Case study clinical example: First session with a client with symptoms of social anxiety (CBT model)
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- Опубліковано 6 жов 2024
- Case study example for use in teaching, aiming to demonstrate some of the triggers, thoughts, feelings and responses linked with problematic social anxiety. This section here represents the first 12 minutes of an initial therapy session, but in order to try and outline the vicious cycle, it moves faster than an average session might. The video features an actor (Malak El-Gonemy) playing the character of Hannah, but the dialogue is not scripted, and as such represents a natural therapeutic exchange. I myself am a qualified Clinical Psychologist, but would definitely not suggest that this is a perfect example of therapy!
This video was produced as a collaboration between the University of Leeds and Leeds Trinity University (Ricardo Barker).
0:00 Engagement
5:43 What kind of THOUGHTS go through your head?
6:40 How does that make you FEEL?
7:03 Can you give me a RECENT SITUATION to focus on?
8:08 On that particular day, what were the THOUGHTS you had in that situation?
Please give me Summary of this session Sir written form
Man you cut my job easy on uni. Legend!
Hello guys. I still survived and gave up translation and teaching. I am staying at home and I am thinking of self-health treatment and possibly fostercare/ orphan children health improvement.
Thank you Andrew
@@noorhuda3899 do you receive any summary for this? Or do you discuss this video
The fact that she moved out despite her anxiety, is taking photo jobs and intuitively tried to ground herself by holding tightly onto her camera, and even came to therapy, shows a lot of strengths I wish the therapist reflected back to her. Those are behaviors that show she is so much more than her anxiety and her hearing that would be the beginning of possibly thinking differently about herself and feeling more confidant.
That's a big thing I had to learn. We label ourselves as awkward and undesirable, but it's Distorted thinking. We are not anxiety. It's as if my symptoms lessened, a different personality came out 🤷♂️
The *nightmare* is; you think everyone is looking, and indeed everyone is looking because you are extremely nervous and unrest.
and you get even more nervous when you know you are nervous...
It's the self-fulfilling prophecy :(
@Geoffrey Muchoki shut the fuck up you and these fake spammed suggestions in youtube comments
Yes it makes it so much worse and whats even worse for me is i have a foot problem which makes me walk funny so adding anxiety to it is basically asking for me to never go outside again.
I used to have anxiety about people seeing my anxiety. The worse the anxiety got the more I froze up. But once i thought myself to simply not give a single shit about what people think, even if I was visibly nervous, why should I care what anyone thinks? I could by sweating and and shaking but I still don't care what they think. There's a root to why we feel social anxieties, it doesn't really come out of nowhere. Sometimes it's just us placing ourselves in other people's minds too much.
I didn't even realize this was acting until I read the comments. Holy heck! Good acting!
Think it’s illegal to record or share a real session
What helps me with my social anxiety is to try to think that ‘everyone is caring about themselves, not you.’ That’s true for me because that’s what I do. It makes me feel a bit better.
This made me feel more comfortable and confident in going to get help with my social anxiety. I didn’t know what to expect, but now I do.
This girl needs an oscar!
I dont tnink is a role play is real sesion
Bro you alive?
YEAH!!
@@aliibro8388 you didn't read the thing at start of the video, she is an actress
she is such a good actor....looks just like me when I am anxious
Hy
There are many components to treating panic attacks naturally. One place I found that succeeds in merging these is the Trevs panic fixer (check it out on google) without a doubt the no.1 resource that I have ever heard of. look at the unbelievable info .
F CD ch
are you saying this is not real ......ho dear.
@@brian.7966 yes this is not real its a clinical example used for teaching purposes
currently in CBT for social anxiety and after 6 sessions can honestly say its starting to crack the 12 year cloud that hung over my head since the age of 20. Keeping a thought diary and really challenging the automatic thinking is really beginning to work. Takes alot of practise but i highly highly recommend this type of therapy, it really works!! thanks for the video :-)
Damien Davies Great to hear that CBT has been working for you Damien! Thank you for the feedback.
good to hear mate, I'll be going on a 6 week everyday therapy in a clinic with a group, I'm anxious, but it makes me feel better when people say it works
That's great. It's very difficult but you are building momentum.
That's great. I am considering specializing in CBT
I wish I could go out of the way of telling my parents that I feel like they are a factor towards my anxiety and I wish that I could just tell them I need professional counseling without fearing of any adverse reactions.
I would suggest being open and honest with them. If it's the truth nobody can hold it against you.
