凌永红,李洁,钟丽萍,张道龙.过敏性皮炎遗留色素沉着共病适应障碍的访谈与治疗[J].四川精神卫生杂志,2019,32(6):540-542.
过敏性皮炎遗留色素沉着共病适应障碍的访谈与治疗
Interview and treatment of adaptive disorders with pigmentation left over from allergic dermatitis
投稿时间:2019-11-06  
DOI:10.11886/scjsws20191106002
中文关键词:  适应障碍  色素沉着  心理治疗
英文关键词:Adjustment disorder  Pigmentation  Psychotherapy
基金项目:
作者单位E-mail
凌永红 雄安新区安新县医院河北 雄安 071600  
李洁 无锡市精神卫生中心  
钟丽萍 北京华佑精神康复医院  
张道龙 北京华佑精神康复医院 dzhang64@yahoo.com 
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中文摘要:
      本文目的是通过报道病例诊疗过程,呈现躯体疾病共病适应障碍的临床诊疗思路及治疗方案的制定。咨客是一位36岁已婚女性,过敏性皮炎后遗留面部及颈部色素沉着,影响容貌美观,继而出现情绪低落、感到自卑、做事情缺乏动力、回避社交、心境不稳定、易怒,严重影响日常社交及工作,故来咨询。被诊断为过敏性皮炎遗留色素沉着共病适应障碍。建议采用生物-心理-社会综合干预方法,鼓励咨询加强运动,口服NaSSA类抗抑郁药米氮平缓解焦虑,采用皮秒激光淡化色斑;心理治疗推荐认知行为治疗和正念减压治疗。
英文摘要:
      The purpose of this article was to present the diagnosis and treatment plan of adjustment disorder comorbidity with physical illness through reporting procedure of treating and diagnosing case. The patient was a 36-year-old married woman with pigmentation on her face and neck after allergic dermatitis, resulting in self-reported differences in her appearance and beauty, followed by depression, self-abasement, lack of motivation to do things, social avoidance, mood instability and irritability, which seriously affected her daily social life and work. The patient was diagnosed with allergic dermatitis residual pigmentation comorbid with adjustment disorder. A biological-psychological-social intervention was recommended, including emphasis on counseling and exercise, taking NaSSA antidepressant mirtazapine to relieve anxiety, and using picosecond laser to lighten color spots. Psychotherapy recommendations included cognitive behavioral therapy and mindful stress reduction.
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