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在认知行为疗法框架下，为社交恐怖症求助者设计并实施渐进式暴露练习的结构化会话流程，含情绪监控、情景分级、作业布置与反思要求。
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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 | 5a855d67-fbaf-58ca-8db1-705c38c34c0f |
| name | CBT社交恐惧症暴露练习结构化方案 |
| description | 在认知行为疗法框架下，为社交恐怖症求助者设计并实施渐进式暴露练习的结构化会话流程，含情绪监控、情景分级、作业布置与反思要求。 |
| version | 0.1.0 |
| tags | ["社交恐惧","暴露练习","情绪监控","CBT作业","结构化干预","心理动力学","profile:psychology::心理动力学","axis:疗法","class:心理动力学","kind:child","document_merge_state:active","canonical:true","kind:parent"] |
| triggers | ["求助者已完成心理教育与治疗契约建立","存在明确可观察的社交回避行为","当前焦虑水平处于中等可耐受范围"] |
| examples | [{"input":"求助者报告‘在食堂排队时怕和打饭师傅对视，常低头快走’，情绪监控表显示该情景焦虑评分为5分。","output":"共同设计暴露任务：‘明天中午打饭时，主动看师傅眼睛1秒，说‘一份红烧肉，谢谢’，完成后立刻在手机备忘录记下：时间/焦虑分/当时想法/身体感觉/一句自我肯定’。","notes":"任务聚焦可控变量（时长、语句、记录动作），规避模糊要求（如‘多练习社交’）"}] |
在认知行为疗法框架下，为社交恐怖症求助者设计并实施渐进式暴露练习的结构化会话流程，含情绪监控、情景分级、作业布置与反思要求。
降低回避行为，增强对中等焦虑社交情景的耐受与应对能力
CBT适应性人际技能具身化辅导 时，优先调用它。 线索：来访者理解认知原理但缺乏行动信心, 人际困扰表现为回避、过度讨好或防御性攻击, 咨询进入行为实验准备阶段, CBT, 行为实验不合理信念现场验证实验 时，优先调用它。 线索：识别出具体、可验证的不合理信念（如‘他们会嘲笑我’）, 求助者对信念真实性存疑但尚未动摇, 有安全可控的同伴资源支持现场验证, CBT, cognitive restructuring日记式恐惧情境自我观察作业 时，优先调用它。 线索：来访者能用语言描述情绪但缺乏情境锚定, 需为后续认知重构或渐进式暴露提供可比性基线数据, CBT, 家庭作业, 自我监测目光接触习惯重建作业 时，优先调用它。 线索：求助者将目光接触视为核心恐惧刺激, 日常场景中存在低风险实践机会, 已掌握基础放松技术, 目光接触, 行为实验references/children_manifest.jsonreferences/children_map.mdreferences/evidence.mdreferences/evidence_manifest.jsonInput:
求助者报告‘在食堂排队时怕和打饭师傅对视，常低头快走’，情绪监控表显示该情景焦虑评分为5分。
Output:
共同设计暴露任务：‘明天中午打饭时，主动看师傅眼睛1秒，说‘一份红烧肉，谢谢’，完成后立刻在手机备忘录记下：时间/焦虑分/当时想法/身体感觉/一句自我肯定’。
Notes:
任务聚焦可控变量（时长、语句、记录动作），规避模糊要求（如‘多练习社交’）