Me too😢
same but my parents are too close minded to understand all these 🥲
@Umamaheswari G Hey...All the best for your upcoming sessions...I hope it's all going well upto here...and also give your best !! dont forget to tell me if you feel better than before...I would be glad to know that you have actually seen a difference
Send them a link to this video and tell them to read the comment section. They will get the point and approach it from a removed perspective rather than going into an automatic defense mode. If they can reflect by themselves rather than react while in the moment of conversation there is a much higher chance they will empathize and understand. Your parent’s LOVE YOU, but its very hard to face how many possible ways, as parents, we messed up. Remember, parenting doesn’t come with instruction manuals and regardless of what we think we know, we’re all effected by our “mental baggage”. And if they freak out, remember their not freaking out at you. They are freaking out at the prospect they inflicted damage to the thing they love most (whether they show it or not). If other approaches don’t Work, Try approaching them with sympathy, empathy, and forgiveness so that you don’t fear their response. It will remove the inherent conflict, give you the perspective to be more fragile with the words you choose, and disarm your reaction to their emotional response. To understand, is not only to forgive, but to remove the need for forgiveness. Kind of like “Judge them not, they know not what they do.” … Bc chances are, they really don’t.. Good luck and remember, your mental health is worth fighting for. There is value to be gained from all obstacles. Find a way
The sad part of this disorder that patients like this in reality often have beautiful spirit and they know they have a lot of talents but they often do n't appear this infront of others😔😔💔
I want to be a psychiatrist, I have anxiety myself and want to not only help people who share my issue but learn more about the issue generally speaking.
Nice Video! Apologies for chiming in, I would love your opinion. Have you heard about - Mahorrla Execute Shy Method (Have a quick look on google cant remember the place now)? It is a good one off product for beating social anxiety minus the headache. Ive heard some pretty good things about it and my best friend Jordan after a lifetime of fighting got amazing success with it.
here's several ideas worth trying
Work out why you are shy - the first step in solving an issue is to understand why you have it.
Be comfortable with yourself - this makes it less difficult when you are with others.
Ju?t do it - you will gain confidence by doing things - especially by doing activities which stretch your boundaries.
(I read these and more tips on sebs shyness tactic site )
This is glorious, I been tryin to find out about "can you cure social anxiety disorder" for a while now, and I think this has helped. You ever tried - Telaavar Anxious Amanita - (should be on google have a look ) ? Ive heard some unbelievable things about it and my neighbour got cool success with it.
good luck getting through med school w/ anxiety let alone college. lots of social interactions, feelings of insecurity (w/ the medical hierarchy as a student)... do something else with your life
Cheers for this, been searching for "shy or social anxiety quiz" for a while now, and I think this has helped. Ever heard of - Qanwen Donuke Approach - (Have a quick look on google cant remember the place now ) ? Ive heard some amazing things about it and my cousin got cool success with it.
She has the same life story I had when I was dealing with social anxiety and it hit me right after school and I started struggling with employment and customer service. BUUUT, I wouldn't have opened up that much to someone I just met on the very first session with social anxiety...
Andrea Duran How are you doing now?
She looked like she got extremely anxious especially when the therapist asked her a nice question about her photoshoot she looked like she was ready to die not talking about her anxiety, idk that would've been me too. I think this is real she needs help and she knew she was there to talk and the more the therapist knows the more they can help, at least that's what I think anyway
Tus muertos por si acaso
I always feel anxious before i go to work. And when i'm actually at work and meet people my mind went blank and focusing to unimportant things like their reaction or how i look to the others. I went home and I start blaming myself for unable to control myself in a social situation. The problem is whenever i go to therapist, I always try to assure her I'm getting better when its actually not true.
I’m bummed this wasn’t real. I related to her so much! I felt like I was looking at myself in my therapy sessions!!
