Social Anxiety Disorder: A Development Case Study

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Social anxiety disorder (SAD) is one of the most common of the anxiety disorders. It is defined as “a marked and persistent fear of social or performance requirements that expose the individual to scrutiny and possible embarrassment. These Individuals go to great lengths to avoid these situations, or they may face the challenge with great effort, wearing a mask of fearlessness” (Mash, 2015).. Social anxiety has two main treatments: psychotherapy, medication, or a combination or both treatments. The most common type of psychotherapy is CBT (cognitive behavioural therapy) which is a common type of talk therapy. It usually consists of working with a mental health counselor and attending sessions. The purpose of CBT is to help the patient become …show more content…
The study involved five adolescents from the ages of 11 to 17 years old. All of the patients met the requirements of SAD based on the DSM-5. The first patient was 15 years old with 4 years of SAD. The patient struggled to speak or make eye contact, did not participate in class or ask for help when needed. She declined invitation from friends, does not use the telephone, take photographs, and wears dark clothes so she did not start out. She was treated with broad-based CBT and the results were that she developed a large friend group, attended birthday parties, hosted a sixteenth birthday, wore a bright coloured prom dress, and shared photos on Facebook. The second patient was 12 years old with 2 years SAD and has previously received support counseling which had no effect. The patient was very quiet, agreed to suggestions easily, and did not attend school for nine months, experienced bullying, would not travel alone, eat in public, or socialize without mother. She was treated with external focus of attention and learning that the scariest place is in her head. The result was that she returned to school, developed new friends and attended dance-drama club. The third place was 16 year old with 4 years of SAD. The patient was extremely intelligent but refused to go to school and had a very small social network. After treatment, she was rewarded with scholarships, attended prom, and organized a holiday with friend. The fourth patient was 17 years old with 6 years of severe SAD. His symptoms included chewing on his hands, not contributing in class for 12 months, and playing video games to avoid others. The treatment consisted of re-scripting of memory and use of photos to update self-image. This resulted in him no longer hand biting, meeting new friends, and going to university. The last patient was 15 years old with 4 years of SAD. She does not

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