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在来访者已掌握基础放松技术并完成5–8级想象脱敏的基础上，于深度放松状态下逐级暴露于高阶考试焦虑情境（9–11级），通过即时SUDS评估与嵌入式放松干预，实现主观焦虑强度稳定≤2分，强化神经可塑性与自我调控信心。
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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。
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Showing SKILL.md
| id | d224d395-3631-5439-b335-9d640bcfbb16 |
| name | 系统脱敏分级暴露训练（巩固期：9–11级） |
| description | 在来访者已掌握基础放松技术并完成5–8级想象脱敏的基础上，于深度放松状态下逐级暴露于高阶考试焦虑情境（9–11级），通过即时SUDS评估与嵌入式放松干预，实现主观焦虑强度稳定≤2分，强化神经可塑性与自我调控信心。 |
| version | 0.1.0 |
| tags | ["系统脱敏","分级暴露","想象暴露","放松配对","考试焦虑","巩固期","行为主义","profile:psychology::行为主义","axis:疗法"] |
| triggers | ["来访者已完成5–8级情境想象脱敏且能稳定维持放松","当前无急性危机表现","咨询进入巩固期"] |
| examples | [{"input":"来访者想象‘老师开始分发试卷’时SUDS=6","output":"咨询师暂停，引导其闭眼深呼吸5秒×3轮，同步提示‘肩膀沉下来，手心温热’；再次询问SUDS=2，继续下一环节","notes":"放松嵌入必须即时、简短、具身化"},{"input":"来访者第10级想象后报告‘心里发紧但能喘气’","output":"咨询师确认：‘发紧是身体在练习，喘气说明你在掌控——我们再做一次呼吸锚定’","notes":"将生理信号正常化，强化掌控感"}] |
在来访者已掌握基础放松技术并完成5–8级想象脱敏的基础上，于深度放松状态下逐级暴露于高阶考试焦虑情境（9–11级），通过即时SUDS评估与嵌入式放松干预，实现主观焦虑强度稳定≤2分，强化神经可塑性与自我调控信心。
引导来访者在深度放松状态下，依次想象9–11级考试相关焦虑情境；每级想象后立即评估主观焦虑强度（0–10分），若≥3分，则暂停想象，专注运用已习得的放松技术（如渐进式肌肉放松或腹式呼吸）直至焦虑降至≤2分；确认稳定放松后，再进入下一级。全程保持节奏可控、反馈即时、安全可逆。
降低特定考试相关高阶情境（9–11级）的主观焦虑强度至SUDS ≤2，巩固脱敏效果
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者想象‘老师开始分发试卷’时SUDS=6
Output:
咨询师暂停，引导其闭眼深呼吸5秒×3轮，同步提示‘肩膀沉下来，手心温热’；再次询问SUDS=2，继续下一环节
Notes:
放松嵌入必须即时、简短、具身化
Input:
来访者第10级想象后报告‘心里发紧但能喘气’
Output:
咨询师确认：‘发紧是身体在练习，喘气说明你在掌控——我们再做一次呼吸锚定’
Notes:
将生理信号正常化，强化掌控感