认知行为疗法治疗伴有广场恐惧症的恐慌症:病例报告

Onur Ortaç
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摘要

本研究采用了 DSM-IV 和 DSM-V 关于广场恐惧症和惊恐障碍的标准。研究对象是一名 20 岁的女性。访谈中使用了认知行为疗法。求助者在第一所学校的时候因为在病房里睡着了而被锁在病房里,之后开始害怕不能呆在封闭的区域,也不能独自在开放的区域行走。为此,家人带他去看了心理医生,虽然这些问题在一定程度上得到了克服,但当他看到舅舅在他们去舅舅家吃饭时为了惩罚表弟而把他锁在房间里时,这些问题又被激发了出来。客户在申请治疗时说,他不能再呆在封闭的区域,一进入这些区域,他的心跳就会加速,手脚麻木,感觉自己就要死了。首先向客户介绍了认知行为模式,并进行了心理教育。然后与客户建立了治疗关系。在继续治疗的过程中,为客户提供了家庭作业和放松练习,并确定了自动思维和基本信念。在疗程结束时,由于采用了认知行为疗法,患者对封闭空间的恐惧和在封闭空间中的惊恐发作症状都有所减轻。关键词广场恐惧症 恐慌症 认知行为疗法
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Agorafobiye Eşlik Eden Panik Bozuklukta Bilişsel Davranışçı Terapi: Olgu Sunumu
This study was conducted using DSM-IV and DSM-V criteria for agoraphobia and panic disorder. The client was a 20-year-old woman. Cognitive behavioural therapy was used in the interviews. The client, who was locked in the ward as a result of falling asleep in the ward in the first school, started to fear of not being able to stay in closed areas and not being able to walk alone in open areas. Upon this, he was taken to a psychologist by his family and although these problems were overcome to some extent, they were triggered again when he saw that his uncle locked his cousin in the room to punish him at the dinner they went to his uncle's family. The client applied to the therapy by saying that he could not stay in closed areas again, his heart beat rapidly when he entered those areas, numbness in his hands and feet, and he felt like he was going to die. The client was first introduced to the cognitive behavioural model and psychoeducation was given. Then a therapeutic relationship was established with the client. In the continuation of the sessions, homework, relaxation exercises were given to the client and automatic thinking and basic beliefs were determined. At the end of the session, thanks to cognitive behavioural therapy, it will be seen that the client's fear of closed spaces and panic attack symptoms experienced in closed spaces decreased. Keywords: Agoraphobia, Panic Disorder, Cognitive Behavioural Therapy.
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