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一个结构化、时间限定的CBT咨询流程，分为关系建立与评估、心理帮助、结束与巩固三个阶段，每阶段有明确目标、方法和产出。
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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。
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| id | 8e6c9890-265d-573a-b563-149419a9f223 |
| name | CBT三阶段咨询框架 |
| description | 一个结构化、时间限定的CBT咨询流程，分为关系建立与评估、心理帮助、结束与巩固三个阶段，每阶段有明确目标、方法和产出。 |
| version | 0.1.0 |
| tags | ["CBT","结构化咨询","阶段化干预","目标管理","协议共建","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 | ["开展首次CBT个案咨询","需向来访者说明咨询整体节奏与预期","制定跨阶段目标与评估节点"] |
| examples | [{"input":"来访者初次来访，主诉考研前频繁上厕所、紧张感强（自评9分），希望缓解焦虑","output":"共同制定三阶段协议：第1次明确‘上厕所频次’与‘焦虑自评分’为基线指标；第2～5次聚焦‘识别考试相关自动思维’与‘渐进式延迟如厕行为实验’；第6～7次安排SCL-90复测与自评分追踪，目标降至≤3分并稳定3天","notes":"协议中明确标注各阶段起止次数、核心任务与成功标志"}] |
一个结构化、时间限定的CBT咨询流程，分为关系建立与评估、心理帮助、结束与巩固三个阶段，每阶段有明确目标、方法和产出。
按三阶段节奏推进CBT咨询：第一阶段（第1次）聚焦关系建立、问题澄清与初步评估，协商制定可操作的咨询目标与行为指标；第二阶段（第2～5次）实施认知重构与行为矫正技术，布置并回顾家庭作业，持续监测情绪与行为变化；第三阶段（第6～7次）系统复习新认知与行为模式，使用标准化量表（如SCL-90）与自评等级进行效果复测，完成咨询协议闭环与关系终止。全程保持目标导向、协作性与可测量性。
提供可复用的CBT咨询阶段划分与阶段目标管理模板
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者初次来访，主诉考研前频繁上厕所、紧张感强（自评9分），希望缓解焦虑
Output:
共同制定三阶段协议：第1次明确‘上厕所频次’与‘焦虑自评分’为基线指标；第2～5次聚焦‘识别考试相关自动思维’与‘渐进式延迟如厕行为实验’；第6～7次安排SCL-90复测与自评分追踪，目标降至≤3分并稳定3天
Notes:
协议中明确标注各阶段起止次数、核心任务与成功标志