Based on the information that we received on Nadine, we decided that she met the criteria for Social Anxiety Disorder (Social Phobia); code F40.10, based on the symptoms listed in the DSM-5. Nadine also met applicable symptoms for Social Exclusion or Rejection (Z60.4, V62.4). Social Exclusion or Rejection is described as a category that “…should be used where there is an imbalance of social power such that there is a recurrent social exclusion or rejection by others; being targeted by others for verbal abuse and humiliation; and being purposefully excluded from the activities of peers, workmates, or others in one’s social environment” (DSM-5, pg. 727).
Nadine meets criteria for Social Anxiety Disorder in parts that will be explained below. …show more content…
Nadine expressed that she felt it was impossible to walk into a restaurant and order food from a stranger because she was fearful of being humiliated.
Criterion C says that social situations almost always provoke fear or anxiety. In Nadine’s case many, if not all, social situations that she has to face provoke her to have the feeling of fear or …show more content…
First, we would begin with one-on-one therapy with her to explore her social anxiety, where it stems from, and to also help her undertake ways to work through her social anxiety and cope in the future. While doing the one-on-one therapy, we discussed a few ideas that we thought would be helpful for Nadine. We discussed looking into activities that she enjoys doing and possibly getting her on a team or involved in a social activity to help her work on her social skills and get more comfortable interacting with others, while also having fun. We also discussed how it would be good after a while to get Nadine into some sort of life skills group or support group for those with social anxiety. We thought a life skills group could help her practice certain skills, specifically her fear of ordering in a restaurant. We also thought that a support group could help her not only get social support but realize that she is not alone in the way that she is feeling. After a while we also thought that it would be a good idea to try some family therapy to get her parents involved. Nadine’s case concluded by briefly discussing the relationship with her parents, as well as the discord she has with her mother. We thought once Nadine arrived at a turning point in therapy regarding her social anxiety that it would be ideal to work on her family relationship and see if that helps in
Nadine meets criteria for Social Anxiety Disorder in parts that will be explained below. …show more content…
Nadine expressed that she felt it was impossible to walk into a restaurant and order food from a stranger because she was fearful of being humiliated.
Criterion C says that social situations almost always provoke fear or anxiety. In Nadine’s case many, if not all, social situations that she has to face provoke her to have the feeling of fear or …show more content…
First, we would begin with one-on-one therapy with her to explore her social anxiety, where it stems from, and to also help her undertake ways to work through her social anxiety and cope in the future. While doing the one-on-one therapy, we discussed a few ideas that we thought would be helpful for Nadine. We discussed looking into activities that she enjoys doing and possibly getting her on a team or involved in a social activity to help her work on her social skills and get more comfortable interacting with others, while also having fun. We also discussed how it would be good after a while to get Nadine into some sort of life skills group or support group for those with social anxiety. We thought a life skills group could help her practice certain skills, specifically her fear of ordering in a restaurant. We also thought that a support group could help her not only get social support but realize that she is not alone in the way that she is feeling. After a while we also thought that it would be a good idea to try some family therapy to get her parents involved. Nadine’s case concluded by briefly discussing the relationship with her parents, as well as the discord she has with her mother. We thought once Nadine arrived at a turning point in therapy regarding her social anxiety that it would be ideal to work on her family relationship and see if that helps in