李洁,张道龙.边缘型人格障碍伴转换症状的访谈与治疗[J].四川精神卫生杂志,2019,32(4):354-356.
边缘型人格障碍伴转换症状的访谈与治疗
Interview and treatment of borderline personality disorder with conversion symptoms
投稿时间:2019-07-11  
DOI:10.11886/j.issn.1007-3256.2019.04.014
中文关键词:  边缘型人格障碍  转换症状  心理咨询
英文关键词:Borderline personality disorder  Conversion symptoms  Psychological counseling
基金项目:
作者单位
李洁 无锡市精神卫生中心 
张道龙 美中心理文化学会美国伊利诺伊大学精神医学系 
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中文摘要:
      【摘要】 本文目的是通过报道病例诊疗过程,呈现边缘型人格障碍伴转换症状的临床诊疗思路及治疗方案的制定。咨客为一名46岁的女性,因长期无法与人建立亲密关系,常感到空虚、孤独,遇事容易出现多汗、头晕、心慌、胸闷、呼吸困难等症状。经本次咨询,被诊断为边缘型人格障碍伴转换症状。建议采用生物-心理-社会综合干预方法,鼓励咨客进行规律运动,并使用β受体阻滞剂普萘洛尔改善转换症状;心理治疗推荐辩证行为治疗(DBT);社会资源方面,鼓励咨客先助己后助人,且工作方向定位在大众一般心理保健。
英文摘要:
      The purpose of this article is to report the whole process of diagnosis and treatment of a patient with borderline personality disorder accompanied by conversion symptoms. The client is a 46-year-old woman, with a long-term inability to establish close relationships with others, often feels emptiness and loneliness. In response to upsetting stimuli, she is prone to sweating, dizziness, feeling flustered, chest tightness, breathing difficulties and other symptoms. After this consultation, the client was diagnosed with borderline personality disorder with conversion symptoms. A biological-psychological-social intervention model was recommended. She has been encouraged to exercise regularly and use β receptor blockaders to improve conversion symptoms. Dialectical behavior therapy is recommended for psychotherapy. In terms of social resources, the client was encouraged to help herself before helping others, and the direction of work is positioned in the general mental health care of the public.
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