I am 44 medical pro - It just adds to my shame I did not realize I am living with massive anxiety that was hindering and damaging my whoe live for last 20 years . I dont feel stupid - I am a definition of what this girl is describing , very powerful and gentle video. 1st month of treatment behind me.
damn i guess my social anxiety isn't really that severe, i just find it hard to make conversation with people without it being extremely awkward
same
Hobbies kind of help. It’s easier to have some conversation with people when you know already what you have in common so you can start there. It’s easier to talk about crafting and I have people asking how you are and how is your business going and all those questions that people in the community tend ask when they meet you. Like if she’s a photographer, it might be fun to Join some sort of photography enthusiast group in a town or some thing or even online
I have/had the same problem, mindful focusing helped me a lot. I haven't gone to therapy i'm just realizing now that I have moderate social anxiety. But when I focus on my surroundings it's more difficult to fixate on the negative thoughts (like omg this is awkward think of what to say next), and because I become more relaxed my mind just naturally thinks of something to ask/say. It's so strange but I always thought I was awkward/boring and had a bad personality but I'm starting to realize that constantly worrying about what to say next has repressed my personality because conversations flow well when you're relaxed and focusing on what they're saying not on what to say next. It's amazing how this little change has made such a huge difference. Not only am I starting to realize I'm not a terrible conversationalist, even if there are lulls in the conversation I feel at ease when they happen I don't feel that constant tension and pressure not to appear awkward. I'm also actually enjoying conversations with people which I really haven't in quiet a long time. I would suggest looking into it, it could help you as well.
I didnt know a Socially Anxious person can elaborate things this much clearly like this girl is doing !!! Amazed
I go to therapy for social anxiety currently. But It's nothing like this. I wish it was more structured like this and I would have a conversation like this. Great job guys!
I am currently in graduate school in pursuit of my career as a Clinical Psychologist. This video is very informative and helps me a lot 💜 Thank you!
According to the fact that this was her first session she did a pretty good job. She seems a little awkward and pretty nervous but at the same time this makes her very likable, because we all have our human flaws and insecurities. All those assumptions how we are being perceived by other people are mostly not true but they exist in our mind and we believe in them, which is by far the worst thing, because this holds us back from becoming and expressing our true self.
More of these videos please ! Really helpful for someone who wants to study Psychology!!! Great Acting
Great demonstration of skill on the part of the actress. I would like to see some actual treatment, though. So far it looks like our client is just verbalizing her anxieties. It works, but it'd be nice to see the therapist doing more than prompting.
I like her and I understand what she is going through very much.
Thank you for your feedback +Raycust Ramoon
Judith Johnson you are welcome :)
If you are interested in ways to treat anxiety the best success that i've had was by following Kevs Control Plan (i found it on google) - without a doubt themost useful method that I have ever followed.
Is Atoractove Secrets effective to eliminated your social anxiety problem safely? I've read a lot of good things about Atoractove Secrets (google search it).
No you don’t everyone’s situation is different .
The acting is brilliant.
Thank you +asif osman, I have passed your kind feedback on to the actor!
I didn't realise she was an actor... I thought this was a real session lol
We wan't more of these videos!
you would never be able to observe one as they have to keep everything's a secret unless you yourself are a patient or if you read the related textbooks, furthermore, it may vary by the psychologists themselves
agreed, I really couldn't tell! well done!
Wow ! This was a great scene , didn’t recognize it was an actress until i checked the comments . I felt like im the patient , i wish there was another videos of this case to see how the process of treatment is going and how she overcome the social anxiety. My prayers are to all the people facing social anxiety , do not give up you’re stronger than the anxiety. Stay strong🙏
Dear mam
Your videos are very educative.
But it would be more beneficial if we can know the second or third sessions also, how the client's condition progress and so.
Thank you
People like this need to examine why they care / value so much of what others think
Me myself, i was born naturally shy and quite, it made it worse that my mum used to call me stupid or get overly mad when i make a mistake.
My sister also used to make fun of me alot.
So i'm always afraid of people thinking i'm stupid or embarrasses myself.
it is sooo sad to see people have such thing =(( i always feel sorry for them and I wish i could help them... just to tell them they dont need to feel that, you dont have to be afraid of anything or anyone, everything is always the same and nothing will happen, nothing special, so just relax be yourself, everyone has his own problems and worries, so dont think someone will notice you. you can be free, people are not so bad. =(( i don to know what else to say...
