心理学・メンタルヘルス英語：必須語彙ガイド

"emotional resilience"

The ability to adapt positively and recover effectively from stress, adversity, or significant sources of pressure

"Her therapist focused on building emotional resilience so she could face setbacks without spiralling into prolonged depressive episodes."

"self-compassion"

Treating oneself with the same kindness and understanding one would offer a good friend during times of failure or suffering

"The workshop introduced self-compassion practices, encouraging participants to replace harsh self-criticism with gentle, understanding inner dialogue."

"emotional regulation"

The process of monitoring, evaluating, and modifying one's emotional reactions to achieve desired goals or reduce distress

"She learned emotional regulation techniques — box breathing and grounding exercises — to manage acute anxiety without resorting to avoidance."

"psychological safety"

A shared belief that one can speak up, take risks, and be vulnerable without fear of judgment or negative consequences

"The counsellor worked hard to establish psychological safety in the group so members felt comfortable sharing difficult personal experiences."

"emotional intelligence"

The capacity to recognise, understand, and manage one's own emotions and to perceive and influence the emotions of others

"Her high emotional intelligence allowed her to sense when colleagues were struggling and offer support before crises escalated."

"affect regulation"

The processes — conscious and unconscious — by which a person influences which emotions they have, when they have them, and how they express them

"Dialectical behaviour therapy specifically targets affect regulation, teaching patients to tolerate distress without engaging in self-destructive behaviour."

"emotional numbness"

A state of reduced emotional responsiveness in which feelings seem distant, muted, or entirely absent, often following trauma or severe depression

"He described emotional numbness rather than sadness — as though a glass wall separated him from everything he used to care about."

"subjective wellbeing"

An individual's own evaluation of their life quality, encompassing life satisfaction, positive affect, and the relative absence of negative affect

"Researchers measured subjective wellbeing using both a life-satisfaction scale and a daily mood diary over four consecutive weeks."

"cognitive restructuring"

A cognitive-behavioural technique in which unhelpful or distorted thought patterns are identified, challenged, and replaced with more balanced perspectives

"Through cognitive restructuring, the client recognised that "I'm a total failure" was an overgeneralisation and replaced it with a more evidence-based appraisal."

"therapeutic frame"

The consistent boundaries, structures, and agreements that define the therapeutic relationship, including time, place, confidentiality, and roles

"The therapist maintained the therapeutic frame carefully, beginning and ending sessions on time and responding to out-of-hours contact only in genuine emergencies."

"psychoeducation"

The process of providing patients and their families with evidence-based information about a mental health condition and its treatment to improve understanding and engagement

"Psychoeducation about the fight-or-flight response helped the patient understand that her panic symptoms, though terrifying, were not medically dangerous."

"motivational interviewing"

A collaborative, person-centred counselling style that explores and strengthens a client's own motivation and commitment to change

"Using motivational interviewing, the clinician helped the patient articulate his own reasons for wanting to reduce alcohol use rather than imposing external goals."

"transference"

The redirection of feelings and expectations originally developed towards significant early figures, especially parents, onto the therapist

"When she began arriving late and testing limits, the therapist explored whether transference was at play — re-enacting a dynamic with her critical father."

"schema therapy"

An integrative therapy that identifies and modifies deep-rooted negative patterns of thinking, feeling, and behaving originating in childhood

"Schema therapy helped him connect his current self-sabotaging behaviour at work to an early maladaptive schema of defectiveness developed in childhood."

"mindfulness-based cognitive therapy"

An eight-week group intervention combining mindfulness meditation with cognitive therapy, designed to prevent relapse in recurrent depression

"After three depressive episodes, she was referred for mindfulness-based cognitive therapy, which reduced her relapse risk significantly over two years of follow-up."

"active listening"

A therapeutic communication skill involving full attention, reflecting content and emotion, asking open questions, and withholding judgment

"His active listening — pausing, reflecting feelings back, and asking curious questions — made the client feel genuinely heard for the first time."

"major depressive disorder"

A clinical condition characterised by at least two weeks of persistent low mood or loss of interest, accompanied by significant functional impairment

"Her major depressive disorder had lasted six months; she had stopped going to work, rarely left her bedroom, and had lost twelve kilograms."

