CASE REPORT article
Front. Psychol.
Sec. Health Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1520581
A Case report of Cognitive Behavioral therapy for Social Anxiety
Provisionally accepted
- 1Zhejiang Normal University, Jinhua, China
- 2Anhui University of Chinese Medicine, Hefei, Anhui Province, China
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Objective: To develop a case conceptualization consultation plan for social anxiety cognitive behavioral therapy (CBT).Method: Firstly, according to the process and requirements of case conceptualization, the content of the case is presented to the customer in the form of conceptual model diagram. Subsequently, according to the specific problems raised in each part, targeted interventions were implemented by means of exposure, cognitive reconstruction, inhibition of safe behaviors, etc. , and the intervention was divided into eight stages, all the patients were assessed before and after the consultation.Results: Before the intervention, the patient SCL-90 scale, total score 190, somatization: 2.1, interpersonal sensitivity: 2.2, depression: 2.1, and anxiety: 2.7. Fear Factor Score: 2.4, other factor score less than 2, positive item 45, significant anxiety symptoms; SAS: score 65; social avoidance and distress scale-SAD-SAD total score of 20; It showed that the patients had significant social anxiety in social interaction.After the intervention, Scl-90: Total score of 140, score of less than 2 for each factor, number of positive items of 30, and all indicators returned to normal: SAS: standard score of 49: SDS: Standard score of 38, no depressive mood. The total score of SAD was 14, with a score of 5 for avoidance and 9 for anxiety, indicating improvement in social anxiety.Conclusion: The case conceptualization approach in social anxiety CBT consultations facilitates patients with social anxiety issues in understanding their problems, demonstrating practical application value in psychological counseling.
Keywords: cognitive behavioral therapy, Social Anxiety Disorder, Anxiety-Related Disorders, Self-Rating Anxiety Scale, Exposure therapy
Received: 31 Oct 2024; Accepted: 29 Apr 2025.
Copyright: © 2025 Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Feifei Xu, Zhejiang Normal University, Jinhua, China
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