{"id":27739,"date":"2026-02-04T14:49:36","date_gmt":"2026-02-04T05:49:36","guid":{"rendered":"https:\/\/reinolz.co.jp\/keizoku\/?p=27739"},"modified":"2026-04-19T11:43:02","modified_gmt":"2026-04-19T02:43:02","slug":"%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b","status":"publish","type":"post","link":"https:\/\/reinolz.co.jp\/keizoku\/%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b\/","title":{"rendered":"\u5f37\u8feb\u6027\u969c\u5bb3(OCD)\u3000\u539f\u56e0\u304b\u3089\u6cbb\u7642\u307e\u3067\u7406\u89e3\u3059\u308b"},"content":{"rendered":"\n<p>\u5f37\u8feb\u6027\u969c\u5bb3(OCD: Obsessive-Compulsive Disorder)\u306f\u3001\u81ea\u5206\u3067\u3082\u4e0d\u5408\u7406\u3060\u3068\u308f\u304b\u3063\u3066\u3044\u308b\u306e\u306b\u3001\u3042\u308b\u8003\u3048\u3084\u30a4\u30e1\u30fc\u30b8\u304c\u7e70\u308a\u8fd4\u3057\u982d\u306b\u6d6e\u304b\u3073(\u5f37\u8feb\u89b3\u5ff5)\u3001\u305d\u308c\u3092\u6253\u3061\u6d88\u3059\u305f\u3081\u306b\u7279\u5b9a\u306e\u884c\u52d5\u3092\u7e70\u308a\u8fd4\u3055\u305a\u306b\u306f\u3044\u3089\u308c\u306a\u304f\u306a\u308b(\u5f37\u8feb\u884c\u70ba)\u7cbe\u795e\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u300c\u624b\u3092\u4f55\u5ea6\u3082\u6d17\u308f\u305a\u306b\u306f\u3044\u3089\u308c\u306a\u3044\u300d\u300c\u9375\u3092\u304b\u3051\u305f\u304b\u4f55\u5ea6\u3082\u78ba\u8a8d\u3057\u3066\u3057\u307e\u3046\u300d\u300c\u4e0d\u5409\u306a\u6570\u5b57\u3092\u907f\u3051\u308b\u300d\u306a\u3069\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u6df1\u523b\u306a\u652f\u969c\u3092\u304d\u305f\u3057\u307e\u3059\u3002\u672c\u4eba\u306f\u82e6\u75db\u3092\u611f\u3058\u3066\u304a\u308a\u3001\u3084\u3081\u305f\u3044\u306e\u306b\u3084\u3081\u3089\u308c\u307e\u305b\u3093\u3002\u6c7a\u3057\u3066\u6027\u683c\u3084\u610f\u5fd7\u306e\u5f31\u3055\u306e\u554f\u984c\u3067\u306f\u306a\u304f\u3001\u8133\u306e\u6a5f\u80fd\u969c\u5bb3\u304c\u95a2\u4e0e\u3059\u308b\u75c5\u6c17\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u9069\u5207\u306a\u6cbb\u7642(\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3001\u85ac\u7269\u7642\u6cd5)\u306b\u3088\u308a\u6539\u5584\u304c\u53ef\u80fd\u3067\u3059\u3002\u3053\u306e\u8a18\u4e8b\u3067\u306f\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u75c7\u72b6\u3001\u539f\u56e0\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u6cd5\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<div 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href=\"https:\/\/reinolz.co.jp\/keizoku\/%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b\/#%E3%82%BB%E3%83%AB%E3%83%95%E3%82%B1%E3%82%A2%E3%81%A8%E5%AF%BE%E5%87%A6%E6%B3%95\" >\u30bb\u30eb\u30d5\u30b1\u30a2\u3068\u5bfe\u51e6\u6cd5<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/reinolz.co.jp\/keizoku\/%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b\/#%E5%AE%B6%E6%97%8F%E3%81%8C%E3%81%A7%E3%81%8D%E3%82%8B%E3%81%93%E3%81%A8\" >\u5bb6\u65cf\u304c\u3067\u304d\u308b\u3053\u3068<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/reinolz.co.jp\/keizoku\/%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b\/#%E4%BA%88%E5%BE%8C\" >\u4e88\u5f8c<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/reinolz.co.jp\/keizoku\/%e5%bc%b7%e8%bf%ab%e6%80%a7%e9%9a%9c%e5%ae%b3ocd%e3%80%80%e5%8e%9f%e5%9b%a0%e3%81%8b%e3%82%89%e6%b2%bb%e7%99%82%e3%81%be%e3%81%a7%e7%90%86%e8%a7%a3%e3%81%99%e3%82%8b\/#%E3%81%BE%E3%81%A8%E3%82%81\" >\u307e\u3068\u3081<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BC%B7%E8%BF%AB%E6%80%A7%E9%9A%9C%E5%AE%B3%E3%81%A8%E3%81%AF\"><\/span>\u5f37\u8feb\u6027\u969c\u5bb3\u3068\u306f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u5b9a\u7fa9<\/h3>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3(OCD)\u306f\u3001\u5f37\u8feb\u89b3\u5ff5(\u7e70\u308a\u8fd4\u3057\u6d6e\u304b\u3076\u4e0d\u5feb\u306a\u8003\u3048\u3001\u30a4\u30e1\u30fc\u30b8\u3001\u885d\u52d5)\u3068\u5f37\u8feb\u884c\u70ba(\u89b3\u5ff5\u3092\u6253\u3061\u6d88\u3059\u305f\u3081\u306b\u7e70\u308a\u8fd4\u3059\u884c\u52d5\u3084\u5fc3\u306e\u4e2d\u306e\u884c\u70ba)\u3092\u4e3b\u75c7\u72b6\u3068\u3059\u308b\u7cbe\u795e\u75be\u60a3\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5f37\u8feb\u89b3\u5ff5(Obsession)<\/h3>\n\n\n\n<p>\u672c\u4eba\u306e\u610f\u601d\u306b\u53cd\u3057\u3066\u982d\u306b\u7e70\u308a\u8fd4\u3057\u6d6e\u304b\u3076\u3001\u4e0d\u5feb\u3067\u4e0d\u5408\u7406\u306a\u8003\u3048\u3001\u30a4\u30e1\u30fc\u30b8\u3001\u885d\u52d5\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u7279\u5fb4<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4fb5\u5165\u7684: \u81ea\u5206\u306e\u610f\u601d\u3068\u306f\u95a2\u4fc2\u306a\u304f\u52dd\u624b\u306b\u6d6e\u304b\u3076<\/li>\n\n\n\n<li>\u7e70\u308a\u8fd4\u3055\u308c\u308b: \u4f55\u5ea6\u3082\u4f55\u5ea6\u3082\u6d6e\u304b\u3093\u3067\u304f\u308b<\/li>\n\n\n\n<li>\u4e0d\u5feb: \u5f37\u3044\u4e0d\u5b89\u3001\u6050\u6016\u3001\u5acc\u60aa\u611f\u3092\u5f15\u304d\u8d77\u3053\u3059<\/li>\n\n\n\n<li>\u4e0d\u5408\u7406: \u672c\u4eba\u3082\u4e0d\u5408\u7406\u3060\u3068\u308f\u304b\u3063\u3066\u3044\u308b\u304c\u6b62\u3081\u3089\u308c\u306a\u3044<\/li>\n\n\n\n<li>\u62b5\u6297: \u7121\u8996\u3057\u3088\u3046\u3001\u6291\u5236\u3057\u3088\u3046\u3068\u3059\u308b\u304c\u56f0\u96e3<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u5f37\u8feb\u884c\u70ba(Compulsion)<\/h3>\n\n\n\n<p>\u5f37\u8feb\u89b3\u5ff5\u306b\u3088\u308b\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u3001\u307e\u305f\u306f\u4f55\u304b\u6050\u308d\u3057\u3044\u3053\u3068\u304c\u8d77\u3053\u308b\u306e\u3092\u9632\u3050\u305f\u3081\u306b\u884c\u3046\u3001\u7e70\u308a\u8fd4\u3055\u308c\u308b\u884c\u52d5\u307e\u305f\u306f\u5fc3\u306e\u4e2d\u306e\u884c\u70ba\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u7279\u5fb4<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7e70\u308a\u8fd4\u3055\u308c\u308b: \u540c\u3058\u884c\u52d5\u3092\u4f55\u5ea6\u3082\u7e70\u308a\u8fd4\u3059<\/li>\n\n\n\n<li>\u5100\u5f0f\u7684: \u6c7a\u307e\u3063\u305f\u624b\u9806\u3001\u56de\u6570\u3067\u884c\u3046<\/li>\n\n\n\n<li>\u6642\u9593\u304c\u304b\u304b\u308b: 1\u65e5\u306b\u6570\u6642\u9593\u8cbb\u3084\u3059\u3053\u3068\u3082\u3042\u308b<\/li>\n\n\n\n<li>\u4e00\u6642\u7684\u306a\u5b89\u5fc3: \u884c\u70ba\u306b\u3088\u308a\u4e00\u6642\u7684\u306b\u4e0d\u5b89\u304c\u6e1b\u308b\u304c\u3001\u3059\u3050\u306b\u307e\u305f\u5f37\u8feb\u89b3\u5ff5\u304c\u6d6e\u304b\u3076<\/li>\n\n\n\n<li>\u3084\u3081\u3089\u308c\u306a\u3044: \u3084\u3089\u306a\u3044\u3068\u4e0d\u5b89\u3084\u6050\u6016\u304c\u5f37\u307e\u308a\u3001\u3084\u3089\u305a\u306b\u306f\u3044\u3089\u308c\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u6709\u75c5\u7387<\/h3>\n\n\n\n<p>\u4e00\u822c\u4eba\u53e3\u306e\u7d042\u304b\u30893\u30d1\u30fc\u30bb\u30f3\u30c8\u304c\u751f\u6daf\u306e\u3046\u3061\u306b\u5f37\u8feb\u6027\u969c\u5bb3\u3092\u7d4c\u9a13\u3059\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6c7a\u3057\u3066\u73cd\u3057\u3044\u75c5\u6c17\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u767a\u75c7\u5e74\u9f62<\/h3>\n\n\n\n<p>\u591a\u304f\u306f10\u4ee3\u5f8c\u534a\u304b\u308920\u4ee3\u524d\u534a\u306b\u767a\u75c7\u3057\u307e\u3059\u3002\u5b50\u3069\u3082\u3084\u4e2d\u9ad8\u5e74\u3067\u767a\u75c7\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u7537\u6027\u3067\u306f\u601d\u6625\u671f\u524d\u5f8c\u3001\u5973\u6027\u3067\u306f20\u4ee3\u524d\u534a\u306b\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u7d4c\u904e<\/h3>\n\n\n\n<p>\u6162\u6027\u7684\u306b\u7d4c\u904e\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u75c7\u72b6\u306e\u5f37\u3055\u306f\u5909\u52d5\u3057\u307e\u3059\u3002\u30b9\u30c8\u30ec\u30b9\u304c\u304b\u304b\u308b\u3068\u60aa\u5316\u3059\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u6cbb\u7642\u3092\u53d7\u3051\u306a\u3044\u3068\u75c7\u72b6\u304c\u6301\u7d9a\u3057\u3001\u751f\u6d3b\u306e\u8cea\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BC%B7%E8%BF%AB%E6%80%A7%E9%9A%9C%E5%AE%B3%E3%81%AE%E7%97%87%E7%8A%B6\"><\/span>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u75c7\u72b6<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u4e3b\u306a\u5f37\u8feb\u89b3\u5ff5\u306e\u30c6\u30fc\u30de<\/h3>\n\n\n\n<p><strong>1. \u6c5a\u67d3\u30fb\u6d17\u6d44(\u6700\u3082\u591a\u3044)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6c5a\u308c\u3001\u7d30\u83cc\u3001\u30a6\u30a4\u30eb\u30b9\u3001\u5316\u5b66\u7269\u8cea\u3078\u306e\u6050\u6016<\/li>\n\n\n\n<li>\u81ea\u5206\u3084\u4ed6\u4eba\u304c\u75c5\u6c17\u306b\u306a\u308b\u4e0d\u5b89<\/li>\n\n\n\n<li>\u6c5a\u67d3\u3055\u308c\u305f\u3082\u306e\u306b\u89e6\u308c\u308b\u3053\u3068\u3078\u306e\u6050\u6016<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u78ba\u8a8d<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9375\u3084\u30ac\u30b9\u306e\u5143\u6813\u3092\u9589\u3081\u5fd8\u308c\u305f\u4e0d\u5b89<\/li>\n\n\n\n<li>\u91cd\u5927\u306a\u30df\u30b9\u3092\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e0d\u5b89<\/li>\n\n\n\n<li>\u8ab0\u304b\u3092\u50b7\u3064\u3051\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e0d\u5b89<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u52a0\u5bb3<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u81ea\u5206\u304c\u8ab0\u304b\u3092\u50b7\u3064\u3051\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u6050\u6016<\/li>\n\n\n\n<li>\u885d\u52d5\u7684\u306b\u4eba\u3092\u523a\u3059\u3001\u7a81\u304d\u98db\u3070\u3059\u306a\u3069\u306e\u30a4\u30e1\u30fc\u30b8<\/li>\n\n\n\n<li>\u8eca\u3067\u4eba\u3092\u3072\u3044\u3066\u3057\u307e\u3063\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e0d\u5b89<\/li>\n<\/ul>\n\n\n\n<p><strong>4. \u5bfe\u79f0\u6027\u30fb\u9806\u5e8f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7269\u304c\u5de6\u53f3\u5bfe\u79f0\u3067\u306a\u3044\u3068\u6c17\u304c\u3059\u307e\u306a\u3044<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u9806\u5e8f\u3067\u7269\u4e8b\u3092\u884c\u308f\u306a\u3044\u3068\u4e0d\u5b89<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u6570\u5b57\u3078\u306e\u56fa\u57f7(\u826f\u3044\u6570\u5b57\u3001\u60aa\u3044\u6570\u5b57)<\/li>\n<\/ul>\n\n\n\n<p><strong>5. \u6027\u7684\u30fb\u5b97\u6559\u7684\u306a\u89b3\u5ff5<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e0d\u9069\u5207\u306a\u6027\u7684\u30a4\u30e1\u30fc\u30b8\u304c\u6d6e\u304b\u3076<\/li>\n\n\n\n<li>\u5192\u6d9c\u7684\u306a\u8003\u3048\u304c\u6d6e\u304b\u3076<\/li>\n\n\n\n<li>\u9053\u5fb3\u7684\u306b\u60aa\u3044\u3053\u3068\u3092\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e0d\u5b89<\/li>\n<\/ul>\n\n\n\n<p><strong>6. \u6e9c\u3081\u8fbc\u307f(\u30db\u30fc\u30c7\u30a3\u30f3\u30b0)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7269\u3092\u6368\u3066\u3089\u308c\u306a\u3044<\/li>\n\n\n\n<li>\u4fa1\u5024\u306e\u306a\u3044\u3082\u306e\u3067\u3082\u6368\u3066\u308b\u3068\u4e0d\u5b89<\/li>\n\n\n\n<li>\u90e8\u5c4b\u304c\u30b4\u30df\u3067\u57cb\u307e\u308b<\/li>\n<\/ul>\n\n\n\n<p><strong>7. \u8eab\u4f53\u30fb\u75c5\u6c17<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u91cd\u5927\u306a\u75c5\u6c17\u306b\u304b\u304b\u3063\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e0d\u5b89<\/li>\n\n\n\n<li>\u4f53\u306e\u4e00\u90e8\u304c\u7570\u5e38\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u5fc3\u914d<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4e3b\u306a\u5f37\u8feb\u884c\u70ba<\/h3>\n\n\n\n<p><strong>1. \u6d17\u6d44\u30fb\u6e05\u6f54\u884c\u70ba<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u624b\u3092\u4f55\u5ea6\u3082\u4f55\u5ea6\u3082\u6d17\u3046(1\u65e5\u306b\u4f55\u5341\u56de\u3001\u4f55\u767e\u56de)<\/li>\n\n\n\n<li>\u9577\u6642\u9593\u30b7\u30e3\u30ef\u30fc\u3092\u6d74\u3073\u308b(\u6570\u6642\u9593)<\/li>\n\n\n\n<li>\u904e\u5ea6\u306b\u6383\u9664\u3092\u3059\u308b<\/li>\n\n\n\n<li>\u6d88\u6bd2\u3092\u7e70\u308a\u8fd4\u3059<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u3082\u306e\u306b\u89e6\u308c\u306a\u3044\u3001\u89e6\u308c\u305f\u3089\u6d17\u3046<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u78ba\u8a8d\u884c\u70ba<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9375\u3092\u304b\u3051\u305f\u304b\u4f55\u5ea6\u3082\u78ba\u8a8d\u3059\u308b(10\u56de\u300120\u56de\u3001\u305d\u308c\u4ee5\u4e0a)<\/li>\n\n\n\n<li>\u30ac\u30b9\u306e\u5143\u6813\u3001\u96fb\u6c17\u306e\u30b9\u30a4\u30c3\u30c1\u3092\u4f55\u5ea6\u3082\u78ba\u8a8d<\/li>\n\n\n\n<li>\u66f8\u985e\u3084\u8a08\u7b97\u3092\u4f55\u5ea6\u3082\u30c1\u30a7\u30c3\u30af<\/li>\n\n\n\n<li>\u904b\u8ee2\u4e2d\u3001\u4eba\u3092\u3072\u3044\u3066\u3044\u306a\u3044\u304b\u4f55\u5ea6\u3082\u623b\u3063\u3066\u78ba\u8a8d<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u9806\u5e8f\u3065\u3051\u30fb\u914d\u5217<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7269\u3092\u7279\u5b9a\u306e\u9806\u5e