ABSTRACT

Millions of college students across the United States experience anxiety disorders, evidencing a high need for evidence-based counseling techniques. At the same time, impairment resulting from anxiety often necessitates classroom accommodations at the postsecondary level. Cognitive-behavioral therapy with exposure (CBT ERP) involves a thorough assessment of the function of a client’s behaviors and a personalized treatment plan that gradually exposes them to feared stimuli. Yet students often underutilize classroom accommodations, and accommodations may conflict with the theoretical underpinnings of CBT ERP. We present a brief and accessible explanation of CBT ERP, discuss common classroom accommodations, and suggest methods for successfully integrating accommodations into cognitive-behavioral interventions.

摘要

美国各地有数百万大学生患有焦虑症，这证明了对循证咨询技术的高度需求。与此同时，由于焦虑造成的损害往往需要在高等教育阶段进行课堂调整。暴露认知行为疗法（CBT ERP）涉及对客户行为功能的全面评估，以及逐渐让他们接触恐惧刺激的个性化治疗计划。然而，学生常常没有充分利用课堂便利，而且便利可能与 CBT ERP 的理论基础相冲突。我们对 CBT ERP 进行了简短易懂的解释，讨论了常见的课堂调整，并提出了将调整成功整合到认知行为干预中的方法。