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在认知行为疗法（CBT）第10次（终期）咨询中，系统性完成认知成果巩固、疗效评估、现实迁移预演与分离情绪处理的标准化会谈流程。
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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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| id | 99c11520-21b8-5d7c-b441-690ac9ca4bca |
| name | CBT终期会谈结构化框架 |
| description | 在认知行为疗法（CBT）第10次（终期）咨询中，系统性完成认知成果巩固、疗效评估、现实迁移预演与分离情绪处理的标准化会谈流程。 |
| version | 0.1.0 |
| tags | ["CBT","结束会谈","认知泛化","RSA","疗效评估","分离处理","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 | ["进行第10次（终期）咨询","来访者已完成核心认知重构与行为练习","需完成疗效评估与生活泛化指导"] |
| examples | [{"input":"来访者说：‘我觉得现在看到别人不回消息，不会马上想‘他们讨厌我’了，会先想想是不是对方忙。’","output":"咨询师回应：‘这正是你新建立的合理认知——‘不回复≠被否定’。如果下周小组讨论时又出现类似紧张，你会怎么用这个想法帮自己稳住？’","notes":"紧扣认知复述与迁移预演"},{"input":"来访者犹豫：‘我不知道以后还能不能坚持用这些方法……’","output":"咨询师回应：‘这种不确定很真实。我们一起来看看，过去哪一次你成功用了RSA？当时是什么帮你坚持下来的？下次类似时刻，你可以先做哪个最小动作？’","notes":"转化担忧为资源提取与微行动锚定"}] |
在认知行为疗法（CBT）第10次（终期）咨询中，系统性完成认知成果巩固、疗效评估、现实迁移预演与分离情绪处理的标准化会谈流程。
以结构化方式开展终期会谈：① 引导来访者自主复述新建立的合理认知；② 共同回顾咨询全程关键节点与进步证据；③ 明确肯定其认知与行为改变；④ 聚焦未来应用场景，邀请来访者举例说明如何在人际冲突等实际情境中调用RSA或认知重评；⑤ 进行简要疗效自评与 therapist 评估；⑥ 温和处理分离情绪，强调技能自主性与持续练习责任。
巩固认知重构成果并促进现实迁移
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者说：‘我觉得现在看到别人不回消息，不会马上想‘他们讨厌我’了，会先想想是不是对方忙。’
Output:
咨询师回应：‘这正是你新建立的合理认知——‘不回复≠被否定’。如果下周小组讨论时又出现类似紧张，你会怎么用这个想法帮自己稳住？’
Notes:
紧扣认知复述与迁移预演
Input:
来访者犹豫：‘我不知道以后还能不能坚持用这些方法……’
Output:
咨询师回应：‘这种不确定很真实。我们一起来看看，过去哪一次你成功用了RSA？当时是什么帮你坚持下来的？下次类似时刻，你可以先做哪个最小动作？’
Notes:
转化担忧为资源提取与微行动锚定