8f\u306b\u4e26\u3079\u308b<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u624b\u9806\u3067\u884c\u52d5\u3059\u308b<\/li>\n\n\n\n<li>\u5de6\u53f3\u5bfe\u79f0\u306b\u914d\u7f6e\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<p><strong>4. \u6570\u3092\u6570\u3048\u308b<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7279\u5b9a\u306e\u56de\u6570\u884c\u52d5\u3092\u7e70\u308a\u8fd4\u3059(3\u56de\u30017\u56de\u3001\u5076\u6570\u56de\u306a\u3069)<\/li>\n\n\n\n<li>\u968e\u6bb5\u306e\u6bb5\u6570\u3092\u6570\u3048\u308b<\/li>\n\n\n\n<li>\u4f55\u3067\u3082\u6570\u3048\u305a\u306b\u306f\u3044\u3089\u308c\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p><strong>5. \u6253\u3061\u6d88\u3057\u884c\u70ba<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e0d\u5409\u306a\u8003\u3048\u304c\u6d6e\u304b\u3093\u3060\u3089\u3001\u826f\u3044\u8003\u3048\u3067\u6253\u3061\u6d88\u3059<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u8a00\u8449\u3084\u7948\u308a\u3092\u5531\u3048\u308b<\/li>\n\n\n\n<li>\u5100\u5f0f\u7684\u306a\u52d5\u4f5c\u3092\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<p><strong>6. \u78ba\u8a8d\u306e\u8cea\u554f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5bb6\u65cf\u306b\u7e70\u308a\u8fd4\u3057\u78ba\u8a8d\u3092\u6c42\u3081\u308b<\/li>\n\n\n\n<li>\u300c\u5927\u4e08\u592b\u304b\u300d\u300c\u9593\u9055\u3063\u3066\u3044\u306a\u3044\u304b\u300d\u3068\u4f55\u5ea6\u3082\u805e\u304f<\/li>\n\n\n\n<li>\u5b89\u5fc3\u3092\u6c42\u3081\u308b\u304c\u3001\u3059\u3050\u306b\u307e\u305f\u4e0d\u5b89\u306b\u306a\u308b<\/li>\n<\/ul>\n\n\n\n<p><strong>7. \u56de\u907f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5f37\u8feb\u89b3\u5ff5\u3092\u5f15\u304d\u8d77\u3053\u3059\u72b6\u6cc1\u3092\u907f\u3051\u308b<\/li>\n\n\n\n<li>\u6c5a\u3044\u3068\u601d\u3046\u5834\u6240\u306b\u884c\u304b\u306a\u3044<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u6570\u5b57\u3092\u907f\u3051\u308b<\/li>\n\n\n\n<li>\u4ed6\u4eba\u306b\u89e6\u308c\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u65e5\u5e38\u751f\u6d3b\u3078\u306e\u5f71\u97ff<\/h3>\n\n\n\n<p><strong>\u6642\u9593\u306e\u6d6a\u8cbb<\/strong><br>\u5f37\u8feb\u89b3\u5ff5\u3068\u5f37\u8feb\u884c\u70ba\u306b1\u65e5\u6570\u6642\u9593\u3001\u91cd\u75c7\u4f8b\u3067\u306f1\u65e5\u306e\u5927\u534a\u3092\u8cbb\u3084\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u793e\u4f1a\u7684\u30fb\u8077\u696d\u7684\u6a5f\u80fd\u306e\u969c\u5bb3<\/strong><br>\u5b66\u6821\u3084\u4ed5\u4e8b\u306b\u9045\u523b\u3059\u308b\u3001\u884c\u3051\u306a\u3044\u3002\u5bfe\u4eba\u95a2\u4fc2\u306e\u56f0\u96e3\u3002\u5f15\u304d\u3053\u3082\u308a\u3002<\/p>\n\n\n\n<p><strong>\u5bb6\u65cf\u3078\u306e\u5f71\u97ff<\/strong><br>\u5bb6\u65cf\u3092\u5dfb\u304d\u8fbc\u3080(\u78ba\u8a8d\u3092\u6c42\u3081\u308b\u3001\u5bb6\u65cf\u306b\u3082\u540c\u3058\u884c\u70ba\u3092\u5f37\u8981\u3059\u308b)\u3002\u5bb6\u65cf\u95a2\u4fc2\u306e\u60aa\u5316\u3002<\/p>\n\n\n\n<p><strong>\u82e6\u75db<\/strong><br>\u5f37\u3044\u4e0d\u5b89\u3001\u6050\u6016\u3001\u7f6a\u60aa\u611f\u3001\u75b2\u52b4\u611f\u3002\u3046\u3064\u72b6\u614b\u3002<\/p>\n\n\n\n<p><strong>\u81ea\u899a<\/strong><br>\u591a\u304f\u306e\u60a3\u8005\u306f\u81ea\u5206\u306e\u884c\u52d5\u304c\u4e0d\u5408\u7406\u3060\u3068\u308f\u304b\u3063\u3066\u3044\u307e\u3059(\u75c5\u8b58\u304c\u3042\u308b)\u3002\u3057\u304b\u3057\u3084\u3081\u3089\u308c\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BC%B7%E8%BF%AB%E6%80%A7%E9%9A%9C%E5%AE%B3%E3%81%AE%E5%8E%9F%E5%9B%A0\"><\/span>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u539f\u56e0<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u539f\u56e0\u306f\u4e00\u3064\u3067\u306f\u306a\u304f\u3001\u751f\u7269\u5b66\u7684\u3001\u5fc3\u7406\u7684\u3001\u74b0\u5883\u7684\u8981\u56e0\u304c\u8907\u96d1\u306b\u7d61\u307f\u5408\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u751f\u7269\u5b66\u7684\u8981\u56e0<\/h3>\n\n\n\n<p><strong>1. \u8133\u306e\u6a5f\u80fd\u7570\u5e38<\/strong><\/p>\n\n\n\n<p><strong>\u524d\u982d\u8449-\u7dda\u6761\u4f53\u56de\u8def\u306e\u7570\u5e38<\/strong><br>\u8133\u753b\u50cf\u7814\u7a76\u306b\u3088\u308a\u3001\u5f37\u8feb\u6027\u969c\u5bb3\u60a3\u8005\u3067\u306f\u524d\u982d\u8449(\u7279\u306b\u773c\u7aa9\u524d\u982d\u76ae\u8cea)\u3001\u7dda\u6761\u4f53(\u5c3e\u72b6\u6838)\u3001\u8996\u5e8a\u3092\u7d50\u3076\u56de\u8def\u306e\u6d3b\u52d5\u304c\u904e\u5270\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u773c\u7aa9\u524d\u982d\u76ae\u8cea: \u5371\u967a\u306e\u691c\u77e5\u3001\u4e0d\u5b89\u306e\u751f\u6210\u306b\u95a2\u4e0e<\/li>\n\n\n\n<li>\u7dda\u6761\u4f53: \u884c\u52d5\u306e\u958b\u59cb\u3068\u505c\u6b62\u306e\u5236\u5fa1\u306b\u95a2\u4e0e<\/li>\n\n\n\n<li>\u8996\u5e8a: \u60c5\u5831\u306e\u4e2d\u7d99<\/li>\n<\/ul>\n\n\n\n<p>\u3053\u306e\u56de\u8def\u304c\u904e\u5270\u306b\u6d3b\u52d5\u3059\u308b\u3053\u3068\u3067\u3001\u300c\u5371\u967a\u3060\u300d\u3068\u3044\u3046\u4fe1\u53f7\u304c\u5f37\u3059\u304e\u3001\u884c\u52d5\u3092\u6b62\u3081\u3089\u308c\u306a\u304f\u306a\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>2. \u795e\u7d4c\u4f1d\u9054\u7269\u8cea\u306e\u7570\u5e38<\/strong><\/p>\n\n\n\n<p><strong>\u30bb\u30ed\u30c8\u30cb\u30f3\u4eee\u8aac<\/strong><br>\u30bb\u30ed\u30c8\u30cb\u30f3(\u795e\u7d4c\u4f1d\u9054\u7269\u8cea)\u306e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u5f37\u8feb\u6027\u969c\u5bb3\u306b\u95a2\u4e0e\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SSRI(\u9078\u629e\u7684\u30bb\u30ed\u30c8\u30cb\u30f3\u518d\u53d6\u308a\u8fbc\u307f\u963b\u5bb3\u85ac)\u304c\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u793a\u5506\u3055\u308c\u308b<\/li>\n\n\n\n<li>\u30bb\u30ed\u30c8\u30cb\u30f3\u306f\u4e0d\u5b89\u3001\u885d\u52d5\u6027\u3001\u53cd\u5fa9\u884c\u52d5\u306e\u8abf\u7bc0\u306b\u95a2\u4e0e<\/li>\n<\/ul>\n\n\n\n<p><strong>\u30c9\u30fc\u30d1\u30df\u30f3<\/strong><br>\u30c9\u30fc\u30d1\u30df\u30f3\u7cfb\u306e\u7570\u5e38\u3082\u95a2\u4e0e\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30b0\u30eb\u30bf\u30df\u30f3\u9178<\/strong><br>\u30b0\u30eb\u30bf\u30df\u30f3\u9178\u7cfb\u306e\u7570\u5e38\u3082\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>3. \u907a\u4f1d\u7684\u8981\u56e0<\/strong><\/p>\n\n\n\n<p><strong>\u5bb6\u65cf\u96c6\u7a4d\u6027<\/strong><br>\u5f37\u8feb\u6027\u969c\u5bb3\u306f\u5bb6\u65cf\u5185\u3067\u767a\u75c7\u3057\u3084\u3059\