Social Anxiety Disorder: CBT behavioural experiment case example

Judith Johnson

Judith Johnson

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Case study example for use in teaching, aiming to demonstrate how a behavioural experiment might be used in CBT for social anxiety disorder. The character of Hannah is played by an actor (Malak El-Gonemy), but the scene is not scripted, and as such it represents a natural therapeutic exchange.

The video was filmed and produced by Ishan Siddiqui and Christopher Werrett.

Chapters:
0:00 Introduction
0:28 The self-image: shaking, blushing, sweating
1:30 Safety behaviours: gripping the camera, clenching
2:00 Avoiding eye contact and wearing black
2:20 What if she stopped doing them?
2:55 Setting up the behavioural experiment
4:20 Choosing the scenario: a wedding enquiry
4:45 Predictions: shaking, blushing, saying something stupid
6:30 Predicting the second run will be worse
7:00 Role play one: with the safety behaviours
8:15 Role play two: dropping them
9:30 Watching the recording back
10:00 Comparing predictions with what she saw
11:30 Was it worse without them?

Next watch: Continue with Hannah’s CBT and see how downward-arrow and thought-challenging techniques are used to explore the beliefs underlying social anxiety: CBT for Social Anxiety Disorder: Using dow...