Abstract :
This case study discusses the case of a 21 years old young man referred because
of his problem of social anxiety and strong feelings of ugliness. The client
fulfilled the DSM IV^TR criteria of Social Phobia. His family background
and academic history showed gradual development of his problem. The informal
assessment (A-B-C chart, Mental Status Examination, categorizing the distortions
in thinking and subjective ratings) and formal assessment (Rotter’s Incomplete
Sentence Blank, Beck Depression Inventory and Manifest Anxiety
Scale) also confirmed the diagnosis of social phobia with the presence of depression
as a secondary problem. Management plan included Behavior therapy
(Relaxation Training, In vivo desensitization), Rational Emotive Behavior therapy
(Disputing, Rational Emotive Imagery and Bibliotherapy), Cognitive Behavior
therapy (challenging automatic thoughts), Assertiveness training, social
skills training and self-esteem building exercises. Thirteen therapeutic sessions
were conducted. There was marked improvement in the client’s condition indicated
by mid- and post-treatment assessment scores on BDI, MAS and Subjective
ratings.
