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一个结构化的认知行为疗法宏观协议，将咨询划分为关系建立与概念化、认知重构、行为干预、效果巩固与结束四个递进阶段。适用于强迫症等焦虑相关障碍的系统性CBT干预。
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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 | ed289001-a9ff-5c28-aa99-6fdac731caf9 |
| name | CBT四阶段咨询框架 |
| description | 一个结构化的认知行为疗法宏观协议，将咨询划分为关系建立与概念化、认知重构、行为干预、效果巩固与结束四个递进阶段。适用于强迫症等焦虑相关障碍的系统性CBT干预。 |
| version | 0.1.0 |
| tags | ["CBT","强迫症","结构化治疗","多阶段规划","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 | ["需为强迫症来访者制定结构化长期CBT方案","来访者具备基本心理教育接受能力","咨询师采用标准化CBT路径"] |
| examples | [{"input":"来访者W，大学生，反复洗手、检查，自知过度但无法控制，愿尝试系统帮助","output":"生成《CBT四阶段目标清单（W）》：阶段1目标为‘完成强迫症心理教育+建立信任+签署概念化图’；阶段2目标为‘识别3类常见自动化思维并完成5次思维记录’；阶段3目标为‘完成3次分级暴露练习且焦虑评分下降≥30%’；阶段4目标为‘共同签署复发预防卡并约定1个月随访’","notes":"严格对应原文四阶段定义，不添加未提及技术如正念或接纳承诺"}] |
一个结构化的认知行为疗法宏观协议，将咨询划分为关系建立与概念化、认知重构、行为干预、效果巩固与结束四个递进阶段。适用于强迫症等焦虑相关障碍的系统性CBT干预。
按顺序执行四个阶段：1）建立咨访关系、收集信息、形成个案概念化、共同制定方案；2）识别并修正自动化思维，探索核心信念；3）设计并实施行为实验或暴露练习，同步调整信念；4）回顾进展、预防复发、协商结束。各阶段需有明确目标清单、转介逻辑和书面记录。
提供跨会话、多阶段的CBT治疗路线图
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者W，大学生，反复洗手、检查，自知过度但无法控制，愿尝试系统帮助
Output:
生成《CBT四阶段目标清单（W）》：阶段1目标为‘完成强迫症心理教育+建立信任+签署概念化图’；阶段2目标为‘识别3类常见自动化思维并完成5次思维记录’；阶段3目标为‘完成3次分级暴露练习且焦虑评分下降≥30%’；阶段4目标为‘共同签署复发预防卡并约定1个月随访’
Notes:
严格对应原文四阶段定义，不添加未提及技术如正念或接纳承诺