Daitch Carolyn
a Center for the Treatment of Anxiety Disorders, Farmington Hills, Michigan, USA.
Am J Clin Hypn. 2018 Jul;61(1):57-69. doi: 10.1080/00029157.2018.1458594.
Individuals suffering from generalized anxiety disorder (GAD) experience a broad range of physical, emotional, and cognitive distress. A hallmark of GAD is anxiety around making decisions. Many clinicians notice improvements in patients through specific modalities, such as mindfulness, hypnosis, and cognitive behavioral therapy (CBT); however, these individual methods sometimes fall short. Clinicians and researchers alike note that it can be more effective to combine these three methods into an integrative treatment protocol. This article demonstrates the efficacy of an integrative model through the case study of a client who suffers from GAD and acute fear of decision making. Competent use of mindfulness, hypnosis, and CBT helps the client build the skills necessary to self-soothe, diminish worry, access resources, and enhance hope for the future. Through the article, clinicians interested in integrated treatment models will gain insight into how to apply these methods.
患有广泛性焦虑症(GAD)的个体经历着广泛的身体、情绪和认知困扰。GAD的一个标志是在做决定时感到焦虑。许多临床医生通过特定方式,如正念、催眠和认知行为疗法(CBT),注意到患者的病情有所改善;然而,这些单一方法有时并不够。临床医生和研究人员都指出,将这三种方法结合成一个综合治疗方案可能会更有效。本文通过对一位患有GAD且极度害怕做决定的客户的案例研究,展示了一种综合模型的疗效。熟练运用正念、催眠和CBT有助于客户培养自我安抚、减少担忧、获取资源以及增强对未来希望所需的技能。通过本文,对综合治疗模型感兴趣的临床医生将深入了解如何应用这些方法。