问题 多项选择题

一般资料:求助者,男性,24岁,运动员。

案例介绍:求助者经常要参加比赛。半年前在报纸上看到有一位著名的马拉松选手在比赛中突然倒地身亡,死因是心律失常。求助者从此开始密切关注自己的心脏,天天为自己把脉。三个月前偶然出现一次心脏早搏,心脏好像悬空,出现了坐电梯的那种感觉。求助者觉得自己的心脏出了问题,担心会突发心脏病死掉,从此四处求医看病。而医生经过仔细的体检和心电图检查后,告诉他心脏没有异常,可以继续参加比赛。但他一点也不相信,很害怕自己有病没有诊断出来。继续四处求医,做了各种检查,还是没有发现器质性病变。他觉得那些医生医术不高明,或检查出了问题却有意瞒着他,于是花大量时间查阅医学书籍。结果没有让他轻松,反倒使他更加焦虑痛苦。现在求助者每天所考虑的就是自己的病,无法集中精力投入训练,因心烦和朋友的交往也越来越少,白天心烦,晚上睡不着,体重也有所下降。

心理咨询师观察了解到的情况:亲属反映,求助者是国家级运动员,很有成就,人际关系良好。从小性格内向,对自己的身体健康非常关注。

在本案例的初诊接待阶段,心理咨询师应重点询问的内容是()。

A.过去疾病史 

B.对身体的看法 

C.各种检查史 

D.目前情绪体验

答案

参考答案:A, B, C, D

解析:

ABCD。 初诊接待是心理咨询师收集求助者的有关资料,并进行整理为初步诊断做准备的阶段。心理咨询需要收集的资料包括求助者的一般临床资料、求助者的既往史,也可以使用相关的心理测验对求助者的心理进行评估。

单项选择题
填空题

Have you had a headache during a test Have you ever been so worried about something that you have a headache or even can’t sleep at night If so, then you know what stress is. Stress is what you feel when you are worried about something. This worry in your mind can make your body feel bad. You may feel angry, sad, scared, or afraid—all of which can give you a stomachache or a headache.
However, there are different kinds of stress. Some kinds of stress are good and others are bad. Good stress might happen when you’re called to answer questions in class or when you have to give a speech. This kind of stress can help you to get things better done. For example, you may do a better job on your test if the stress pushes you to prepare better before the test.
On the other hand, bad stress can happen if stress lasts too long. You may not feel well if your parents are fighting, if a family member is sick, if you’re having problems at school, or if anything else makes you unhappy every day. That kind of stress isn’t going to help you. And it can actually make you sick.
The best way to fight stress is to have a balanced life. Make sure you keep your SELF in mind: Sleep, Exercise, Leisure(休闲), and Food. If you get enough sleep and eat properly, and if you exercise and leave time for fun, you’ll probably feel less stressed.

Title: Face the Stress
Meaning of stress Stress is a (68) when you are worried about something.
Possible effect You may feel uncomfortable in your (69) and body.

Good stress

· It might happen when you have to (70) in public.

· It will be more (71) for you to do the job successfully.

· It makes you (72) better before doing the job.

Different kinds Bad stress

· It might happen if your stress (73) too long.

· You may not feel well with the (74) of a family member, problems at school or something else that worries you every day.

· It might stop you from getting your work well done.

How to keep stress (75) 

Have a balanced life.

· Have enough sleep and have (76) food.

· Take exercise and have time to (77) yourself.