| 王剑婷,肖茜,张道龙.躯体变形障碍合并边缘型人格障碍的访谈与治疗[J].四川精神卫生杂志,2019,32(1):62-65.,Interview and treatment of body dysmorphic disorder combined with borderline personality disorder[J].SICHUAN MENTAL HEALTH,2019,32(1):62-65 |
| 躯体变形障碍合并边缘型人格障碍的访谈与治疗 |
| Interview and treatment of body dysmorphic disorder combined with borderline personality disorder |
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| DOI：10.11886/j.issn.1007-3256.2019.01.012 |
| 中文关键词: 躯体变形障碍 边缘型人格障碍 辩证行为治疗 |
| 英文关键词:Body dysmorphic disorder Borderline personality disorder Dialectical Behavior Therapy |
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| 中文摘要: |
| 【摘要】 咨客，女性，25 岁，经常感觉眼睛变小，反复为此纠结。 个人情绪不稳定、易激动，在人际关系方面存在问题。 在本次咨询中患者被诊断为躯体变形障碍合并边缘型人格障碍，建议采用生物 － 心理 － 社会的综合干预模式治疗。 鼓励咨客规律运动，服用选择性 5 - 羟色胺再摄取抑制剂(SSRIs)和第二代抗精神病药物联合治疗；采用辩证行为治疗(DBT)调整咨客认知、稳定情绪、改善人际技能；工作上建议选择人际压力小的工作环境，如影像学类临床辅助科室。 |
| 英文摘要: |
| The client was a 25 - year - old female. She struggled with the feeling that her eyes were getting smaller frequently. Her emotion was unstable and easily getting irritated. She also had problems with dealing relationship with other people. The client was diagnosed with body dysmorphic disordercombined with borderline personality disorder in the current psychological consultation. To deal with this situation, biological - psychological - social intervention model was recommended. The client was encouraged to exercise regularly and take selective serotonin reuptake inhibitors ( SSRIs) and the second - generation antipsychotic drugs. Dialectical Behavior Therapy ( DBT) was used to adjust the cognition, stabilize the emotion and improve her interpersonal skills. She was suggested to choose a low interpersonal pressure work such as clinical assistant in medical imaging department. |
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