中国社区中的心理健康案例研究(二十一)——恶劣心境

Case Studies of Mental Health in Chinese Community (21)——Dysthymia

恶劣心境是一种以持久的心境低落状态为主的轻度抑郁,从不出现躁狂,患者缺乏获取快乐的能力,自尊水平低,精力缺乏,偶尔有自杀的想法,但社会功能一般无明显受损,自知力完整,多主动就医,与抑郁障碍存在差异。本文报道1例34岁的女性恶劣心境患者的心理治疗过程,以期提高社区医生应用多种心理咨询与治疗方法的能力。

Dysthymia is a kind of mild depression that mainly presents as persistent low mood state and without mania.Lacking ability to obtain happiness and energy,dysthymic patients have feelings of low self-esteem and sometimes want to kill themselves.But there is no obvious damage in their social function,they have complete self-consciousness and they often initiatively seek medical care.Such manifestation was different from that of depressive disorder.The paper reports the psychological treatment process of a 34-year-old female patient with dysthymia,and hopes to improve the ability of community physicians in applying a variety of psychological counseling and psychotherapy methods.