"post-traumatic stress disorder"

A psychiatric condition developing after exposure to traumatic events, characterised by intrusions, avoidance, negative cognitions, and hyperarousal

"Post-traumatic stress disorder following the road accident left her unable to travel by car, plagued by nightmares, and easily startled by loud noises."

"obsessive-compulsive disorder"

A condition characterised by recurrent unwanted thoughts (obsessions) and/or repetitive behaviours or mental acts (compulsions) performed to reduce distress

"His obsessive-compulsive disorder centred on contamination fears that drove him to wash his hands so frequently the skin had cracked and bled."

"social anxiety disorder"

A persistent fear of social or performance situations in which the individual believes they will be scrutinised, judged, or humiliated

"Social anxiety disorder prevented her from eating in public, speaking in meetings, or answering the phone, significantly limiting her career progression."

"bipolar disorder"

A mood disorder characterised by episodes of mania or hypomania alternating with episodes of depression, with significant impact on functioning

"His bipolar disorder had resulted in three hospitalisations — each during manic episodes in which he stopped sleeping, spent recklessly, and made grandiose plans."

"attention deficit hyperactivity disorder"

A neurodevelopmental condition characterised by persistent inattention, hyperactivity, and impulsivity that impairs functioning across multiple settings

"Diagnosed with attention deficit hyperactivity disorder at thirty-two, she finally understood why she had always struggled to finish tasks and maintain relationships."

"eating disorder"

A range of conditions characterised by abnormal eating behaviours and distorted thoughts about body shape and weight, including anorexia, bulimia, and binge-eating disorder

"The eating disorder had its roots in adolescence; years of restrictive eating had given way to cycles of bingeing and purging by her mid-twenties."

"adjustment disorder"

A condition in which an individual experiences significant emotional or behavioural symptoms in response to an identifiable stressor, disproportionate to its severity

"Following redundancy, he developed an adjustment disorder — persistent low mood and anxiety that resolved after six months of brief counselling."

"differential diagnosis"

The process of systematically distinguishing a particular condition from others that present with similar signs and symptoms

"The differential diagnosis included bipolar disorder, borderline personality disorder, and substance-induced mood disturbance before a final formulation was reached."

"psychological assessment"

A systematic process of gathering information about an individual's cognitive, emotional, behavioural, and social functioning through tests, interviews, and observations

"A comprehensive psychological assessment was requested, including IQ testing and personality measures, to inform the patient's educational placement."

"clinical formulation"

A personalised hypothesis explaining the development, maintenance, and interaction of a client's difficulties, linking theory to individual history

"The clinical formulation connected her current perfectionism to early experiences of conditional parental approval, maintained by feared consequences of failure."

"structured clinical interview"

A standardised diagnostic interview in which the clinician follows a predetermined set of questions to assess mental health conditions reliably

"The structured clinical interview for DSM disorders confirmed diagnoses of PTSD and major depression, which had both been missed at initial presentation."

"psychometric testing"

The use of standardised, validated instruments to measure psychological constructs such as intelligence, personality, mood, or cognitive ability objectively

"Psychometric testing placed his IQ in the very superior range but revealed significant deficits in processing speed inconsistent with his overall ability profile."

"self-report measure"

A standardised questionnaire in which individuals rate their own symptoms, attitudes, or behaviours, widely used in both clinical and research settings

"She completed the PHQ-9, a widely used self-report measure for depression, scoring 19 — indicating moderately severe depression requiring urgent review."

"comorbidity"

The presence of two or more distinct mental health or medical conditions occurring in the same individual simultaneously

"The comorbidity of alcohol use disorder and major depression complicated treatment planning, as each condition tended to worsen the other if addressed in isolation."

"diagnostic criteria"

The specific, operationalised symptoms and thresholds defined in classification systems such as DSM-5 or ICD-11 that must be met to assign a diagnosis

"She met diagnostic criteria for generalised anxiety disorder — six months of uncontrollable worry with fatigue, irritability, and concentration difficulties."