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u89aa\u7b49\u306e\u89aa\u65cf\u306b\u60a3\u8005\u304c\u3044\u308b\u5834\u5408\u3001\u767a\u75c7\u30ea\u30b9\u30af\u306f\u7d0410\u500d\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u907a\u4f1d\u7387<\/strong><br>\u53cc\u751f\u5150\u7814\u7a76\u306b\u3088\u308a\u3001\u907a\u4f1d\u7387\u306f\u7d0445\u304b\u308965\u30d1\u30fc\u30bb\u30f3\u30c8\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u907a\u4f1d\u7684\u8981\u56e0\u304c\u95a2\u4e0e\u3057\u307e\u3059\u304c\u3001\u907a\u4f1d\u3060\u3051\u3067\u6c7a\u307e\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><strong>\u7279\u5b9a\u306e\u907a\u4f1d\u5b50<\/strong><br>\u30bb\u30ed\u30c8\u30cb\u30f3\u30c8\u30e9\u30f3\u30b9\u30dd\u30fc\u30bf\u30fc\u907a\u4f1d\u5b50\u306a\u3069\u3001\u3044\u304f\u3064\u304b\u306e\u5019\u88dc\u907a\u4f1d\u5b50\u304c\u7814\u7a76\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u7279\u5b9a\u306e\u539f\u56e0\u907a\u4f1d\u5b50\u306f\u898b\u3064\u304b\u3063\u3066\u3044\u307e\u305b\u3093\u3002\u591a\u6570\u306e\u907a\u4f1d\u5b50\u304c\u5c11\u3057\u305a\u3064\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>4. \u514d\u75ab\u30fb\u611f\u67d3(\u4e00\u90e8\u306e\u75c7\u4f8b)<\/strong><\/p>\n\n\n\n<p><strong>PANDAS(\u5c0f\u5150\u81ea\u5df1\u514d\u75ab\u6027\u795e\u7d4c\u7cbe\u795e\u969c\u5bb3)<\/strong><br>A\u7fa4\u6eb6\u8840\u6027\u9023\u9396\u7403\u83cc\u611f\u67d3\u5f8c\u306b\u7a81\u7136\u5f37\u8feb\u75c7\u72b6\u304c\u51fa\u73fe\u3059\u308b\u5c0f\u5150\u306e\u75c7\u5019\u7fa4\u3002\u514d\u75ab\u304c\u81ea\u5df1\u306e\u8133\u3092\u653b\u6483\u3059\u308b\u3053\u3068\u304c\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>PANS(\u5c0f\u5150\u6025\u6027\u767a\u75c7\u795e\u7d4c\u7cbe\u795e\u75c7\u5019\u7fa4)<\/strong><br>PANDAS\u3092\u542b\u3080\u3088\u308a\u5e83\u3044\u6982\u5ff5\u3002\u611f\u67d3\u3084\u305d\u306e\u4ed6\u306e\u8981\u56e0\u306b\u3088\u308a\u7a81\u7136\u5f37\u8feb\u75c7\u72b6\u3084\u4ed6\u306e\u7cbe\u795e\u75c7\u72b6\u304c\u51fa\u73fe\u3002<\/p>\n\n\n\n<p>\u3059\u3079\u3066\u306e\u5f37\u8feb\u6027\u969c\u5bb3\u304c\u514d\u75ab\u30fb\u611f\u67d3\u306b\u3088\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u4e00\u90e8\u306e\u75c7\u4f8b\u3067\u306f\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5fc3\u7406\u7684\u8981\u56e0<\/h3>\n\n\n\n<p><strong>1. \u8a8d\u77e5\u306e\u6b6a\u307f<\/strong><\/p>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u60a3\u8005\u306b\u7279\u5fb4\u7684\u306a\u601d\u8003\u30d1\u30bf\u30fc\u30f3\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u8cac\u4efb\u306e\u904e\u5927\u8a55\u4fa1<\/strong><br>\u81ea\u5206\u304c\u4f55\u304b\u3092\u3057\u306a\u3044\u3068\u60aa\u3044\u3053\u3068\u304c\u8d77\u3053\u308b\u3001\u81ea\u5206\u306b\u306f\u9632\u3050\u8cac\u4efb\u304c\u3042\u308b\u3068\u904e\u5ea6\u306b\u8003\u3048\u308b\u3002<\/p>\n\n\n\n<p><strong>\u601d\u8003\u3068\u884c\u70ba\u306e\u878d\u5408<\/strong><br>\u300c\u8003\u3048\u305f\u3060\u3051\u3067\u5b9f\u969b\u306b\u8d77\u3053\u308b\u300d\u300c\u8003\u3048\u308b\u3053\u3068\u306f\u884c\u70ba\u3068\u540c\u3058\u304f\u3089\u3044\u60aa\u3044\u300d\u3068\u4fe1\u3058\u308b\u3002\u4f8b: \u300c\u8ab0\u304b\u3092\u50b7\u3064\u3051\u308b\u3068\u8003\u3048\u305f\u300d=\u300c\u5b9f\u969b\u306b\u50b7\u3064\u3051\u305f\u306e\u3068\u540c\u3058\u300d<\/p>\n\n\n\n<p><strong>\u5371\u967a\u306e\u904e\u5927\u8a55\u4fa1<\/strong><br>\u5371\u967a\u6027\u3092\u5b9f\u969b\u3088\u308a\u306f\u308b\u304b\u306b\u9ad8\u304f\u898b\u7a4d\u3082\u308b\u3002\u300c\u89e6\u3063\u305f\u3089\u5fc5\u305a\u75c5\u6c17\u306b\u306a\u308b\u300d<\/p>\n\n\n\n<p><strong>\u5b8c\u74a7\u4e3b\u7fa9<\/strong><br>\u5b8c\u74a7\u3067\u306a\u3044\u3068\u8a31\u305b\u306a\u3044\u3002\u5c11\u3057\u306e\u30df\u30b9\u3082\u8a31\u5bb9\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n<p><strong>\u4e0d\u78ba\u5b9f\u6027\u3078\u306e\u4e0d\u8010\u6027<\/strong><br>\u66d6\u6627\u3055\u3084\u4e0d\u78ba\u5b9f\u6027\u306b\u8010\u3048\u3089\u308c\u306a\u3044\u3002100\u30d1\u30fc\u30bb\u30f3\u30c8\u78ba\u5b9f\u3067\u306a\u3044\u3068\u4e0d\u5b89\u3002<\/p>\n\n\n\n<p><strong>\u601d\u8003\u306e\u7d71\u5236<\/strong><br>\u300c\u60aa\u3044\u8003\u3048\u306f\u5b8c\u5168\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u3057\u3001\u3059\u3079\u304d\u3060\u300d\u3068\u4fe1\u3058\u308b\u3002\u8003\u3048\u3092\u6291\u5236\u3057\u3088\u3046\u3068\u3059\u308b\u307b\u3069\u3001\u9006\u306b\u5897\u3048\u3066\u3057\u307e\u3046(\u601d\u8003\u6291\u5236\u306e\u9006\u8aac\u7684\u52b9\u679c)\u3002<\/p>\n\n\n\n<p><strong>2. \u5b66\u7fd2\u7406\u8ad6<\/strong><\/p>\n\n\n\n<p><strong>\u6761\u4ef6\u3065\u3051<\/strong><br>\u3042\u308b\u5bfe\u8c61\u3084\u72b6\u6cc1\u3068\u4e0d\u5b89\u304c\u7d50\u3073\u3064\u304d(\u53e4\u5178\u7684\u6761\u4ef6\u3065\u3051)\u3001\u5f37\u8feb\u884c\u70ba\u306b\u3088\u308a\u4e0d\u5b89\u304c\u4e00\u6642\u7684\u306b\u6e1b\u5c11\u3059\u308b\u3053\u3068\u3067\u884c\u70ba\u304c\u5f37\u5316\u3055\u308c\u308b(\u30aa\u30da\u30e9\u30f3\u30c8\u6761\u4ef6\u3065\u3051)\u3002<\/p>\n\n\n\n<p>\u4f8b: \u6c5a\u308c\u306b\u89e6\u308c\u308b \u2192 \u4e0d\u5b89 \u2192 \u624b\u3092\u6d17\u3046 \u2192 \u4e00\u6642\u7684\u306b\u4e0d\u5b89\u304c\u6e1b\u308b \u2192 \u624b\u6d17\u3044\u884c\u52d5\u304c\u5f37\u5316\u3055\u308c\u308b<\/p>\n\n\n\n<p><strong>\u56de\u907f\u306e\u5f37\u5316<\/strong><br>\u4e0d\u5b89\u3092\u5f15\u304d\u8d77\u3053\u3059\u5bfe\u8c61\u3084\u72b6\u6cc1\u3092\u907f\u3051\u308b\u3053\u3068\u3067\u4e00\u6642\u7684\u306b\u697d\u306b\u306a\u308b\u304c\u3001\u9577\u671f\u7684\u306b\u306f\u75c7\u72b6\u304c\u7dad\u6301\u3055\u308c\u308b\u3002<\/p>\n\n\n\n<p><strong>3. \u6027\u683c\u7279\u6027<\/strong><\/p>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306b\u306a\u308a\u3084\u3059\u3044\u6027\u683c\u50be\u5411\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5b8c\u74a7\u4e3b\u7fa9<\/li>\n\n\n\n<li>\u51e0\u5e33\u9762\u3001\u771f\u9762\u76ee<\/li>\n\n\n\n<li>\u8cac\u4efb\u611f\u304c\u5f37\u3044<\/li>\n\n\n\n<li>\u5fc3\u914d\u6027<\/li>\n\n\n\n<li>\u795e\u7d4c\u8cea<\/li>\n\n\n\n<li>\u67d4\u8edf\u6027\u306b\u6b20\u3051\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u305f\u3060\u3057\u3053\u308c\u3089\u306e\u6027\u683c\u3060\u304b\u3089\u5fc5\u305a\u767a\u75c7\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u74b0\u5883\u7684\u8981\u56e0<\/h3>\n\n\n\n<p><strong>1. \u30b9\u30c8\u30ec\u30b9<\/strong><\/p>