Citation

Penney ES, Norton AR. Clin. Case Stud. 2022; 21(1): 34-47.

Copyright

(Copyright © 2022, SAGE Publishing)

DOI

10.1177/15346501211027866

PMID

unavailable

Abstract

Social Anxiety Disorder (SAD) is a condition defined by an excessive and persistent fear of negative evaluation in social or performance situations. Whilst Cognitive Behaviour Therapy (CBT) is the gold standard treatment, not all individuals with SAD respond to CBT. The Schema Therapy Mode Model is frequently applied to chronic and hard-to-treat conditions and therefore may be applicable for SAD individuals who are non-responders to CBT. This case study describes how the Mode Model was successfully used to treat a woman in her 20s who presented with excessive fears of negative evaluation and pervasive social avoidance. Experiential techniques, such as chair dialogues and imagery rescripting, resulted in cognitive modification of negative core beliefs, reduced experiential discomfort and increased engagement in social and relational activities. This case offers a preliminary indication that the Schema Therapy Mode Model may be an effective treatment for socially anxious individuals and that further theoretical and empirical study in this area is warranted. © The Author(s) 2021.

Language: en

Keywords

adult; human; child; female; male; bipolar disorder; insomnia; psychotherapy; psychiatry; depression; prevalence; anxiety; psychosis; mindfulness; suicide attempt; major depression; fatigue; eating disorder; controlled study; antidepressant agent; personality disorder; behavior; venlafaxine; behavior therapy; avoidance behavior; follow up; cost effectiveness analysis; social phobia; emotional stress; case control study; health care system; emotionality; empiricism; hypersomnia; Article; imagery; cognitive behavioral therapy; Likert scale; schema therapy; psychological resilience; social anxiety; shyness; Depression, Anxiety and Stress Scale; case conceptualization; imagery rescripting; schema modes; Social Interaction Anxiety Scale