"complex trauma"

Trauma resulting from repeated, prolonged exposure to interpersonal violence or abuse, typically beginning in childhood and involving a betrayal of trust

"Her complex trauma history — years of childhood neglect and domestic abuse — meant standard PTSD treatment needed significant adaptation to be effective."

"trauma-informed care"

An approach to services and treatment that recognises the widespread impact of trauma, integrates knowledge about trauma into practice, and actively avoids re-traumatisation

"The ward adopted trauma-informed care principles, training all staff to ask "what happened to you?" rather than "what is wrong with you?"."

"dissociation"

A disconnection from thoughts, feelings, identity, or memory, occurring on a continuum from mild detachment to complex identity fragmentation

"During stressful consultations she experienced dissociation — losing chunks of time and finding herself unable to recall what had been discussed."

"window of tolerance"

The optimal zone of arousal within which a person can process experience and function effectively, bounded by hyperarousal above and hypoarousal below

"Therapy aimed to keep her within the window of tolerance, using grounding techniques whenever flashbacks threatened to overwhelm her capacity to reflect."

"somatic experiencing"

A body-oriented trauma therapy that addresses the physiological aspects of trauma by tracking and releasing held bodily tension and incomplete survival responses

"Somatic experiencing helped him notice where he held trauma in his body — a chronic tightness in the chest that released gradually over months of therapy."

"EMDR"

Eye movement desensitisation and reprocessing — a structured trauma therapy using bilateral stimulation to facilitate processing of distressing memories

"Eight sessions of EMDR significantly reduced the vividness and distress associated with the assault memory, allowing her to recall the event without re-experiencing it."

"post-traumatic growth"

Positive psychological change experienced as a result of struggling with highly challenging life circumstances, including greater appreciation of life and deeper relationships

"Despite the severity of her experience, post-traumatic growth was evident — she had become an advocate for survivors and reported a profoundly changed sense of purpose."

"hyperarousal"

A state of heightened physiological and psychological activation following trauma, manifesting as sleep difficulties, irritability, poor concentration, and exaggerated startle

"His hyperarousal made him exhausted but unable to sleep; the slightest sound jolted him awake and he remained on high alert throughout the day."

"presenting complaint"

The primary concern or symptom as described in the patient's own words that prompts them to seek help from a mental health professional

"The presenting complaint was low mood and social withdrawal lasting eight months, but further questioning revealed significant suicidal ideation."

"safeguarding concern"

A professional duty to act when there are reasonable grounds to believe a vulnerable person is at risk of harm, abuse, or neglect

"The disclosure of domestic violence in the session raised a safeguarding concern that required the clinician to consult with the designated safeguarding lead."

"duty of confidentiality"

A legal and ethical obligation to protect information shared by a client within the therapeutic relationship from unauthorised disclosure

"She explained the duty of confidentiality at the outset, noting the specific limits — disclosures involving serious risk to life would override it."

"informed consent"

The process by which a client voluntarily agrees to a treatment or assessment after receiving, understanding, and weighing all relevant information

"Before commencing EMDR, the therapist obtained informed consent, explaining the procedure, potential side-effects, and the client's right to withdraw at any time."

"care pathway"

A structured, evidence-based plan specifying the sequence of assessment, intervention, and review for a particular condition within a healthcare system

"Following the initial assessment, the patient entered the stepped care pathway — beginning with guided self-help before escalating to individual CBT."

"multidisciplinary team"

A group of healthcare professionals from different disciplines — psychiatry, psychology, nursing, social work, occupational therapy — working collaboratively on a patient's care

"The multidisciplinary team meeting concluded that inpatient admission was no longer necessary and agreed a comprehensive community support package."

"progress note"

A clinical documentation entry describing a patient's status, the content of a session, any changes in presentation, and planned next steps

"The progress note recorded that the patient had completed the thought diary homework and reported a modest reduction in the frequency of ruminative episodes."

"referral letter"

A written communication from one clinician to another requesting specialist assessment or treatment, summarising clinical history and the reason for referral

"The GP's referral letter detailed two years of treatment-resistant depression and specifically requested a psychiatric review of the current medication regimen."