小A(化名),女,18岁,某重点高中高二学生,住校。她告诉我最近老是想着同学会不会掉下笔,掉下来要不要帮他捡。实在没办法不想,而且不光上课想连下课也想,有时在家也想。她知道想这个问题很无聊,可是很难克制。“老师,你有什么办法帮我不去想这些问题吗?”从案例可以看出小A有强迫症状。来访者体验到冲动和观念来自于自我,意识到强迫症状是异常的,但又无法摆脱。 Small A (pseudonym), female, 18 years old, a key high school sophomore, live in school. She told me recently I always think of students will not fall off the pen, fall or not to help him pick up. There is no way not to want, but also not only want to get out of class after class, but also at home think. She knew it was boring, but hard to restrain. “Teacher, what are your ways to help me not to think about these problems? ” From the case can be seen that small A has obsessive-compulsive symptoms. Visitors experience that impulsiveness and perception are self-aware and that obsessive-compulsive symptoms are abnormal but can not be separated.