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指导来访者执行4-1-6秒深慢呼吸（吸气4秒-屏息1秒-呼气6秒），配合身体扫描与意象引导，每日2次×5分钟，用于即时缓解恐惧相关的自主神经激活。
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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 | ca078774-1442-579d-91af-9c92e4fa1b14 |
| name | CBT呼吸放松训练标准化脚本 |
| description | 指导来访者执行4-1-6秒深慢呼吸（吸气4秒-屏息1秒-呼气6秒），配合身体扫描与意象引导，每日2次×5分钟，用于即时缓解恐惧相关的自主神经激活。 |
| version | 0.1.0 |
| tags | ["呼吸训练","自主神经调节","CBT基础技术","场所恐怖症干预","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 | ["来访者出现心悸、出汗、呼吸急促等恐惧躯体反应","需在会谈中快速建立安全感与可控感","作为暴露前稳态准备步骤"] |
| examples | [{"input":"来访者进入咨询室后手抖、语速快，说‘我一想到要坐地铁就胸口发紧’","output":"咨询师同步示范4-1-6呼吸3轮，来访者完成第2轮时呼吸变深，第3轮后报告放松感从3分升至6分","notes":"首轮后即询问‘现在胸口发紧的感觉有没有一点点变化？’以强化觉察"},{"input":"来访者在暴露作业回顾中突然呼吸急促，声音发颤","output":"咨询师暂停讨论，引导立即启动1轮4-1-6呼吸，完成后继续暴露复盘","notes":"不中断暴露主线，但以呼吸为‘安全锚点’重建可控感"}] |
指导来访者执行4-1-6秒深慢呼吸（吸气4秒-屏息1秒-呼气6秒），配合身体扫描与意象引导，每日2次×5分钟，用于即时缓解恐惧相关的自主神经激活。
请以平稳、缓慢、确定的语调引导来访者：①调整舒适坐姿，闭眼；②用鼻子吸气4秒（默数1-2-3-4）；③屏息1秒；④用嘴缓慢呼气6秒（默数1-2-3-4-5-6），同步想象浊气与紧张随呼气排出；⑤重复3轮；⑥结束后轻柔询问主观放松感（0–10分）。全程同步示范，保持节奏一致。
physiological_regulation
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者进入咨询室后手抖、语速快，说‘我一想到要坐地铁就胸口发紧’
Output:
咨询师同步示范4-1-6呼吸3轮，来访者完成第2轮时呼吸变深，第3轮后报告放松感从3分升至6分
Notes:
首轮后即询问‘现在胸口发紧的感觉有没有一点点变化？’以强化觉察
Input:
来访者在暴露作业回顾中突然呼吸急促，声音发颤
Output:
咨询师暂停讨论，引导立即启动1轮4-1-6呼吸，完成后继续暴露复盘
Notes:
不中断暴露主线，但以呼吸为‘安全锚点’重建可控感