Layanan Konseling Individual dalam Penanganan Post-Traumatic Stress Disorder pada Penyintas Difabel Pasca Kecelakaan

Prasasti, Yurike Eka
Noviyanti, Ade Irma
Suharmawan, Wahid

Empiricism Journal
Vol. 7 No. 3: September 2026

Mahasiswa penyandang disabilitas akibat kecelakaan berpotensi mengalami Gangguan Stres Pascatrauma atau Post-Traumatic Stress Disorder (PTSD) yang memengaruhi fungsi psikologis, adaptasi sosial, dan partisipasi akademik. Meskipun Cognitive Behavioral Therapy (CBT) telah banyak digunakan dalam penanganan PTSD, kajian mengenai proses penerapan konseling individual berbasis CBT pada mahasiswa penyandang disabilitas pascakecelakaan, khususnya dalam kaitannya dengan penerimaan diri dan penyesuaian terhadap kehidupan akademik dan sosial, masih perlu diperdalam. Maka, penelitian ini bertujuan untuk menganalisis aspek psikologis para penyintas dan menjelaskan penerapan layanan konseling personal berbasis CBT sebagai metode intervensi dalam pemulihan psikologis. Penelitian menggunakan pendekatan kualitatif melalui rancangan studi kasus pada seorang mahasiswa penyandang disabilitas. Data dihimpun melalui wawancara mendalam, observasi, dan penelaahan dokumen, lalu dianalisis dengan kerangka Miles dan Huberman serta diverifikasi melalui triangulasi sumber dan metode. Temuan menunjukkan bahwa partisipan menunjukkan indikasi PTSD yang dicirikan oleh kilas balik, mimpi buruk, perilaku menghindar (avoidance), hiperwaspada, gangguan tidur, penurunan konsep diri, serta hambatan dalam fungsi sosial dan akademik. Intervensi konseling individual berbasis CBT melalui pembentukan hubungan konseling (rapport, identifikasi pikiran otomatis negatif, dan restrukturisasi kognitif membantu klien merekonstruksi distorsi kognitif menjadi keyakinan yang lebih adaptif. Selama proses konseling, ditemukan perubahan positif berupa penurunan intensitas kecemasan, meningkatnya penerimaan diri terhadap kondisi disabilitas, pulihnya motivasi akademik, serta berkembangnya kepercayaan diri dalam berinteraksi sosial. Temuan ini memberikan gambaran mengenai proses penerapan konseling individual berbasis CBT yang berkontribusi positif terhadap proses pemulihan psikologis dan adaptasi mahasiswa penyandang disabilitas pascakecelakaan. Individual Counseling Services for Managing Post-Traumatic Stress Disorder in Post-Accident Survivors with Disabilities Abstract College students with disabilities resulting from accidents may experience Post-Traumatic Stress Disorder (PTSD), which affects their psychological functioning, social adjustment, and academic participation. Although Cognitive Behavioral Therapy (CBT) has been widely used in the treatment of PTSD, further investigation is needed into the implementation of individual counseling based on CBT among university students with disabilities following accidents, particularly regarding self-acceptance and adjustment to academic and social life. Therefore, this study aims to analyze the psychological aspects of accident survivors and describe the implementation of CBT-based individual counseling as an intervention to support psychological recovery. This study employed a qualitative approach using a case study design involving a university student with a disability. Data were collected through in-depth interviews, observations, and document analysis, then analyzed using the Miles and Huberman framework and verified through source and method triangulation. The findings indicate that the participant exhibited symptoms suggestive of PTSD, including flashbacks, nightmares, avoidance behaviors, hypervigilance, sleep disturbances, diminished self-concept, and difficulties in social and academic functioning. The CBT-based individual counseling intervention involved establishing a therapeutic rapport, identifying negative automatic thoughts, and applying cognitive restructuring to help the client transform cognitive distortions into more adaptive beliefs. Throughout the counseling process, positive changes were observed, including reduced anxiety, increased self-acceptance of the disability, renewed academic motivation, and improved self-confidence in social interactions. These findings provide insight into the implementation of CBT-based individual counseling and its positive contribution to the psychological recovery and adjustment of university students with disabilities following accidents.