智力发育障碍共病偷盗狂、注意缺陷/多动障碍的访谈与治疗

Interview and treatment of intellectual development disorder comorbidity kleptomania and attention deficit/hyperactivity disorder

本文目的是通过报道病例诊疗过程,呈现智力发育障碍共病盗窃狂、注意缺陷/多动障碍的临床诊疗思路及治疗方案。咨客为一名27岁未婚男性,自幼愚笨,难以集中注意力,伴有反复偷窃女性衣物的冲动行为。该咨客被诊断为智力发育障碍共病偷盗狂、注意缺陷/多动障碍。建议采用生物-心理-社会综合干预方法,鼓励咨客进行规律运动,以药物治疗改善偷窃的冲动行为和注意力缺陷;心理治疗推荐认知行为治疗;社会资源方面,鼓励咨客进行简单的工作,财务交由家属代为管理。

The purpose of this article is to report the whole diagnosis and treatment process of a patient with intellectual development disorder comorbidity kleptomania and attention deficit/hyperactivity disorder.The client was a 27-year-old male,and the basic information indicated that the patient was stupid since childhood,had difficulty concentrating and repetitive stealing of women's clothes.Through this consultation,the client was diagnosed as intellectual development disorder comorbidity kleptomania and attention deficit/hyperactivity disorder.It is suggested to adopt the bio-psycho-social integrative intervention,including regular exercise,drug treatment,cognitive behavioral therapy,and getting a simple job,moreover,and his financial management was entrusted to his family.