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标准化呼吸节奏干预：吸气4秒→屏息1秒→呼气6秒，配合身体觉察、浊气意象与共做建模，用于即时调节场所恐怖症相关的急性恐惧与自主神经亢奋，为后续认知工作建立生理稳定基础。
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Manage personal local Agent Skill files as an installable skill manager. Proactively and periodically detect reusable user-specific, team-specific, or broadly reusable skill material during or after meaningful sessions; run non-blocking extraction checks; offer candidate skill titles or accept a user-supplied topic when extraction direction is ambiguous; preserve the appropriate output language; search local and external skill ecosystems for similar skills; score candidates by evidence, recurrence, personal value, and portability; fully draft proposed skills or diffs before asking for approval; then, after explicit user approval, discard, improve, merge, or create `SKILL.md` folders.
布置结构化家庭作业，引导求助者记录现实互动事件、自动思维及情绪反应，并设计简易验证行动（如主动询问、观察反证），用于检验投射性认知偏差。适用于已识别出具体非理性信念（如‘别人肯定不喜欢我’）且情绪稳定者。
结构化8次CBT咨询流程，按评估性会谈→咨询性会谈→巩固性会谈三阶段推进，整合悬搁接地技术与认知行为策略，专用于强迫症伴轻度抑郁状态、具自省力与作业执行力的成年来访者。
Based on SOC occupation classification
Showing SKILL.md
| id | 3986f11c-07c0-5662-97b5-35d5b3870cd3 |
| name | 4-1-6深慢呼吸放松训练 |
| description | 标准化呼吸节奏干预：吸气4秒→屏息1秒→呼气6秒，配合身体觉察、浊气意象与共做建模，用于即时调节场所恐怖症相关的急性恐惧与自主神经亢奋，为后续认知工作建立生理稳定基础。 |
| version | 0.1.0 |
| tags | ["呼吸训练","自主神经调节","急性恐惧干预","CBT家庭作业","认知行为疗法","profile:psychology::认知行为疗法","axis:疗法","class:认知行为疗法","kind:child","document_merge_state:active","canonical:true"] |
| triggers | ["来访者报告心悸、出汗、窒息感等急性恐惧发作","咨询中出现明显自主神经激活（如手抖、语速加快）","需为后续认知重构创造生理稳定基础"] |
| examples | [{"input":"来访者进入咨询室后手抖、语速快，自评焦虑7分，说‘胸口发紧，怕自己晕过去’","output":"共同完成3轮4-1-6呼吸后，来访者自评焦虑降至4分，手抖停止，能平稳描述上一次乘车经历","notes":"首轮后即报告‘胸口松了一点’，第二轮开始主动跟随计数"},{"input":"咨询中讨论地铁场景时来访者突然屏住呼吸、脸色发白","output":"立即暂停对话，引导4-1-6呼吸3轮；完成后焦虑从8分降至5分，恢复语言连贯性，主动提出‘想试试自己数’","notes":"第二轮起由来访者主导计数，咨询师仅作节奏轻触提示"}] |
标准化呼吸节奏干预：吸气4秒→屏息1秒→呼气6秒，配合身体觉察、浊气意象与共做建模，用于即时调节场所恐怖症相关的急性恐惧与自主神经亢奋，为后续认知工作建立生理稳定基础。
指导来访者以舒适坐姿闭眼，用鼻吸气4秒，屏息1秒，用口缓慢呼气6秒；同步轻声计数（吸气：1-2-3-4；屏息：1；呼气：1-2-3-4-5-6）；引导其想象将体内浊气与负面情绪随呼气全部排出；共同完成3轮完整循环；结束后询问主观焦虑评分（0–10分VAS）并确认是否下降≥2分。
生理唤醒调节
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者进入咨询室后手抖、语速快，自评焦虑7分，说‘胸口发紧，怕自己晕过去’
Output:
共同完成3轮4-1-6呼吸后，来访者自评焦虑降至4分，手抖停止，能平稳描述上一次乘车经历
Notes:
首轮后即报告‘胸口松了一点’，第二轮开始主动跟随计数
Input:
咨询中讨论地铁场景时来访者突然屏住呼吸、脸色发白
Output:
立即暂停对话，引导4-1-6呼吸3轮；完成后焦虑从8分降至5分，恢复语言连贯性，主动提出‘想试试自己数’
Notes:
第二轮起由来访者主导计数，咨询师仅作节奏轻触提示