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COUN222 Cognitive Behavioral Therapy

   

Added on  2020-05-08

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Running head: COGNITIVE BEHAVIOURAL THERAPYCOGNITIVE BEHAVIOURAL THERAPYName of the student:Name of the university:Author note:

1COGNITIVE BEHAVIOURAL THERAPYBackground of the patient:The client in the case study is called James. He is a thin guy without any mentioned physicalor mental disorder. However behavioural issues had been depicted by the client himself. Helives a happy family life with his wife and three children. They have financial stability asboth are working. James work in a music company and his wife acts as registered nurse. Bothhave been in a stable relationship from the time of school and maintain a comfortable life ineach other’s presence. However, most of the work in maintaining a proper social life isconducted by James’s wife as he is not comfortable in socialising with people. He states thathe lacks the courage to communicate with someone new in his daily life. He faces anxietywhen any responsibilities on him regarding communication of performing any social dutiesarise. Her wife is very helpful and therefore she does all the social duties of the familywithout pressuring him or blaming him. He was working in small locally owned music storewhere few members worked previously and he developed bonding with them. He wascomfortable with the slow pace of work and the warm relationships shared by all. Howeverthe company has been now taken over by national music Chain Company and work culturehas changed. The fast paced work culture had become difficult for him to handle as it hasexposed him to a wide number of customers with whom he needs to talk properly. From thechildhood, his behaviour had not affected him much as he had been able to establish hiscareer and a married life. However coming to this age, the problems of his shyness andinability talk at social level had aroused tension in him as he fears to lose his financialstrength and also fears the embarrassments he has to go onwards from now on.Details of the problems and formulation:From the evaluation of the symptoms of the patients, the client is diagnosed to be sufferingfrom social anxiety disorder. Dating back to childhood, it can be stated that he had suffered

2COGNITIVE BEHAVIOURAL THERAPYfrom selective mutism which is one of the forms of social anxiety disorders. As a phobia orcommunication, a child or an adult with this disorder in front of an individual person or agroup of people is unable to speak properly although he has idea about what needs to bespoken to them (Lischenring et al., 2013). In simple words, they are fully capable of speakingbut cannot speak in certain situations as they fear or become anxious before initiating thespeech. It usually begins form the age of 2.7 to 4.1 years of age which is long before themean age of social anxiety disorder arises. It gradually becomes apparent when the childenters a communal environment outside the family home for first time (Goldin et al., 2014).If not treated, it continues even to adulthood disrupting the development of quality life.Researchers over the years have identified the main causes of the disorder. Different traumain childhood, minimal brain dysfunction or neuropsychological social cue processing disordermay be a cause. However no such cases are reported for him (Lischenring et al., 2013). Themain causes which align with James ‘upbringing is particular parent profile and parent-childrelationship. As both the members have been reserved and his father was shy, he had adoptedthe traits in his cognitive development as researchers state that children pick up traits andcharacters form parents in their early life as they spend most of the time with them duringtheir cognitive phase of development (Goldin et al., 2014. Until these days, his wife had donemost of the work on the social front and therefore his symptoms of social anxiety disorder didnot affect his life. He also could not make friends due to his issues of shyness and anxiety tospeak to new people. However these are now affecting his professional life and he needs tohandle the symptoms effectively. He has always escaped the situations of socialcommunication as his wife had been proactive and considerate of his issues. However in theprofessional front, he needs to communicate with customers effectively to maintain sales andcustomer satisfaction. Therefore he has come to consultation centre. The different triggerswhich have been identified for the client are being introduced to other people (Handling new

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