“广泛性焦虑障碍”的访谈与诊疗

一位年近30岁的女医学生表现出焦虑和抑郁症状。她既往无精神障碍史，但短期服用过抗抑郁药，后由于副作用而停药。患者年幼时跟随家人移民海外并且一直学业表现良好，现在就读于北美一所医学院。她从小就对应激和压力非常敏感，很容易对自己的人际关系、学业和未来发展过分担心。目前患者虽然能正常上课，但始终害怕无法顺利拿到学位，并且在社交时常紧张不安，甚至出现胃痉挛。为了帮助她完成医学院的学习，母亲全职在家并常提醒她去找男朋友。加之来自父母的压力，她的担忧始终持续且睡眠不佳。医生对患者的诊断是“广泛性焦虑障碍伴继发抑郁症状”。焦虑消耗着她的能量，使她感到精疲力竭。在干预措施上，应给予药物治疗、认知行为治疗和正念...

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Bibliographic Details
Published in四川精神卫生 Vol. 29; no. 2; pp. 111 - 117
Main Author 张道龙 张小梅
Format Journal Article
LanguageChinese
Published 美国伊利诺伊大学精神医学系，伊利诺伊州 芝加哥 IL 60612 2016
美中心理文化学会，伊利诺伊州 芝加哥 IL 60608%美中心理文化学会，伊利诺伊州 芝加哥 IL 60608
Subjects
广泛性焦虑障碍
治疗建议
鉴别诊断
鉴别诊断
治疗建议
Differential diagnosis
Generaliaed Anxiety Disorder
Treatment suggestion
广泛性焦虑障碍
Online AccessGet full text
ISSN1007-3256
DOI10.11886/j.issn.1007-3256.2016.02.004

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Summary:一位年近30岁的女医学生表现出焦虑和抑郁症状。她既往无精神障碍史，但短期服用过抗抑郁药，后由于副作用而停药。患者年幼时跟随家人移民海外并且一直学业表现良好，现在就读于北美一所医学院。她从小就对应激和压力非常敏感，很容易对自己的人际关系、学业和未来发展过分担心。目前患者虽然能正常上课，但始终害怕无法顺利拿到学位，并且在社交时常紧张不安，甚至出现胃痉挛。为了帮助她完成医学院的学习，母亲全职在家并常提醒她去找男朋友。加之来自父母的压力，她的担忧始终持续且睡眠不佳。医生对患者的诊断是“广泛性焦虑障碍伴继发抑郁症状”。焦虑消耗着她的能量，使她感到精疲力竭。在干预措施上，应给予药物治疗、认知行为治疗和正念减压治疗等。此外，医生还建议患者考虑选择一个压力相对较小的专业，比如皮肤科。
Bibliography:51-1457/R
Female medical student in her late twenties presents with symptoms of anxiety and depression. She has no prior mental health history except for a brief period of time when she was prescribed antidepressants,which she discontinued due to side effects. Patient immigrated overseas as a child and performed well in school. She was accepted to a university in North America where she struggled to finish her degree. Patient is prone to feelings of stress and pressure. In social situations,she experiences stomach cramps and nervous tremors. Since childhood,she has been prone to generaliaed anxiety,including interpersonal relationships,school, and her future. Although she is able to attend class normally,she worries constantly and has poor sleep hygiene due to studying and emotional pressure from her parents. Her mother decided to stay at home in order to help her finish medical school and frequently reminds her to husband - hunt. Patient’s diagnosis is Generaliaed Anxiety Disorder with secondary symptoms of d
ISSN:1007-3256
DOI:10.11886/j.issn.1007-3256.2016.02.004