A Case Conceptualization Of Social Anxiety Disorder (CBT)

In the formulation of a case conceptualization of client 1632, it is determined the client would benefit in the reduction of symptoms of social anxiety disorder (SAD) by utilizing therapeutic interventions of two specific approaches; 1) cognitive behavioral therapy (CBT), which is an evidence based form of therapy especially successful for SAD, and 2) reality therapy (RT) a therapy developed from William Glasser’s choice theory. CBT is focused on interventions that intertwine the emotional aspects of feelings, thoughts and resulting behavior. Through psychoeducation the client can understand how negative and/or maladaptive self-talk and thoughts have an effect on the way we feel and consequently the way they behave and experience events. Interventions of CBT such keeping a thought journal/record of maladaptive thinking and logging the reframing of these thoughts by using the ABCDE format, challenging negative thought, exposure therapy through systematic desensitization, diaphragmatic breathing technique, progressive body relaxation, and mindful meditation.
The counselor using reality therapy will assist the client to formulate a plan that they can follow focusing on the things that are within the client’s control. The counselor and the client, throughout their interactions, will discover the area or areas in which the client may be making ineffective choices, thoughts or approaches towards acquiring their needs and gaining their wants. For this client the aim will be to establish positive goals, exchange the current maladaptive thinking patterns with ones that will enable the client to have more control, and develop healthful ways in which to lesson anxiety in