Essential workers during the COVID-19 pandemic face heightened levels of anxiety and depression due to increased work demands, lack of adequate personal protective equipment, fear of contracting the virus, and fear of spreading it to loved ones. This is a time of urgent need for mental health support for workers affected by the pandemic crisis. Clinicians may employ empirically supported interventions derived from cognitive behavioral therapy (CBT) and related therapies. Psychological First Aid, an evidence-based crisis intervention, may be utilized to emphasize basic needs and support, but is intended as an acute disaster intervention. Given that a pandemic is an ongoing and prolonged stressor, additional CBT-informed interventions are likely needed to fully support essential workers during these times. It is recommended that clinicians help essential worker clients meet their basic needs by modifying health and sleep habits where possible and helping them advocate for their needs using interpersonal effectiveness skills. Empathic listening, validation of the crisis at hand, and values clarification can aid the therapeutic relationship, help them feel a renewed sense of purpose and meaning in their careers and with their families, and facilitate behavior change consistent with chosen values. Self-monitoring through a daily diary can help clients focus their thoughts and recognize maladaptive patterns in their thoughts and behaviors. In tandem with these techniques, behavioral activation and coping strategies including relaxation, distress tolerance, and acceptance promote engaging in positive and adaptive activities. Finally, therapists can help clients reduce anxiety related to the pandemic by helping them limit information intake.

中文翻译：

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在 COVID-19 大流行期间对基本工人的 CBT 知情干预

由于工作需求增加、缺乏足够的个人防护设备、害怕感染病毒以及害怕将病毒传播给亲人，COVID-19 大流行期间的基本工人面临着更高程度的焦虑和抑郁。这是一个迫切需要为受大流行危机影响的工人提供心理健康支持的时期。临床医生可以采用来自认知行为疗法 (CBT) 和相关疗法的经验支持的干预措施。心理急救是一种基于证据的危机干预，可用于强调基本需求和支持，但旨在作为急性灾难干预。鉴于大流行是持续和长期的压力源，因此在这些时期可能需要额外的 CBT 知情干预来全面支持基本工人。建议临床医生通过在可能的情况下改变健康和睡眠习惯来帮助基本工作者客户满足他们的基本需求，并帮助他们使用人际关系效率技能来倡导他们的需求。移情倾听、对眼前危机的确认和价值观澄清可以帮助治疗关系，帮助他们在职业和家庭中感受到新的目的和意义，并促进与所选价值观一致的行为改变。通过每日日记进行自我监控可以帮助来访者集中思想并识别其思想和行为中的适应不良模式。与这些技术相结合，行为激活和应对策略（包括放松、承受痛苦和接受）促进了积极和适应性活动的参与。最后，