青少年心理咨询：哪些情况下孩子需要心理咨询辅导？

1

小雅正在读初二，每个学期都是年级第一。

这本该是父母最大的自豪，可是让夫妻俩有些忧心的是，女儿平时都是一副闷闷不乐、心事重重的模样。父母想和她谈谈心，她又很抗拒，总觉得父母不理解她、爱讲道理，习惯成天把自己关在房间里，整晚整晚地刷题，沉浸在自己的世界里。

其实，小雅上初中后一直是这种状态，之前爸爸妈妈觉得小雅性格内向，文静礼貌，如此表现也很正常，只要孩子能够安心学习就没问题。然而，现在小雅一改往日的温柔，过于敏感、情绪化，只要被人问到学习成绩，或在校表现，她就会突然地大发脾气，哭喊着指责父母只关心她的学习，从不关心她，不爱她....

在小雅情绪崩溃时，无论父母如何解释，她都听不进去，思维偏激。父母为此很担心，也很苦恼，不知道如何帮助到小雅，于是带小雅进行青少年心理咨询进行评估与改善。

青少年期是身体快速成长的时期，也是心理逐步走向成熟的时期。

在这一时期中，充斥着变化和冲突，又被称为“反抗期”或“叛逆期”，是各种心理障碍的高发时期。

对大多数青少年来说，虽然达不到心理障碍的严重程度，但常常存在各种困惑和烦恼，自己走不出来，父母又走不进去，难以帮助到孩子。但若孩子的内心困扰，不能得到及时解决，往往会损害心理健康发展。

2

那么，一般哪些情况下孩子需要心理咨询辅导？

1. 情绪持续低落、高兴不起来、烦闷；觉得活着没意思，自卑；对原本感兴趣的事失去兴趣，懒得活动，对什么都无所谓。部分会出现失眠、全身乏力、犯困等状态。

2. 担忧害怕，如考试、发言、上学、参加社交活动等，出现回避行为。

3. 沉默寡言，不和他人交流，行为退缩，或出现怪异行为，自言自语，自笑。

4. 上课注意力不能集中，完成作业困难，学习成绩明显下降或一直低下。

5. 体重明显下降，进食时回避他人。

6. 入睡困难，早醒或夜醒多。

7. 经常存在人际冲突，易怒，行为冲动。

8. 遇到突发事件后，难以适应，影响到日常学习和生活。

9. 存在医学检查难以解释的身体不适症状。

10. 性困惑或性行为异常。

这十条看似简单，很容易作出判断，但实际在生活中，青春期孩子这些状态常常会被家长忽视，而孩子的学习问题、行为问题、或躁狂时的易激惹又让家长头疼不已。

面对孩子出现的这些问题，很多家长一开始是选择“以暴制暴”，导致孩子的状态更加糟糕，内心更加封闭，行为问题更加突显。

3

16岁的阿蒙不愿意去上学，经常把自己关在屋子里刷网页或追剧，父母担心他网络成瘾，将其手机没收，呵斥其要好好学习。

但无意中的一句“你这样下去还有什么用”让阿蒙反应很激烈，竟然拿手锤头、揪头发、就地打滚，大喊大闹，痛苦不堪。

父母带阿蒙看心理医生，被诊断为中度抑郁，而在两年前这个孩子便已经出现抑郁的倾向，曾在QQ空间发布说说：

“不想睡觉，不想吃饭，不想说话，只想静静的待着，体重也直线下降，感觉做什么都没有意思”

“人活着，却找不到一点儿意义，是多么痛苦”

“是不是我太笨，一点儿小事都做不好，做什么都没有自信”

“开始对未来感到茫然”

……

得知阿蒙的情况，妈妈很自责，责备自己未能及时发现孩子的变化，未能及时帮助孩子调整，还经常骂孩子懒散、不上进、不细心，给了孩子更大的压力，导致孩子的抑郁越来越严重，对学习、生活都失去了动力。

小雅和阿蒙的情况在心理咨询中是非常多见的。越来越多的孩子因为各种各样的学习、人际交往、情绪和适应方面的问题而过来寻求专业帮助。

▎主要表现在以下方面：

① 学习方面：厌学、逃学、学校恐惧症、考试焦虑、注意力不集中。

② 人际关系方面：亲子关系不良、沟通障碍、社交恐惧、自卑、自闭、不合群、社会适应不良、紧张、人际交往障碍。

③ 情绪障碍：青春期抑郁、躁狂、躁郁症、青春期分裂症。

④ 行为问题：沉迷游戏、网络成瘾、离家出走、多动、偷钱、自残自虐、打人伤人、遗尿症。

⑤ 各种神经症及情绪障碍：抑郁障碍、焦虑障碍、双相情感障碍、强迫症、恐惧症、进食障碍(厌食症、贪食症)、睡眠障碍。

⑥ 青春期性困扰。

4

青少年问题的出现，既与他们正处于心理和生理快速发展的青春期，内心冲突多，情绪不稳定有关，也与个体性格特征、童年经历、家庭环境有关。

青少年心理咨询师提醒各位家长，孩子如果在青春期出现一些行为变化，一定要及时观察孩子的情绪状态，观察一下他们有没有情绪极其低落，或非常暴躁的时候。

还可以看看孩子情绪的改变有没有影响到他们的学习与生活。如果有，就说明这已经不是单纯的叛逆，需要寻求专业心理咨询师的帮助了。

专业的心理咨询师将会针对青少年心理问题的特点，采用相关心理咨询技术，比如认知行为治疗、人际关系治疗、家庭治疗、沙盘治疗、催眠治疗等方式，帮助青少年改善状态，完善人格，获得更健康的思维方式、生活方式。

▎本文为广州听说吧心理咨询中心原创文章，转载时请标明出处，未经许可擅自使用者，本公司保留依法追究的权利。

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#3eb575;--weui-BRAND: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root[data-weui-theme=dark],body:not(.pages_skin_pc) body[data-weui-theme=dark]{--appmsgExtra-BG: #121212}}@media screen and (min-width:1024px){body:not(.pages_skin_pc)body:not(.pages_skin_pc){background:var(--weui-BG-2)}}@media screen 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59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--discussInput-BG: rgba(255, 255, 255, .03)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--nickName-FG: #959595}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-HALF: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 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