\n\n\n\n<p><strong>\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8<\/strong><br>\u5927\u304d\u306a\u30b9\u30c8\u30ec\u30b9(\u5931\u696d\u3001\u96e2\u5a5a\u3001\u6b7b\u5225\u3001\u5f15\u3063\u8d8a\u3057\u3001\u51fa\u7523\u306a\u3069)\u304c\u767a\u75c7\u3084\u60aa\u5316\u306e\u304d\u3063\u304b\u3051\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u6162\u6027\u7684\u30b9\u30c8\u30ec\u30b9<\/strong><br>\u9577\u671f\u9593\u7d9a\u304f\u30b9\u30c8\u30ec\u30b9(\u4ed5\u4e8b\u3001\u4eba\u9593\u95a2\u4fc2\u3001\u4ecb\u8b77\u306a\u3069)\u3002<\/p>\n\n\n\n<p><strong>2. \u990a\u80b2\u74b0\u5883<\/strong><\/p>\n\n\n\n<p><strong>\u904e\u5ea6\u306b\u53b3\u683c\u306a\u990a\u80b2<\/strong><br>\u5b8c\u74a7\u3092\u6c42\u3081\u3089\u308c\u308b\u3001\u5931\u6557\u304c\u8a31\u3055\u308c\u306a\u3044\u74b0\u5883\u3002<\/p>\n\n\n\n<p><strong>\u904e\u4fdd\u8b77<\/strong><br>\u5371\u967a\u3092\u904e\u5ea6\u306b\u907f\u3051\u308b\u3001\u5b50\u3069\u3082\u306e\u81ea\u5f8b\u6027\u3092\u963b\u5bb3\u3059\u308b\u3002<\/p>\n\n\n\n<p><strong>\u4e0d\u5b89\u5b9a\u306a\u611b\u7740<\/strong><br>\u990a\u80b2\u8005\u3068\u306e\u5b89\u5b9a\u3057\u305f\u95a2\u4fc2\u304c\u7bc9\u3051\u306a\u304b\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u305f\u3060\u3057\u990a\u80b2\u74b0\u5883\u3060\u3051\u304c\u539f\u56e0\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u591a\u304f\u306e\u60a3\u8005\u306f\u666e\u901a\u306e\u5bb6\u5ead\u3067\u80b2\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>3. \u30c8\u30e9\u30a6\u30de<\/strong><\/p>\n\n\n\n<p>\u4e00\u90e8\u306e\u60a3\u8005\u3067\u306f\u3001\u5e7c\u5c11\u671f\u306e\u30c8\u30e9\u30a6\u30de\u4f53\u9a13(\u8650\u5f85\u3001\u30cd\u30b0\u30ec\u30af\u30c8\u3001\u3044\u3058\u3081\u306a\u3069)\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8106\u5f31\u6027\u30b9\u30c8\u30ec\u30b9\u30e2\u30c7\u30eb<\/h3>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u767a\u75c7\u306f\u3001\u751f\u7269\u5b66\u7684\u8106\u5f31\u6027(\u907a\u4f1d\u3001\u8133\u306e\u6a5f\u80fd)\u3068\u5fc3\u7406\u793e\u4f1a\u7684\u30b9\u30c8\u30ec\u30b9\u306e\u76f8\u4e92\u4f5c\u7528\u306b\u3088\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u751f\u7269\u5b66\u7684\u8106\u5f31\u6027 + \u5fc3\u7406\u7684\u8981\u56e0 + \u74b0\u5883\u7684\u30b9\u30c8\u30ec\u30b9 \u2192 \u5f37\u8feb\u6027\u969c\u5bb3\u306e\u767a\u75c7<\/strong><\/p>\n\n\n\n<p>\u907a\u4f1d\u7684\u30fb\u751f\u7269\u5b66\u7684\u306b\u8106\u5f31\u6027\u3092\u6301\u3064\u4eba\u304c\u3001\u7279\u5b9a\u306e\u8a8d\u77e5\u30d1\u30bf\u30fc\u30f3\u3092\u6301\u3061\u3001\u30b9\u30c8\u30ec\u30b9\u30d5\u30eb\u306a\u72b6\u6cc1\u306b\u7f6e\u304b\u308c\u305f\u3068\u304d\u306b\u767a\u75c7\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BC%B7%E8%BF%AB%E6%80%A7%E9%9A%9C%E5%AE%B3%E3%81%AE%E8%A8%BA%E6%96%AD\"><\/span>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u8a3a\u65ad<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u8a3a\u65ad\u57fa\u6e96(DSM-5)<\/h3>\n\n\n\n<p><strong>A. \u5f37\u8feb\u89b3\u5ff5\u3001\u5f37\u8feb\u884c\u70ba\u3001\u307e\u305f\u306f\u305d\u306e\u4e21\u65b9\u306e\u5b58\u5728<\/strong><\/p>\n\n\n\n<p><strong>\u5f37\u8feb\u89b3\u5ff5\u306e\u5b9a\u7fa9<\/strong><br>(1) \u7e70\u308a\u8fd4\u3055\u308c\u308b\u6301\u7d9a\u7684\u306a\u601d\u8003\u3001\u885d\u52d5\u3001\u307e\u305f\u306f\u30a4\u30e1\u30fc\u30b8\u3067\u3001\u4fb5\u5165\u7684\u3067\u4e0d\u9069\u5207\u306a\u3082\u306e\u3068\u3057\u3066\u4f53\u9a13\u3055\u308c\u3001\u8457\u3057\u3044\u4e0d\u5b89\u307e\u305f\u306f\u82e6\u75db\u3092\u5f15\u304d\u8d77\u3053\u3059<br>(2) \u305d\u306e\u601d\u8003\u3001\u885d\u52d5\u3001\u30a4\u30e1\u30fc\u30b8\u3092\u7121\u8996\u307e\u305f\u306f\u6291\u5236\u3057\u3088\u3046\u3068\u8a66\u307f\u308b\u3001\u307e\u305f\u306f\u4ed6\u306e\u601d\u8003\u3084\u884c\u70ba\u3067\u4e2d\u548c\u3057\u3088\u3046\u3068\u3059\u308b<\/p>\n\n\n\n<p><strong>\u5f37\u8feb\u884c\u70ba\u306e\u5b9a\u7fa9<\/strong><br>(1) \u7e70\u308a\u8fd4\u3055\u308c\u308b\u884c\u52d5(\u624b\u6d17\u3044\u3001\u9806\u5e8f\u3065\u3051\u3001\u78ba\u8a8d\u306a\u3069)\u307e\u305f\u306f\u5fc3\u306e\u4e2d\u306e\u884c\u70ba(\u7948\u308b\u3001\u6570\u3048\u308b\u3001\u5fc3\u306e\u4e2d\u3067\u8a00\u8449\u3092\u7e70\u308a\u8fd4\u3059\u306a\u3069)<br>(2) \u305d\u306e\u884c\u52d5\u3084\u5fc3\u306e\u4e2d\u306e\u884c\u70ba\u306f\u3001\u5f37\u8feb\u89b3\u5ff5\u306b\u5bfe\u3059\u308b\u53cd\u5fdc\u3068\u3057\u3066\u3001\u307e\u305f\u306f\u53b3\u683c\u306b\u9069\u7528\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u898f\u5247\u306b\u5f93\u3063\u3066\u884c\u308f\u308c\u308b<br>(3) \u305d\u306e\u884c\u52d5\u3084\u5fc3\u306e\u4e2d\u306e\u884c\u70ba\u306f\u3001\u4e0d\u5b89\u3084\u82e6\u75db\u3092\u9632\u3050\u307e\u305f\u306f\u6e1b\u3089\u3059\u305f\u3081\u3001\u307e\u305f\u306f\u4f55\u304b\u6050\u308d\u3057\u3044\u51fa\u6765\u4e8b\u3084\u72b6\u6cc1\u3092\u907f\u3051\u308b\u305f\u3081\u306b\u884c\u308f\u308c\u308b\u3002\u3057\u304b\u3057\u73fe\u5b9f\u7684\u306a\u65b9\u6cd5\u3067\u305d\u308c\u3089\u306b\u7d50\u3073\u3064\u3044\u3066\u3044\u306a\u3044\u3001\u307e\u305f\u306f\u660e\u3089\u304b\u306b\u904e\u5270\u3067\u3042\u308b<\/p>\n\n\n\n<p><strong>B. \u5f37\u8feb\u89b3\u5ff5\u307e\u305f\u306f\u5f37\u8feb\u884c\u70ba\u306f\u6642\u9593\u3092\u6d88\u8cbb\u3059\u308b(1\u65e51\u6642\u9593\u4ee5\u4e0a)\u3001\u307e\u305f\u306f\u81e8\u5e8a\u7684\u306b\u610f\u5473\u306e\u3042\u308b\u82e6\u75db\u3001\u307e\u305f\u306f\u793e\u4f1a\u7684\u3001\u8077\u696d\u7684\u3001\u4ed6\u306e\u91cd\u8981\u306a\u9818\u57df\u306b\u304a\u3051\u308b\u6a5f\u80fd\u306e\u969c\u5bb3\u3092\u5f15\u304d\u8d77\u3053\u3057\u3066\u3044\u308b<\/strong><\/p>\n\n\n\n<p><strong>C. \u75c7\u72b6\u306f\u7269\u8cea\u3084\u4ed6\u306e\u533b\u5b66\u7684\u75be\u60a3\u306e\u751f\u7406\u5b66\u7684\u4f5c\u7528\u306b\u3088\u308b\u3082\u306e\u3067\u306f\u306a\u3044<\/strong><\/p>\n\n\n\n<p><strong>D. \u75c7\u72b6\u306f\u4ed6\u306e\u7cbe\u795e\u75be\u60a3\u3067\u306f\u3046\u307e\u304f\u8aac\u660e\u3055\u308c\u306a\u3044<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u75c5\u8b58\u306e\u7a0b\u5ea6\u306e\u6307\u5b9a<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u75c5\u8b58\u304c\u5341\u5206\u307e\u305f\u306f\u826f\u597d: \u5f37\u8feb\u89b3\u5ff5\u3084\u884c\u70ba\u304c\u78ba\u5b9f\u307e\u305f\u306f\u6050\u3089\u304f\u771f\u5b9f\u3067\u306f\u306a\u3044\u3068\u8a8d\u8b58\u3057\u3066\u3044\u308b<\/li>\n\n\n\n<li>\u75c5\u8b58\u304c\u4e0d\u5341\u5206: \u5f37\u8feb\u89b3\u5ff5\u3084\u884c\u70ba\u304c\u6050\u3089\u304f\u771f\u5b9f\u3067\u3042\u308b\u3068\u8003\u3048\u3066\u3044\u308b<\/li>\n\n\n\n<li>\u75c5\u8b58\u304c\u6b20\u5982\u30fb\u5984\u60f3\u7684\u4fe1\u5ff5\u3092\u4f34\u3046: \u5f37\u8feb\u89b3\u5ff5\u3084\u884c\u70ba\u304c\u771f\u5b9f\u3067\u3042\u308b\u3068\u5b8c\u5168\u306b\u78ba\u4fe1\u3057\u3066\u3044\u308b<\/li>\n<\/ul>\n\n\n\n<p>\u591a\u304f\u306e\u60a3\u8005\u306f\u75c5\u8b58\u304c\u3042\u308a\u307e\u3059(\u4e0d\u5408\u7406\u3060\u3068\u308f\u304b\u3063\u3066\u3044\u308b)\u304c\u3001\u4e00\u90e8\u3067\u306f\u75c5\u8b58\u304c\u4e0d\u5341\u5206\u307e\u305f\u306f\u6b20\u5982\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8a3a\u65ad\u306e\u30d7\u30ed\u30bb\u30b9<\/h3>\n\n\n\n<p><strong>\u8a73\u7d30\u306a\u554f\u8a3a<\/strong><br>\u5f37\u8feb\u89b3\u5ff5\u3068\u5f37\u8feb\u884c\u70ba\u306e\u5185\u5bb9\u3001\u983b\u5ea6\u3001\u6301\u7d9a\u6642\u9593\u3001\u65e5\u5e38\u751f\u6d3b\u3078\u306e\u5f71\u97ff\u3092\u8a73\u3057\u304f\u8074\u53d6\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u8cea\u554f\u7968<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30a8\u30fc\u30eb\u30fb\u30d6\u30e9\u30a6\u30f3\u5f37\u8feb\u5c3a\u5ea6(Y-BOCS): \u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u6a19\u6e96\u7684\u5c3a\u5ea6<\/li>\n\n\n\n<li>\u30d1\u30c9\u30a5\u30a2\u76ee\u9332\u3001\u5f37\u8feb\u6027\u969c\u5bb3\u8cea\u554f\u7968\u306a\u3069<\/li>\n<\/ul>\n\n\n\n<p><strong>\u4ed6\u75be\u60a3\u306e\u9664\u5916<\/strong><br>\u8eab\u4f53\u75be\u60a3(\u8133\u5668\u8cea\u6027\u75be\u60a3\u3001\u30c8\u30a5\u30ec\u30c3\u30c8\u75c7\u5019\u7fa4\u306a\u3069)\u3001\u4ed6\u306e\u7cbe\u795e\u75be\u60a3\u3068\u306e\u9451\u5225\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u9451\u5225\u8a3a\u65ad<\/h3>\n\n\n\n<p><strong>\u4e0d\u5b89\u969c\u5bb3<\/strong><br>\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\u3001\u30d1\u30cb\u30c3\u30af\u969c\u5bb3\u3001\u793e\u4ea4\u4e0d\u5b89\u969c\u5bb3\u3002\u5f37\u8feb\u6027\u969c\u5bb3\u3068\u306e\u4f75\u5b58\u3082\u591a\u3044\u3002<\/p>\n\n\n\n<p><strong>\u5f37\u8feb\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3<\/strong><br>\u540d\u524d\u306f\u4f3c\u3066\u3044\u307e\u3059\u304c\u5168\u304f\u5225\u306e\u75be\u60a3\u3002\u5b8c\u74a7\u4e3b\u7fa9\u3001\u9811\u56fa\u3001\u878d\u901a\u304c\u5229\u304b\u306a\u3044\u6027\u683c\u7279\u6027\u3002\u4fb5\u5165\u7684\u306a\u5f37\u8feb\u89b3\u5ff5\u3084\u5f37\u8feb\u884c\u70ba\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<p><strong>\u3046\u3064\u75c5<\/strong><br>\u53cd\u82bb\u601d\u8003\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u5f37\u8feb\u89b3\u5ff5\u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002\u4f75\u5b58\u3082\u591a\u3044\u3002<\/p>\n\n\n\n<p><strong>\u7d71\u5408\u5931\u8abf\u75c7<\/strong><br>\u5f37\u8feb\u89b3\u5ff5\u3068\u5984\u60f3\u306e\u533a\u5225\u3002\u75c5\u8b58\u306e\u6709\u7121\u3002<\/p>\n\n\n\n<p><strong>\u8eab\u4f53\u919c\u5f62\u969c\u5bb3<\/strong><br>\u81ea\u5206\u306e\u5916\u898b\u3078\u306e\u57f7\u7740\u3002\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u4e00\u7a2e\u3068\u8003\u3048\u3089\u308c\u308b\u3053\u3068\u3082\u3002<\/p>\n\n\n\n<p><strong>\u305f\u3081\u3053\u307f\u75c7<\/strong><br>\u7269\u3092\u6368\u3066\u3089\u308c\u306a\u3044\u3002DSM-5\u3067\u306f\u5f37\u8feb\u6027\u969c\u5bb3\u304b\u3089\u72ec\u7acb\u3057\u305f\u8a3a\u65ad\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p><strong>\u30c8\u30a5\u30ec\u30c3\u30c8\u75c7\u5019\u7fa4\u30fb\u30c1\u30c3\u30af\u969c\u5bb3<\/strong><br>\u30c1\u30c3\u30af(\u4e0d\u968f\u610f\u904b\u52d5)\u3068\u5f37\u8feb\u884c\u70ba\u306e\u533a\u5225\u3002\u4f75\u5b58\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n\n\n\n<p><strong>\u6442\u98df\u969c\u5bb3<\/strong><br>\u98df\u4e8b\u306b\u95a2\u3059\u308b\u5f37\u8feb\u7684\u884c\u52d5\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BC%B7%E8%BF%AB%E6%80%A7%E9%9A%9C%E5%AE%B3%E3%81%AE%E6%B2%BB%E7%99%82\"><\/span>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u6cbb\u7642<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306f\u9069\u5207\u306a\u6cbb\u7642\u306b\u3088\u308a\u6539\u5584\u304c\u53ef\u80fd\u3067\u3059\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3068\u85ac\u7269\u7642\u6cd5\u304c\u4e3b\u306a\u6cbb\u7642\u6cd5\u3067\u3001\u4f75\u7528\u304c\u6700\u3082\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5(CBT)<\/h3>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306b\u6700\u3082\u52b9\u679c\u7684\u306a\u5fc3\u7406\u7642\u6cd5\u3067\u3059\u3002\u7279\u306b\u66dd\u9732\u53cd\u5fdc\u59a8\u5bb3\u6cd5(ERP)\u304c\u4e2d\u6838\u7684\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>1. \u66dd\u9732\u53cd\u5fdc\u59a8\u5bb3\u6cd5(ERP: Exposure and Response Prevention)<\/strong><\/p>\n\n\n\n<p><strong>\u539f\u7406<\/strong><br>\u4e0d\u5b89\u3092\u5f15\u304d\u8d77\u3053\u3059\u72b6\u6cc1\u306b\u610f\u56f3\u7684\u306b\u8eab\u3092\u3055\u3089\u3057(\u66dd\u9732)\u3001\u5f37\u8feb\u884c\u70ba\u3092\u884c\u308f\u305a\u306b\u6211\u6162\u3059\u308b(\u53cd\u5fdc\u59a8\u5bb3)\u3002\u4e0d\u5b89\u306f\u6642\u9593\u3068\u3068\u3082\u306b\u81ea\u7136\u306b\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u3092\u5b66\u7fd2\u3057\u307e\u3059(\u6163\u308c\u3001\u99b4\u5316)\u3002<\/p>\n\n\n\n<p><strong>\u624b\u9806<\/strong><br>(1) \u4e0d\u5b89\u968e\u5c64\u8868\u306e\u4f5c\u6210: \u4e0d\u5b89\u3092\u5f15\u304d\u8d77\u3053\u3059\u72b6\u6cc1\u3092\u30ea\u30b9\u30c8\u30a2\u30c3\u30d7\u3057\u3001\u4e0d\u5b89\u306e\u5f37\u3055\u9806\u306b\u4e26\u3079\u308b<br>(2) \u66dd\u9732: \u4e0d\u5b89\u306e\u4f4e\u3044\u3082\u306e\u304b\u3089\u9806\u306b\u3001\u4e0d\u5b89\u5834\u9762\u306b\u8eab\u3092\u3055\u3089\u3059<br>(3) \u53cd\u5fdc\u59a8\u5bb3: \u5f37\u8feb\u884c\u70ba\u3092\u884c\u308f\u306a\u3044\u3001\u6211\u6162\u3059\u308b<br>(4) \u4e0d\u5b89\u306e\u4f4e\u4e0b\u3092\u4f53\u9a13: \u5f37\u8feb\u884c\u70ba\u3092\u3057\u306a\u304f\u3066\u3082\u4e0d\u5b89\u306f\u6642\u9593\u3068\u3068\u3082\u306b\u4e0b\u304c\u308b\u3053\u3068\u3092\u5b9f\u611f<br>(5) \u6bb5\u968e\u7684\u306b\u96e3\u3057\u3044\u8ab2\u984c\u3078<\/p>\n\n\n\n<p><strong>\u4f8b: \u6d17\u6d44\u5f37\u8feb\u306e\u5834\u5408<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6c5a\u3044\u3068\u601d\u3046\u3082\u306e\u306b\u89e6\u308c\u308b(\u66dd\u9732)<\/li>\n\n\n\n<li>\u624b\u3092\u6d17\u308f\u306a\u3044(\u53cd\u5fdc\u59a8\u5bb3)<\/li>\n\n\n\n<li>\u4e0d\u5b89\u306f\u6700\u521d\u9ad8\u3044\u304c\u3001\u5f90\u3005\u306b\u4e0b\u304c\u308b\u3053\u3068\u3092\u4f53\u9a13<\/li>\n\n\n\n<li>\u3053\u308c\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u3067\u3001\u6d17\u308f\u306a\u304f\u3066\u3082\u5927\u4e08\u592b\u3060\u3068\u5b66\u7fd2<\/li>\n<\/ul>\n\n\n\n<p><strong>\u4f8b: \u78ba\u8a8d\u5f37\u8feb\u306e\u5834\u5408<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9375\u3092\u304b\u3051\u3066\u4e00\u5ea6\u3060\u3051\u78ba\u8a8d\u3059\u308b(\u66dd\u9732)<\/li>\n\n\n\n<li>\u4f55\u5ea6\u3082\u78ba\u8a8d\u3057\u306a\u3044(\u53cd\u5fdc\u59a8\u5bb3)<\/li>\n\n\n\n<li>\u4e0d\u5b89\u306b\u8010\u3048\u308b<\/li>\n\n\n\n<li>\u60aa\u3044\u3053\u3068\u306f\u8d77\u3053\u3089\u306a\u3044\u3053\u3068\u3092\u5b66\u7fd2<\/li>\n<\/ul>\n\n\n\n<p><strong>\u6cbb\u7642\u671f\u9593<\/strong><br>\u901a\u5e38\u3001\u90311\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u306712\u304b\u308920\u56de\u7a0b\u5ea6\u3002\u81ea\u5b85\u3067\u306e\u8ab2\u984c(\u30db\u30fc\u30e0\u30ef\u30fc\u30af)\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>2. \u8a8d\u77e5\u7642\u6cd5<\/strong><\/p>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306b\u7279\u5fb4\u7684\u306a\u8a8d\u77e5\u306e\u6b6a\u307f\u3092\u4fee\u6b63\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8cac\u4efb\u306e\u904e\u5927\u8a55\u4fa1\u3092\u73fe\u5b9f\u7684\u306b\u8a55\u4fa1\u3059\u308b<\/li>\n\n\n\n<li>\u601d\u8003\u3068\u884c\u70ba\u306e\u878d\u5408\u306b\u6c17\u3065\u304f<\/li>\n\n\n\n<li>\u5371\u967a\u306e\u904e\u5927\u8a55\u4fa1\u3092\u4fee\u6b63\u3059\u308b<\/li>\n\n\n\n<li>\u4e0d\u78ba\u5b9f\u6027\u306b\u8010\u3048\u308b\u7df4\u7fd2<\/li>\n\n\n\n<li>\u5b8c\u74a7\u4e3b\u7fa9\u3092\u548c\u3089\u3052\u308b<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9<\/strong><\/p>\n\n\n\n<p>\u5f37\u8feb\u89b3\u5ff5\u3092\u300c\u305f\u3060\u306e\u601d\u8003\u300d\u3068\u3057\u3066\u89b3\u5bdf\u3057\u3001\u305d\u308c\u306b\u53cd\u5fdc\u305b\u305a\u6d41\u3059\u3053\u3068\u3092\u5b66\u3073\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u85ac\u7269\u7642\u6cd5<\/h3>\n\n\n\n<p><strong>SSRI(\u9078\u629e\u7684\u30bb\u30ed\u30c8\u30cb\u30f3\u518d\u53d6\u308a\u8fbc\u307f\u963b\u5bb3\u85ac)<\/strong><br>\u5f37\u8feb\u6027\u969c\u5bb3\u306e\u7b2c\u4e00\u9078\u629e\u85ac\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30d5\u30eb\u30dc\u30ad\u30b5\u30df\u30f3(\u30c7\u30d7\u30ed\u30e1\u30fc\u30eb\u3001\u30eb\u30dc\u30c3\u30af\u30b9)<\/li>\n\n\n\n<li>\u30d1\u30ed\u30ad\u30bb\u30c1\u30f3(\u30d1\u30ad\u30b7\u30eb)<\/li>\n\n\n\n<li>\u30bb\u30eb\u30c8\u30e9\u30ea\u30f3(\u30b8\u30a7\u30a4\u30be\u30ed\u30d5\u30c8)<\/li>\n\n\n\n<li>\u30d5\u30eb\u30aa\u30ad\u30bb\u30c1\u30f3(\u6d77\u5916\u3067\u627f\u8a8d)<\/li>\n\n\n\n<li>\u30a8\u30b9\u30b7\u30bf\u30ed\u30d7\u30e9\u30e0(\u30ec\u30af\u30b5\u30d7\u30ed)<\/li>\n<\/ul>\n\n\n\n<p><strong>\u7279\u5fb4<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u52b9\u679c\u304c\u51fa\u308b\u307e\u30678\u304b\u308912\u9031\u9593\u304b\u304b\u308b(\u3046\u3064\u75c5\u3088\u308a\u9577\u3044)<\/li>\n\n\n\n<li>\u9ad8\u7528\u91cf\u304c\u5fc5\u8981\u306a\u3053\u3068\u304c\u591a\u3044<\/li>\n\n\n\n<li>\u7d0440\u304b\u308960\u30d1\u30fc\u30bb\u30f3\u30c8\u306e\u60a3\u8005\u3067\u75c7\u72b6\u304c\u8efd\u6e1b<\/li>\n\n\n\n<li>\u5b8c\u5168\u306b\u75c7\u72b6\u304c\u6d88\u3048\u308b\u308f\u3051\u3067\u306f\u306a\u3044(\u5e73\u574725\u304b\u308935\u30d1\u30fc\u30bb\u30f3\u30c8\u6539\u5584)<\/li>\n<\/ul>\n\n\n\n<p><strong>\u4e09\u74b0\u7cfb\u6297\u3046\u3064\u85ac<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30af\u30ed\u30df\u30d7\u30e9\u30df\u30f3(\u30a2\u30ca\u30d5\u30e9\u30cb\u30fc\u30eb): \u5f37\u8feb\u6027\u969c\u5bb3\u306b\u6700\u3082\u52b9\u679c\u7684\u3068\u3055\u308c\u308b\u304c\u3001\u526f\u4f5c\u7528\u304c\u591a\u3044<\/li>\n<\/ul>\n\n\n\n<p><strong>\u305d\u306e\u4ed6<\/strong><br>SSRI\u3067\u52b9\u679c\u4e0d\u5341\u5206\u306a\u5834\u5408\u3001\u6297\u7cbe\u795e\u75c5\u85ac(\u5c11\u91cf)\u306e\u8ffd\u52a0\u3001\u4ed6\u306e\u85ac\u5264\u306e\u4f75\u7528\u306a\u3069\u304c\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u85ac\u7269\u7642\u6cd5\u306e\u6ce8\u610f\u70b9<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9577\u671f\u9593\u306e\u670d\u7528\u304c\u5fc5\u8981(\u5c11\u306a\u304f\u3068\u30821\u304b\u30892\u5e74)<\/li>\n\n\n\n<li>\u81ea\u5df1\u5224\u65ad\u3067\u4e2d\u65ad\u3059\u308b\u3068\u518d\u767a\u3057\u3084\u3059\u3044<\/li>\n\n\n\n<li>\u526f\u4f5c\u7528(\u5410\u304d\u6c17\u3001\u7720\u6c17\u3001\u6027\u6a5f\u80fd\u969c\u5bb3\u306a\u3069)\u306b\u3064\u3044\u3066\u533b\u5e2b\u3068\u76f8\u8ac7<\/li>\n\n\n\n<li>\u85ac\u3060\u3051\u3067\u306f\u4e0d\u5341\u5206\u306a\u3053\u3068\u304c\u591a\u304f\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3068\u306e\u4f75\u7528\u304c\u63a8\u5968\u3055\u308c\u308b<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4f75\u7528\u7642\u6cd5<\/h3>\n\n\n\n<p>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3068\u85ac\u7269\u7642\u6cd5\u306e\u4f75\u7528\u304c\u6700\u3082\u52b9\u679c\u7684\u3067\u3059\u3002\u85ac\u3067\u4e0d\u5b89\u3092\u8efd\u6e1b\u3057\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3067\u6839\u672c\u7684\u306a\u5909\u5316\u3092\u76ee\u6307\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u305d\u306e\u4ed6\u306e\u6cbb\u7642<\/h3>\n\n\n\n<p><strong>\u6df1\u90e8\u8133\u523a\u6fc0\u7642\u6cd5(DBS)<\/strong><br>\u91cd\u75c7\u96e3\u6cbb\u4f8b\u306b\u5bfe\u3057\u3066\u3001\u8133\u306e\u7279\u5b9a\u90e8\u4f4d\u306b\u96fb\u6975\u3092\u57cb\u3081\u8fbc\u307f\u523a\u6fc0\u3059\u308b\u6cbb\u7642\u3002\u65e5\u672c\u3067\u3082\u4e00\u90e8\u306e\u65bd\u8a2d\u3067\u5b9f\u65bd\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u307e\u3060\u7814\u7a76\u6bb5\u968e\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u7d4c\u982d\u84cb\u78c1\u6c17\u523a\u6fc0\u7642\u6cd5(TMS)<\/strong><br>\u8133\u306b\u78c1\u6c17\u523a\u6fc0\u3092\u4e0e\u3048\u308b\u6cbb\u7642\u3002\u5f37\u8feb\u6027\u969c\u5bb3\u3078\u306e\u52b9\u679c\u304c\u7814\u7a76\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u5165\u9662\u6cbb\u7642<\/strong><br>\u91cd\u75c7\u4f8b\u3001\u81ea\u6bba\u306e\u30ea\u30b9\u30af\u304c\u3042\u308b\u5834\u5408\u3001\u5916\u6765\u6cbb\u7642\u3067\u6539\u5584\u3057\u306a\u3044\u5834\u5408\u3002\u96c6\u4e2