会持续,加剧? 
改变对自己的思维、情绪的看法。建立健康的心态。 
调整对情绪低落、恐惧和强迫的应对方式,改变对抗和自我束缚、自我强求的应对方式,使焦虑、抑郁、恐惧等情绪症状从量变到质变。思维逐步变得轻松、自由。 
2、长期目标 
心理咨询重建对自我的认可,对他人的认可。打破自我束缚,打破固定化的思维、行为模式,重新变得自由、灵活、有弹性。 
(二)求助者的责任、权力和义务 
1、向咨询师提供有关于心理问题有关的真实资料。 
2、积极主动和咨询师一起探索解决问题的方法。 
3、完成双方商定的作业 
权力: 
1、有权了解咨询方法和原理的概况 
2、有权选择咨询师 
3、对咨询方案的内容有知情权、协商权。 
义务: 
1、遵守咨询机构的有关规定。 
2、遵守和执行商定好的咨询方案各方面内容。 
3、尊重咨询师,遵守预约时间,有特殊情况提前告知咨询师。 

(三)咨询师的责任、权力和义务 
1、遵守职业道德、遵守国家有关的法律法规 
2、帮助求助者解决心理问题 
3、严格遵守保密原则 
权力: 
1、有权了解与求助者有关的个人资料 
2、有权选择合适的求助者 
义务: 
1、遵守和执行商定好的咨询方案各方面内容。 
2、尊重求助者、遵守预约时间,有特殊情况提前告知求助者。 
(四)咨询的具体方法和步骤: 
心理咨询心理平衡法心理咨询、心理治疗原理及步骤: 
主要治疗原理:人的天性都是健康自然的,也就是当你还是婴儿或孩童时代你是健康的,是因为后天不良的影响,造成对自我本性的否定或歪曲,不断给自己强加了一些不必要的自我束缚,逐渐变得固执,僵化,心理咨询的就是要遵循自然和心理变化的规律,打破自我束缚,回归自然本性。 
主要运用的哲学原理:辩证发展观、老子的某些思想精华。 
心理咨询、心理治疗目标: 
重建对自我的认可,打破主观自我束缚,打破固定化的思维、行为模式,重新变得自由、轻松、灵活、有弹性、重建良好的可塑性。 
心理咨询、心理治疗的具体方法: 
1、认知疗法,主要改变咨客对心理问题的原因的认识。探寻解决问题的应对方法。 
2、行为改变治疗: 
(1)自我认可法。重建对自我的认可,可获得安心,建立安全感。 
(2)自由想象:操作更简便、效果好,对于过度用脑造成的疲劳有很好的恢复作用。用于重建轻松自由的思维习惯。 
(3)平等对待-轮流法。主要用于改变咨客急于求成的急躁心态,平等对待事物变化的整个过程。是对自然变化过程的认可。达到的治疗目的是不再强求。达到内心的和谐和动态平衡。主要用于抑郁的情绪,强迫思维、焦虑和强迫行为等进一步心理治疗,心理辅导。 
(4)可塑性、兼顾性、容纳性、良好适应性恢复训练。用于学会在各种情况下都能保持良好的心态。 
以上疗法不同的阶段运用不同的方法。不可一步登天,这就是治疗的量变到质变的过程。 
(五)咨询次数和时间的安排 
1、全程心理辅导时间五个月。 
2、每周一次,每周一小时左右,前几次可适当延长咨询时间。 

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本文作者

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公益助人

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长程个案

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续单率

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咨询时
0 性价比

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