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指导来访者通过固定节律（吸气4秒-屏息1秒-呼气6秒）进行生理调节，以降低交感兴奋、激活副交感神经，缓解急性恐惧反应。
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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。
Showing SKILL.md
| id | 83036b7f-e3e7-5682-a3fe-67e6dfcc90a4 |
| name | 4-1-6呼吸放松法标准化训练流程 |
| description | 指导来访者通过固定节律（吸气4秒-屏息1秒-呼气6秒）进行生理调节，以降低交感兴奋、激活副交感神经，缓解急性恐惧反应。 |
| version | 0.1.1 |
| tags | ["呼吸训练","副交感激活","场所恐怖","急性恐惧干预","行为主义","profile:psychology::行为主义","axis:疗法"] |
| triggers | ["来访者报告即时恐惧躯体化症状","咨询中出现焦虑升高","需为暴露练习做生理准备"] |
| examples | [{"input":"来访者进入咨询室后手抖、呼吸急促，自评焦虑7分","output":"完成3轮4-1-6呼吸后，自评焦虑降至4分，手抖停止，能平稳叙述事件","notes":"咨询师全程同步计数，未中断节奏"},{"input":"来访者在家恐惧发作时自行启动训练，但仅完成1轮即放弃","output":"经回顾发现屏息引发头晕；调整为4-0-6节奏后，完成3轮，焦虑从8分降至5分","notes":"屏息环节需个体化评估，非强制步骤"}] |
指导来访者通过固定节律（吸气4秒-屏息1秒-呼气6秒）进行生理调节，以降低交感兴奋、激活副交感神经，缓解急性恐惧反应。
指导来访者以舒适坐姿放松身体；用鼻吸气4秒（默数1-4），屏息1秒，再用口缓慢呼气6秒（默数1-6）；同步引导其想象浊气与负面情绪随呼气排出；全程闭眼、语速舒缓、节奏稳定；与来访者同步示范3轮；结束后确认主观放松感及焦虑变化。
在恐惧情绪初发时快速降低交感神经兴奋水平
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者进入咨询室后手抖、呼吸急促，自评焦虑7分
Output:
完成3轮4-1-6呼吸后，自评焦虑降至4分，手抖停止，能平稳叙述事件
Notes:
咨询师全程同步计数，未中断节奏
Input:
来访者在家恐惧发作时自行启动训练，但仅完成1轮即放弃
Output:
经回顾发现屏息引发头晕；调整为4-0-6节奏后，完成3轮，焦虑从8分降至5分
Notes:
屏息环节需个体化评估，非强制步骤
Based on SOC occupation classification