I had the same issue whenever I would go to job interviews. I used to get very red as a kid and eventually my skin tone evened out and I didnt have that much of an issue anymore unless I was nervous. I didnt even consider makeup until I was 17 because I didnt know the first thing about it, and then I found out a skintone-(foundation? I dunno) and it helped me hide that flushed look that gave away I was nervous. I dont mind i I stutter or anything, I can recompose myself and work it off but if I LOOK like I'm a kettle about to pop, I can't come back from that. I hope her situation's improved. I'm planning to become a Clinical Counselor so these videos are fantastic, thank you.
if i was in her situation i wouldn't even open my mouth and just start crying im so tired of feeling like this
I really connect with her because I have social anxiety issue and my body language and talking style exactly like her
I can really relate to this , as I have bad confidence issues , i also get anxiety if I get any sort of attention with men , which is holding me back as I'm at that point in my life I would like to meet someone
It’s insane how much simpler it is for attractive people to find help and how easy it is for them to get over their mental hurdles.
tbh, i kinda still dont know whether I like or dislike this video. Bc, hannah was really emotional, honest and clear. She showed affects. Yet, the therapist made her kinda repeat things later on, and (imo: it was simply too often straightforward asking), somewhat unnecessary. I missed active and reflective listening. I'd try to get a connection with hannah in the first place, by e.g. trying to really let emotions sink in first - for both of us. I mean you could see her tremble. So, watching a psychologist staring at her at these moments, and asking more and more details (only)... - this made me feel kinda awkward. U know? Nevertheless, I am curious to hear more about the continuation of that specific event; bc the cbt techniques were at least very accurate ;) seeya.
Wow thats incredible to now she was an actor i could relate so much!!!
You did such a greay job at working with her too
Thanks Rhea
I had CBT for anger and depression....it helped me view things differently and behave differently
my negativity was challenged
IT CONTRIBUTED TO KEEPING MY HEAD ABOVE WATERI felt like I was drowning in emotional content which was almost choking me................I was scared, confused and lost.........
Life/emotions can be overwhelming and CBT helped me to BREATHE MORE EASILY
more effective than "TUNES" the cough sweet.....:)
Hi Rene, it's great to hear that you found CBT helpful.
She is so so so beautiful ❤ I really hope things get better for her.
I have this anxiety since I was in kindergarten, only gets worse because of the bullying and judgement from neighbors and families. My family forced me to work as hotel receptionist for months, didn't change anything. Not to mention it was 100$US monthly wage for 24/7 job.
I've been like this since I was 14. I'm 61 today. Good luck with "getting help." For me it's just been a chronic, apparently incurable, disease. I've had to live a lonely life. People are just as terriying as ever. Their eyes are like daggers.
Thank you so very much for these videos!! I just found your channel and am currently binging your videos to try to be less anxious about finding another psychiatrist. I was crying tonight in fear of talking to my doctor about it. I personally want to go for social anxiety, depression and a form of OCD. These videos are helping me know what I'll be getting into- and it isn't as scary as I keep thinking it is. I hope who I talk to is as warm and supportive as you are.
Also your actors and actresses are wonderful! I especially relate to "Hannah" she portrayed her character almost exactly how I feel.
For future videos, just throwing an idea out here, how you might handle dealing with Dermatillomania - or any BFRB disorder. I can't find much on the topic.
Again, lovely channel, thank you for easing my anxiety with these informative videos💞
I used to have social anxiety. I watched until 1:32 and thought: That's way more than I could ever talk. I'd literally be giving one word/weird answers and shaking. Years on...I have better confidence than many.
a doctor like you i badly needed huhu my past doc prescribed me an antidepressant right away in our first meeting🤦♀️
take note she gave me an dosage exceeded for my age
Hey..am a psychiatrist,and i have enjoyed the show.....
Yes, SA is strange. In that you can be in 2 places at one time when in an exposure situation. Not only are you in your own body feeling the physical sensations and racing thoughts , but also it's as if you are able to stand outside yourself and see what other people can see when they watch you. It would have been a better experiment here if the therapist had brought a total stranger into the room to play the role of the customer. The therapist is known to the ( pretend) client and has developed a bond with her, which would have the effect of relaxing the client. A stranger would lead to a more realistic encounter.
I've had an anxiety disorder all my life, I'm trained in REBT and feel overwhelmed at times.
thank you for sharing. this was very helpful
Brilliant actor! Maybe she has actual SAD
Hi Ashley i understand how you casn empathise with her but the description does state she is an actor. :) Maybe she does have lived experience.
I know!
for sure she had SAD in her past
Forcing yourself to get help is a challenge. I’m going next week.
Self-Consciousness is something that all people experience throughout their lives. Some learn how to deal with it, and some allow society to tell them how to deal with it. Unfortunately, society also tells you who and what you should be. Societal norms are the enemy of the self.
I'm starting cbt next week thank u for video
finn191275 Glad it has been helpful
So did she ever get better from the therapy session? How is she doing? Im curious to see if CBT works.
