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| 依赖型人格障碍共病持续性抑郁障碍的临床访谈与治疗 |
| Clinical interview and treatment of dependent personality disorder comorbid persistent depressive disorder |
| 投稿时间：2020-09-06 修订日期：2020-12-23 |
| DOI： |
| 中文关键词: 依赖型人格障碍 持续性抑郁障碍 心理咨询 治疗建议 |
| 英文关键词:Dependent personality disorder Persistent depressive disorder Psychological counseling Treatment recommendations |
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| 中文摘要: |
| 本文目的是通过报道病例诊疗过程,呈现依赖型人格障碍共病持续性抑郁障碍的临床诊疗思路及治疗方案的制定。咨客为一名17岁的未婚男性,父母溺爱且凡事包办,咨客不能独立生活,人际交往困难,生活懒散被动,情绪低落伴自伤行为,沉迷游戏,部分言语脱离现实,学业和日常生活明显受损。经本次咨询,咨客被诊断为依赖型人格障碍共病持续性抑郁障碍。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,使用哌甲酯缓释片作为SSRIs类药物草酸艾司西酞普兰的增效剂改善情绪和注意力,提高动力；心理治疗推荐认知行为治疗；社会资源,继续休学一段时间,待独立生活能力和社交功能进一步改善后再恢复学业,为将来能够谋生做准备。 |
| 英文摘要: |
| The purpose of this article is to report the complete process of diagnosis and treatment of a patient with dependent personality disorder comorbid persistent depressive disorder. The patient is a 17-year-old unmarried male with doting parents who do everything all the time. The client is unable to live independently, has difficulties in interpersonal communication, is lazy and passive in life, has low mood and self-injury behavior, is addicted to games, divorced from reality in speech, with serious impairments in his education and daily life. After consultation, the client was diagnosed with dependent personality disorder comorbidities persistent depressive disorder. It was suggested to him to adopt an integrated biological - psychological - social intervention treatment. The client was encouraged to exercise regularly, use methylphenidate sustained-release tablets as a synergism with escitalopram, and take an SSRI drug to improve mood, attention, and motivation. Cognitive behavioral therapy is recommended for psychotherapy. Socially, he should continue to take time off from school until his ability to live independently and socialize is further improved, and then resume studies to prepare for a future life. |
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