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萍,今年31岁,在事业单位上班,身体纤弱,相貌一般。父母都是农民,姐妹三人,她最小。28岁时,曾有过一次婚姻,但结婚不到一年即告离婚。几个月前,她通过网恋,认识了一个外国朋友,还偷偷跑到北京办理了结婚手续,现在就等着签证出国了。就在等待签证的一个多月来,萍经常失眠,入睡迟,多梦,易醒,还非常容易焦虑,时常感到心慌,坐立不安,做事无头绪。但检查了一下,身体又没什么毛病。为此,她选择了心理咨询。在我看来,萍尽管受到失眠困扰,但第一次见面时仪表整齐,非常淑女,言谈举止显得格外有教养。只是言语谨慎,防御心理较强。交谈中,我主要了解了萍的一些基本情况以及家庭背景等,并对萍的失眠进行了评估。经过讨论与分析,萍初步认为自己的失眠与焦虑可能与两个原因有关。一个原因是签证迟迟办不下来,产生等待性焦虑;另一个原因是她比较任性,做事很少考虑家人意见,这次涉外婚姻,她与外国丈夫网恋了三个月后,就跑到北京旅游结婚,家里人不怎么支持,因此心理感到有些顾虑。根据交谈内容,初步诊断为心因性失眠,并失眠与焦虑相互伴生与强化。因此,治疗主要以调节情绪和改变认知为主,同时辅以必要的放松训练。
Ping, 31 years old this year, work in public institutions, the body is delicate, looks generally. Parents are peasants, sisters three, she is the youngest. At 28, there was a marriage, but a divorce occurred less than a year after marriage. A few months ago, she met a foreign friend through online dating. She secretly went to Beijing to go through the formalities of marriage and now she is waiting for the visa to go abroad. Just waiting for a visa for more than a month, Ping often insomnia, sleep late, dreams, easy to wake up, but also very easy to anxiety, often feel flustered, restless, work clueless. But check it out, there is nothing wrong with the body. To this end, she chose psychological counseling. In my opinion, although Ping was troubled by insomnia, but the first time the instrument neatly met, very ladies, speech and manner seem particularly polite. Just words cautious, defensive psychology stronger. During the conversation, I mainly learned some basic aspects of Ping and family background, and also evaluated Ping’s insomnia. After discussion and analysis, Ping initially thought her insomnia and anxiety may be related to two reasons. One reason is that visa delays can not be done, resulting in waiting anxiety; another reason is that she is more self-willed, work rarely consider the opinions of the family, the foreign marriage, she and foreign husband dating after three months, went to Beijing Travel married, family members do not support, so feel some psychological concerns. According to the content of the conversation, initially diagnosed as psychogenic insomnia, and insomnia and anxiety associated with each other and strengthen. Therefore, the treatment is mainly to regulate mood and change cognition, supplemented by the necessary relaxation training.