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一个结构化、可迭代、符合DBT辩证逻辑的宏观治疗框架，用于系统化组织临床信息、确立目标层级并基于实证反馈动态调整治疗方案。
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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。
Showing SKILL.md
| id | 258de44d-ff42-52d0-8a9a-253e6fc3f5cd |
| name | DBT个案概念化三步闭环协议 |
| description | 一个结构化、可迭代、符合DBT辩证逻辑的宏观治疗框架，用于系统化组织临床信息、确立目标层级并基于实证反馈动态调整治疗方案。 |
| version | 0.1.0 |
| tags | ["DBT","个案概念化","目标层级","行为链分析","辩证框架","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 | ["已确认适用DBT框架","完成初步信息收集","需建立目标层级结构"] |
一个结构化、可迭代、符合DBT辩证逻辑的宏观治疗框架，用于系统化组织临床信息、确立目标层级并基于实证反馈动态调整治疗方案。
按顺序执行三步闭环：① 收集患者问题行为、情绪反应、环境线索及治疗史等信息，明确当前所处DBT治疗阶段（如阶段1稳定化）与目标层级（生命威胁行为＞治疗干扰行为＞生活质量干扰行为）；② 将信息结构化为书面概念化文档，标注核心问题、功能假设及优先级排序；③ 基于行为链分析结果与实证反馈（如目标进展停滞），修订干预路径；若未达预期效果，则返回步骤①，对下一目标层级重复本流程。
完成可复用、可迭代、符合DBT辩证逻辑的个案概念化闭环
references/evidence.mdreferences/evidence_manifest.json