广泛性焦虑障碍（GAD）是常见的焦虑障碍之一，伴有广泛性焦虑症状的人群长期处在担忧和焦虑之中，严重影响其生活质量，尤其是那些未达到广泛性焦虑障碍临床诊断标准，但却表现出广泛性焦虑症状的亚临床个体，是符合诊断标准的病人的两倍。因此有必要对这些具有高广泛性焦虑症状的个体进行研究和干预，以期缓解症状带来的痛苦，提高生活质量，促进个体的身心健康。目前，认知行为疗法（CBT）是针对于广泛性焦虑障碍拥有最多实证研究证实其有效性的干预方法。本文以案例呈现的方式，介绍了认知行为疗法对一例广泛性焦虑症状个体进行干预的过程。 通过网络招募被试，筛选广泛性焦虑量表（GAD-7）得分在10分以上、宾州忧虑问卷（PSWQ）得分在52分以上，评估访谈结果以广泛性焦虑症状为核心问题的来访者，并排除物质滥用或依赖、具有精神病性症状、因广泛性焦虑使用过药物、2年内接受过认知行为干预者。其中，来访者L满足这些条件，他主要在生活琐事、自我形象、工作表现和职场人际方面存在过度担忧。最终选定L作为本报告的来访者。 由高年级应用心理专业硕士生在督导师的定期督导下，依据对L进行的认知行为个案概念化，开展为期9周共计18次的咨询实践。整个咨询过程总共分为六个阶段，分别是咨询开始阶段（1-3次）、生活琐事担忧的干预阶段（4-6次）、自我形象担忧的干预阶段（7-8次）、工作表现担忧的干预阶段（9-11次）、职场人际担忧的干预阶段（12-16次）和结束阶段（17-18次）。整个干预使用整合的焦虑理论模型，综合使用认知和行为技术，主要使用了心理教育、挑战歪曲自动思维、重建早期记忆、认知暴露和叙事暴露等技术。 根据评估结果，来访者在广泛性焦虑量表（GAD-7）、贝克抑郁量表（BDI）、医院焦虑抑郁量表（HADS）焦虑分量表上的分数随着干预的进行有持续下降的趋势，并且干预后宾州忧虑问卷（PSWQ）、元担忧问卷（MWQ）和不能容忍不确定性量表（IUS）分数与干预前相比，都有明显降低；来访者L的反馈，他的功能失调性图式得以修正，广泛性焦虑症状得到缓解；干预一个月后的随访结果也显示了效果的维持；这些都说明了干预的有效性。但是，本文仅报告了一例个案的干预工作，结果有其局限性。在今后的工作中需要进行更多的理论探索与干预研究，以期对广泛性焦虑的本土化干预有所助益。

Generalized anxiety disorder (GAD) is a common anxiety disorder. People with generalized anxiety symptoms appear chronically worried and anxious, which seriously affects their living quality, especially subclinical individuals who do not meet clinical diagnostic criteria of GAD but exhibit generalized anxiety symptoms suffer twice than patients who meet diagnostic criteria. Therefore, it is necessary to carry out research and intervention on these individuals with obvious generalized anxiety symptoms in order to relieve the pain caused by symptoms, improve the living quality, and promote the physical and mental health. At present, cognitive behavioral therapy (CBT) is the intervention method of which the effectiveness on GAD has been proved by the largest number of empirical researches. This article introduces the intervention process of CBT in individuals with generalized anxiety symptoms in the form of case report. Participants were recruited through the Internet. Participants’ scored more than 10 points based on the Generalized anxiety disorder scale (GAD-7), scored more than 52 points based on the Penn State Worry Questionnaire (PSWQ), and these whose assessment and interview results based on generalized anxiety symptoms were finally filtered out. And substance abuse or dependence, psychotic symptoms, the use of drugs for generalized anxiety, and cognitive behavioral interventions within 2 years were excluded. Among them, visitor L satisfies these conditions, he has excessive concerns about life trivia, self-image, work performance, interpersonal relationship in workplace. Eventually visitor L was chosen as a research object of this report. Based on the conceptualization of L's cognitive behavior, under the supervision of tutor of senior postgraduate students majoring in Applied psychology, a total of 18 consultation exercises for 9 weeks were carried out. The whole consultation process is divided into six phases. These are the initial consultation phase (1-3 sessions), the life trivia anxiety intervention phase (4-6 times), and the self-image anxiety intervention phase (7-8 sessions), the work performance anxiety intervention phase (9-11 sessions), interpersonal relationship anxiety in workplace intervention phase (12-16 sessions) and ending phase (17-18 sessions). The entire intervention uses an integrated model of anxiety theory and uses cognitive and behavioral technique in a comprehensive manner. It mainly uses the techniques of psychology education, challenging distorted automatic thinking, reconstructing early memories, exposing cognition and narration. The assessment results showed that the visitor’s scores on the Generalized Anxiety Disorder Scale (GAD-7), Beck Depression Inventory (BDI), and Anxiety Scale in Hospital Anxiety and Depression Scale (HADS) continued to decline as the process of intervention. And scores after the intervention based on The Penn State Worry Questionnaire (PSWQ), Meta-Worry Questionnaire (MWQ) and the Intolerance of Uncertainty Scale (IUS) were significantly lower than scores before the intervention; according to the feedback of visitor L, his dysfunctional schema could be corrected, and his generalized anxiety symptoms were relieved; Follow-up results after one month of intervention also showed the maintenance of the effect. All those above proved the effectiveness of the intervention. However, this paper only reported the intervention of one case and the results have their limitations. In the future work, more theoretical explorations and intervention studies are needed to achieve to help Chinese localized interventions for generalized anxiety symptoms.