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The Cognitive-Behavioral Treatment of Social Phobia

New York Presbyterian Hospital, Weill CornellMedical Center

Mary is a 35-year-old, married, Caucasian female who presented for treatment with complaints of anxiety and panic when in the following situations: writing in front of others, one-to-one situations atwork, and going to the doctor. When in these situations, she feared that she would exhibit symptoms of anxiety and would thus be humiliated and embarrassed. Because of this fear, she had avoided these situations formany years or otherwise endured themwith great anxiety. Marywas diagnosedwith social phobia and was seen for 31 sessions of individual, cognitive-behavioral therapy. Treatment involved self-monitoring, cognitive restructuring, muscle relaxation, breathing retraining, and graduated exposure. At termination, Mary no longermet criteria for social phobia and demonstrated improvements in many areas including lowered subjective experience of anxiety, decreased avoidance, and decreased physiology associated with anxiety. This case is presented as an example of the use of cognitive-behavioral principles in the treatment of social phobia.

Key Words: social phobia • cognitive behavioral

Clinical Case Studies, Vol. 3, No. 2, 124-146 (2004)
DOI: 10.1177/1534650103259621


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