The Invitation

Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

The primary purpose of this chapter is to help the client understand his or her diagnosis in the context of normal and excessive social anxiety. Social anxiety is feeling tense, nervous, or frightened in situations that involve other people. The workbook describes a step-by-step therapy approach for overcoming social anxiety. The therapist will help the client gain an appreciation that cognitive–behavioral therapy (CBT) is effective and provide a basic understanding of the nature of CBT, including the investment of effort and energy required for the therapeutic alliance. The therapist will work to enhance motivation for change and build this therapeutic alliance.

Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

The primary purpose of this chapter is to help the client understand his or her diagnosis in the context of normal and excessive social anxiety. The therapist helps the client gain an appreciation that cognitive–behavioral therapy (CBT) is effective and also provides a basic understanding of the nature of CBT, including the investment of effort and energy required. An important aspect is socialization to help the client to understand the need for his or her active participation, including making an emotional investment in change and participating in the many activities of therapy. The therapist works to enhance motivation for change and builds the therapeutic alliance.


2021 ◽  
Vol 10 (5) ◽  
pp. 915
Author(s):  
Hyu Seok Jeong ◽  
Jee Hyun Lee ◽  
Hesun Erin Kim ◽  
Jae-Jin Kim

Virtual reality (VR) was introduced to maximize the effect of cognitive behavioral therapy (CBT) by efficiently performing exposure therapy. The purpose of this study was to find out whether VR-based individual CBT with relatively few treatment sessions is effective in improving social anxiety disorder (SAD). This therapy was applied to 115 patients with SAD who were retrospectively classified into 43 patients who completed the nine or 10 sessions normally (normal termination group), 52 patients who finished the sessions early (early termination group), and 20 patients who had extended the sessions (session extension group). The Brief Fear of Negative Evaluation Scale (BFNE) scores tended to decrease in all groups as the session progressed, and the slope of decrease was the steepest in the early termination group and the least steep in the session extension group. Severity of social anxiety in the last session and symptom reduction rate showed no significant group difference. Our findings suggest that short-term VR-based individual CBT of nine to 10 sessions may be effective. When the therapeutic effect is insufficient during this period, the additional benefit may be minimal if the session is simply extended. The improvement in the early termination group suggests that even shorter sessions of five or six can also be effective.


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