肖茜,张道龙.强迫症共病皮肤搔抓障碍的临床访谈[J].四川精神卫生杂志,2019,32(5):453-455.
强迫症共病皮肤搔抓障碍的临床访谈
Interview and treatment of obsessive compulsive disorder comorbidity with excoriation disorder
投稿时间:2019-09-02  
DOI:10.11886/j.issn.1007-3256.2019.05.015
中文关键词:  强迫症  皮肤搔抓障碍  诊疗方案  心理治疗
英文关键词:Obsessive compulsive disorder  Excoriation disorder  Treatment plan  Psychological treatment
基金项目:湖南省自然科学基金青年基金项目(2018JJ3832)
作者单位邮编
肖茜 中南大学湘雅医院心理卫生中心 410008
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:
      本文对一例强迫及相关障碍的咨客进行了案例访谈报告,目的是提高精神科医疗工作者的临床访谈技巧和诊疗水平。一位17岁的男性咨客因难以自控地在街上抢女士的高跟鞋、引起群众恐慌而来访。他的行为极具违法的风险,警察已经多次上门问询。咨客被诊断为强迫症共病皮肤搔抓障碍,采取生物-心理-社会的整合式治疗进行干预。咨客既往使用氟西汀时造成肝功能损害,需要调整用药。运用认知行为疗法(CBT)治疗强迫症状。本案例中涉及了司法精神医学的相关知识,为临床访谈提供一定的借鉴。
英文摘要:
      The purpose of this article was to improve the clinical interview skills and diagnosis level of psychiatric medical workers. In this case, a 17-year-old male client came to visit after causing panic by grabbing a woman's high heels in the street. Police made repeated visits to his home due to this potentially breaking law behavior. He was diagnosed with obsessive-compulsive disorder comorbid with excoriation disorder, which was treated through biological-psychological-social integrative therapy. His previous use of fluoxetine caused liver function damage and required medication adjustment. Cognitive behavioral therapy (CBT) was used to treat obsessive compulsive disorder symptoms. This case provides an example of forensic psychiatry's role in clinical interviewing.
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