d\u7684\u306a\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u30d7\u30ed\u30b0\u30e9\u30e0\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%82%BB%E3%83%AB%E3%83%95%E3%82%B1%E3%82%A2%E3%81%A8%E5%AF%BE%E5%87%A6%E6%B3%95\"><\/span>\u30bb\u30eb\u30d5\u30b1\u30a2\u3068\u5bfe\u51e6\u6cd5<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u6cbb\u7642\u306b\u53d6\u308a\u7d44\u3080<\/h3>\n\n\n\n<p>\u5c02\u9580\u5bb6\u306e\u6cbb\u7642\u3092\u53d7\u3051\u7d9a\u3051\u308b\u3053\u3068\u304c\u6700\u3082\u91cd\u8981\u3067\u3059\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u30db\u30fc\u30e0\u30ef\u30fc\u30af\u306b\u53d6\u308a\u7d44\u307f\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5f37\u8feb\u89b3\u5ff5\u3078\u306e\u5bfe\u51e6<\/h3>\n\n\n\n<p><strong>\u601d\u8003\u306f\u4e8b\u5b9f\u3067\u306f\u306a\u3044<\/strong><br>\u300c\u8003\u3048\u304c\u6d6e\u304b\u3093\u3060\u300d\u2260\u300c\u305d\u308c\u306f\u771f\u5b9f\u300d\u3002\u8003\u3048\u306f\u305f\u3060\u306e\u8003\u3048\u3001\u8133\u304c\u4f5c\u308a\u51fa\u3057\u305f\u3082\u306e\u3002<\/p>\n\n\n\n<p><strong>\u601d\u8003\u3092\u6291\u5236\u3057\u3088\u3046\u3068\u3057\u306a\u3044<\/strong><br>\u6291\u5236\u3057\u3088\u3046\u3068\u3059\u308b\u307b\u3069\u5897\u3048\u308b(\u9006\u8aac\u7684\u52b9\u679c)\u3002\u300c\u8003\u3048\u304c\u6d6e\u304b\u3093\u3067\u3082\u3044\u3044\u300d\u3068\u53d7\u3051\u5165\u308c\u308b\u3002<\/p>\n\n\n\n<p><strong>\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9<\/strong><br>\u8003\u3048\u3092\u305f\u3060\u89b3\u5bdf\u3057\u3001\u5224\u65ad\u305b\u305a\u3001\u6d41\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5f37\u8feb\u884c\u70ba\u3078\u306e\u5bfe\u51e6<\/h3>\n\n\n\n<p><strong>\u5f90\u3005\u306b\u6e1b\u3089\u3059<\/strong><br>\u3044\u304d\u306a\u308a\u30bc\u30ed\u306b\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u6bb5\u968e\u7684\u306b\u6e1b\u3089\u3059\u3002\u4f8b: \u624b\u6d17\u3044\u306e\u56de\u6570\u309220\u56de\u304b\u308915\u56de\u3078\u3002<\/p>\n\n\n\n<p><strong>\u6642\u9593\u3092\u5236\u9650\u3059\u308b<\/strong><br>\u5f37\u8feb\u884c\u70ba\u306b\u8cbb\u3084\u3059\u6642\u9593\u3092\u6c7a\u3081\u308b\u3002\u30bf\u30a4\u30de\u30fc\u3092\u4f7f\u3046\u3002<\/p>\n\n\n\n<p><strong>\u9045\u5ef6<\/strong><br>\u5f37\u8feb\u884c\u70ba\u3092\u3057\u305f\u304f\u306a\u3063\u305f\u3089\u3001\u307e\u305a5\u5206\u5f85\u3064\u3002\u5f90\u3005\u306b\u5ef6\u3070\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u751f\u6d3b\u7fd2\u6163<\/h3>\n\n\n\n<p><strong>\u898f\u5247\u6b63\u3057\u3044\u751f\u6d3b<\/strong><br>\u7761\u7720\u3001\u98df\u4e8b\u3001\u6d3b\u52d5\u306e\u30ea\u30ba\u30e0\u3092\u6574\u3048\u308b\u3002<\/p>\n\n\n\n<p><strong>\u30b9\u30c8\u30ec\u30b9\u7ba1\u7406<\/strong><br>\u30b9\u30c8\u30ec\u30b9\u306f\u75c7\u72b6\u3092\u60aa\u5316\u3055\u305b\u307e\u3059\u3002\u30ea\u30e9\u30af\u30bc\u30fc\u30b7\u30e7\u30f3\u3001\u8da3\u5473\u3001\u904b\u52d5\u3002<\/p>\n\n\n\n<p><strong>\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u30ab\u30d5\u30a7\u30a4\u30f3\u3092\u63a7\u3048\u308b<\/strong><br>\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u75c7\u72b6\u3092\u60aa\u5316\u3055\u305b\u3001\u4f9d\u5b58\u306e\u30ea\u30b9\u30af\u3082\u3042\u308a\u307e\u3059\u3002\u30ab\u30d5\u30a7\u30a4\u30f3\u306f\u4e0d\u5b89\u3092\u5897\u3084\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b5\u30dd\u30fc\u30c8\u30b0\u30eb\u30fc\u30d7<\/h3>\n\n\n\n<p>\u540c\u3058\u75c5\u6c17\u3092\u6301\u3064\u4eba\u3068\u306e\u4ea4\u6d41\u3002\u60c5\u5831\u4ea4\u63db\u3001\u76f8\u4e92\u652f\u63f4\u3002\u30aa\u30f3\u30e9\u30a4\u30f3\u30b0\u30eb\u30fc\u30d7\u3082\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5bb6\u65cf\u306e\u7406\u89e3<\/h3>\n\n\n\n<p>\u5bb6\u65cf\u306b\u75c5\u6c17\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u3001\u7406\u89e3\u3068\u30b5\u30dd\u30fc\u30c8\u3092\u5f97\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%AE%B6%E6%97%8F%E3%81%8C%E3%81%A7%E3%81%8D%E3%82%8B%E3%81%93%E3%81%A8\"><\/span>\u5bb6\u65cf\u304c\u3067\u304d\u308b\u3053\u3068<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u7406\u89e3\u3059\u308b<\/h3>\n\n\n\n<p>\u5f37\u8feb\u6027\u969c\u5bb3\u306b\u3064\u3044\u3066\u5b66\u3076\u3002\u610f\u5fd7\u306e\u5f31\u3055\u3084\u6027\u683c\u306e\u554f\u984c\u3067\u306f\u306a\u304f\u3001\u75c5\u6c17\u3067\u3042\u308b\u3053\u3068\u3092\u7406\u89e3\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5f37\u8feb\u884c\u70ba\u306b\u5354\u529b\u3057\u306a\u3044<\/h3>\n\n\n\n<p>\u5bb6\u65cf\u304c\u78ba\u8a8d\u306b\u4ed8\u304d\u5408\u3046\u3001\u4e00\u7dd2\u306b\u6d17\u6d44\u884c\u70ba\u3092\u3059\u308b\u306a\u3069\u306e\u5354\u529b\u306f\u3001\u75c7\u72b6\u3092\u7dad\u6301\u30fb\u60aa\u5316\u3055\u305b\u307e\u3059\u3002\u512a\u3057\u304f\u65ad\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6279\u5224\u3057\u306a\u3044<\/h3>\n\n\n\n<p>\u300c\u3084\u3081\u306a\u3055\u3044\u300d\u300c\u99ac\u9e7f\u3052\u3066\u3044\u308b\u300d\u3068\u6279\u5224\u3057\u3066\u3082\u52b9\u679c\u306f\u306a\u304f\u3001\u672c\u4eba\u3092\u50b7\u3064\u3051\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u30b5\u30dd\u30fc\u30c8\u3059\u308b<\/h3>\n\n\n\n<p>\u6cbb\u7642\u3092\u52b1\u307e\u3059\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u8ab2\u984c\u306b\u53d6\u308a\u7d44\u3080\u3053\u3068\u3092\u5fdc\u63f4\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5883\u754c\u7dda\u3092\u4fdd\u3064<\/h3>\n\n\n\n<p>\u5bb6\u65cf\u3082\u81ea\u5206\u306e\u751f\u6d3b\u3092\u5927\u5207\u306b\u3057\u307e\u3059\u3002\u904e\u5ea6\u306b\u5dfb\u304d\u8fbc\u307e\u308c\u306a\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5c02\u9580\u5bb6\u3068\u9023\u643a<\/h3>\n\n\n\n<p>\u5bb6\u65cf\u7642\u6cd5\u3001\u5bb6\u65cf\u5411\u3051\u306e\u5fc3\u7406\u6559\u80b2\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u53c2\u52a0\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%BA%88%E5%BE%8C\"><\/span>\u4e88\u5f8c<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u6cbb\u7642\u306b\u3088\u308a\u6539\u5584<\/h3>\n\n\n\n<p>\u9069\u5207\u306a\u6cbb\u7642(\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3001\u85ac\u7269\u7642\u6cd5)\u306b\u3088\u308a\u3001\u7d0460\u304b\u308980\u30d1\u30fc\u30bb\u30f3\u30c8\u306e\u60a3\u8005\u3067\u75c7\u72b6\u304c\u6539\u5584\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 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