怎样治疗性神经衰弱

如何治疗性神经衰弱配图，仅供参考

Psychotherapy
Formal psychotherapies for social anxiety disorder include social skills training,exposure in vivo,cognitive therapy,and cognitive-behavioral therapy (individual and in groups). While these treatments can be quite effective,finding well-trained,experienced therapists may be difficult. (Both the Madison Institute of Medicine,Inc.,7617 Mineral Point Road,Suite 300,Madison,WI 53717,(608) 827-2470,and the Anxiety Disorders Association of America,11900 Parklawn Drive,Suite 100,Rockville,MD 20852-2624,(301) 231-9350,are referral sources.) In addition,these programs require a substantial commitment of time and effort by the patient. Since repeated exposure to feared situations is an integral part of treatment,some find it difficult to structure an adequate exposure paradigm. For example,the timing and duration of weekly sales meetings may be immutable,opportunities for speaking before large audiences may be limited,and confronting the boss for a raise is usually not conducive to repeated,lengthy contacts.
Social skills training involves teaching patients the essential verbal and nonverbal skills necessary to effectively and comfortably interact with others. Rehearsal and role-playing with exposure are critical elements. Social skills training is a central component of an intervention known as social effectiveness training.
Exposure therapy (also referred to as behavior therapy) is based on the premise that continued exposure to feared situations leads to anxiety reduction by habituation. An example might be repeatedly asking strangers for directions to a location across town until the process becomes comfortable. In general,exposure needs to be repeated and lengthy to be effective.
Cognitive therapy focuses on correcting the irrational thoughts or beliefs that contribute to inappropriate social anxiety. Ultimately,an element of exposure is almost always introduced into a cognitive schemata.
Cognitive-behavioral therapy,or CBT,is the best-studied psychotherapeutic approach to social anxiety disorder. CBT blends the best of exposure therapy and cognitive therapy using cognitive restructuring,exposure simulation,and in vivo homework assignments. Heimberg and others developed cognitive-behavioral group therapy (CBGT),which provides CBT in a group setting. It has been shown to be as effective as pharmacotherapy for social phobia and may provide a greater likelihood of maintaining response following termination of treatment.","department":"