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在DBT个体治疗起始阶段，执行标准化的四次50分钟会谈，依次完成治疗关系建立与个案概念化、DBT模型教育与问题行为界定、行为链分析建模、日记卡定制与使用演练，确保青少年来访者理解治疗逻辑、认同合作框架并掌握首个核心工具。
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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 | f74a4473-5e71-5138-8073-867bc35334e6 |
| name | DBT预承诺阶段四次结构化会谈 |
| description | 在DBT个体治疗起始阶段，执行标准化的四次50分钟会谈，依次完成治疗关系建立与个案概念化、DBT模型教育与问题行为界定、行为链分析建模、日记卡定制与使用演练，确保青少年来访者理解治疗逻辑、认同合作框架并掌握首个核心工具。 |
| version | 0.1.0 |
| tags | ["DBT","青少年","预承诺","结构化会谈","日记卡","行为链分析","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 | ["开始DBT个体治疗","来访者为青少年且需增强结构感与掌控感","存在对治疗机制的误解或低预期"] |
在DBT个体治疗起始阶段，执行标准化的四次50分钟会谈，依次完成治疗关系建立与个案概念化、DBT模型教育与问题行为界定、行为链分析建模、日记卡定制与使用演练，确保青少年来访者理解治疗逻辑、认同合作框架并掌握首个核心工具。
按固定序列执行四次会谈：第1次聚焦关系建立与概念化（含共情性倾听、认可技术、可视化个案概念图）；第2次开展DBT简明教育（强调辩证、痛苦耐受、情绪调节三支柱）、依优先级界定问题行为（如自伤），并启动行为链分析；第3次深化行为链建模（识别前因-行为-后果链条，标注情绪/认知/生理线索）；第4次协同设计个性化日记卡（含情绪记录栏、技能使用追踪、危机应对提示），现场演练填写与反馈。
完成DBT治疗前心理准备、知识传递与工具落地，确保来访者理解‘为什么做’和‘怎么做’
references/evidence.mdreferences/evidence_manifest.json