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在CBT取向的首次咨询中，通过共情锚定、结构化信息收集、问题归类与协作式目标生成，建立治疗联盟并确立1–3项具体、可测、分阶段的初步咨询目标。
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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 | cabd6035-4632-5b5a-989a-410a9ffe9676 |
| name | CBT首次会谈：关系建立、结构化评估与目标协同设定 |
| description | 在CBT取向的首次咨询中，通过共情锚定、结构化信息收集、问题归类与协作式目标生成，建立治疗联盟并确立1–3项具体、可测、分阶段的初步咨询目标。 |
| version | 0.1.0 |
| tags | ["CBT","首次咨询","目标设定","治疗联盟","结构化会谈","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 | ["首次咨询","来访者存在情绪痛苦与行为失调","需明确咨询目标"] |
| examples | [{"input":"来访者说：‘我一想到考试就心慌，复习也看不进去，爸妈天天说我没出息……’","output":"咨询师回应：‘听起来考试触发了强烈的心慌，也让你在复习时很难专注——这确实很消耗人。我们今天可以一起理一理：这种心慌通常在什么情况下最明显？它影响了你哪些日常事情？如果接下来先改善一个小地方，你最希望是哪一点？’","notes":"用情绪命名+影响描述建立联结，自然过渡到功能评估与目标探询"}] |
在CBT取向的首次咨询中，通过共情锚定、结构化信息收集、问题归类与协作式目标生成，建立治疗联盟并确立1–3项具体、可测、分阶段的初步咨询目标。
以合作、透明、结构化方式开展首访：先共情确认困扰，再系统收集现状症状、社会功能、既往史（咨询/症状/家庭），同步完成基础风险筛查；将问题归纳为3类以内（如情绪痛苦、行为失调、环境压力源）；引导来访者主动提出或认可改善意向，转化为SMART目标；共同填写简版目标协议并书面确认。
建立治疗联盟、完成初步评估、设定可操作目标
references/evidence.mdreferences/evidence_manifest.jsonInput:
来访者说：‘我一想到考试就心慌，复习也看不进去，爸妈天天说我没出息……’
Output:
咨询师回应：‘听起来考试触发了强烈的心慌，也让你在复习时很难专注——这确实很消耗人。我们今天可以一起理一理：这种心慌通常在什么情况下最明显？它影响了你哪些日常事情？如果接下来先改善一个小地方，你最希望是哪一点？’
Notes:
用情绪命名+影响描述建立联结，自然过渡到功能评估与目标探询