This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. A step-by-step guide to using CBT, the book is structured around case examples of clients who present with the most commonly encountered conditions; from mild depression and GAD to more complex, enduring symptoms and diagnosis like OCD, personality disorder and social phobia.
The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies and discharge planning.
The book also includes learning exercises and clinical hints, as well as extensive reference to further CBT research, resources and reading. It will be invaluable for trainees on Improving Access to Psychological Therapies (IAPT) programs, and anyone studying graduate CBT courses.
Chapter 5: Client Presenting with Social Phobia
Client Presenting with Social Phobia
By the end of this chapter you should be able to:
- Identify the symptoms and nature of social phobia
- Explain the processes involved in the maintenance of the disorder
- Recognise the unique contribution of self-consciousness and safety behaviours in relation to the disorder
- Outline the key cognitive and behavioural strategies utilised in the treatment of social phobia
- Discuss some of the potential difficulties in the treatment of the disorder
The central characteristic of social phobia is a fear of social or performance situations in which the individual is open to scrutiny by others. In such situations it is the negative judgement of others that the individual fears and they anticipate that this will result from them behaving in a manner ...