Even though you wrote this in May, I hope it helps you, and I hope you found a therapist that "clicks" (matches). Therapy is rough at first. It is emotionally exhausting. But it gets easier and you also learn to cope under high anxiety.
Wish the best for you, hope you are well, and staying well :)
+David Wash Thanks for engaging with the video David. "Hannah" was played by an actor, but extensive research suggests that CBT is an effective treatment for anxiety.
She can't stare just for one minute with the therapist. She is always looking around. This is pure anxiety.
It's really useful to see some case studies once in a while to update our knowledge👍👍👍😍
Thank you for these videos, they are very useful! Can we expect a new video soon?
Ivan Kamacharov Many thanks for subscribing to the channel and for your comment Ivan. I hope to be filming some more videos but unfortunately this may not be for a couple of months. However - you can expect more!
This is how I act around people I don't know. My palms got sweaty from this. Jesus. I got social anxiety (undiagnosed due to parents unable to find a "reliable" psychologist outside of school hours and me needing to focus on studies) from an extremely controlling friend from year 2 to 8 so I didn't get the proper social skills. It's gotten so bad my physics teacher is sending an email to my parents to recommend me just taking a day off school to see a psychologist (one day off school over hours of lost work in his words) so I can go to olc (optimal learning center) and get exceptions to listen to music in tests (my body constantly tries to find a noise to block out and so during silence my body can't find it so I go into a state of panic, having quiet music gives me something to block out but not loud enough to distract me)
Great immediacy concretenes, spicificity, paraphrasing
This is a demo rehearsed session, real patient's data cannot be revealed...It is clearly evident, she is acting. But, anyways it is important for awareness point if view
I don’t have anxiety I’m just extremely insecure and I over think things
This is creepy as hell but I'm writing a case study for my psychopathology module and I picked the name Hannah and social anxiety, too! Wtf that is crazy! Ty for the video; was super helpful when having to write up how the patient was interacting with me.
Kanenas54 Really glad it was helpful =)
Very good video, Jude. Hope this helps many people. Kate xxx
+K Wilts Thanks Sis =)
I am anxious just looking at her, listening to her experience. Didn't expect to relate this much. Time to get therapy?
Good video. But whatever the feelings and expressions made by the SAD patient are incomplete....for eg: Shaking legs, trembling hands, movements in body posture etc.
This is nothing like a counselor or psychologist appointment.
I like to turn around what a socially anxious person is saying about others.
Client: I just feel like people are staring at me and thinking I am weird.
Me: So if you saw someone behaving like you do, you'd stare at them and think they are weird?
Client: No, I don't think so.
Me: Why would people do that to you, then?
Client: Because people are always judging others.
Me: Are you always judging others?
Client: No, I just mind my own business.
Me: Why do you think others aren't doing the same thing?
Or If the client is absolutely convinced others are judging him/her, I ask so what?
Me: So people are thinking you are weird because you act anxious around them. How does that affect you?
Client: Well, it makes me more scared!
Me: Really? Are they doing anything to threaten you?
Client: No, just thinking I'm weird.
Me: Why does their opinion matter?
Client: Well, I want people to like me.
Me: Is it possible for everybody to like you?
Client: Well, no.
Me: Right. No matter what you do or say, someone out there will not think very highly of you for any number of reasons, some of which might not be under your control.
In real life, you don’t get much of talking from the patient
shout out to my dudes watching this the night before its due , :)
Why'd you have to call me out like that
My dad just tells me that the tendencies I get and how my social anxiety affects me makes people look at me more. And idk how to tell him I cant help it. Cuz then I just get in trouble for arguing. Since he thinks it can just be a quick fix. Also he just tells me to stop when I start to cry or start shaking/fidgeting, and he says stop in a angry way.
I'm sorry if this dosent make sense. Im 12 and I have much more I would like to say but I dont wanna waste ur time
Wow. My name is hannah. I’m a photographer. I no longer live with my mom. I feel every single word she said. I think we are one with each other😅
try this keep busy avoid negative thinking meditate and pray sometimes...
Can someone tell me what are the skills used by the councillor. I have an assignment and I wasn't attentive in class..
No 🤣🤣🤣🤣 get it yourself
Haha🤣🤣🤣
🤣🤣 shhhhhhhh go through the slides she send us!
Bro this acting is too much because watching this made me anxious
no lie this helped me for my first day of uni. went well. now I'm back again bec I have a job interview I really want tmw
got the job. finished the job (it wss 3 months training). now im back in uni, generally fine but i have experienced some symptoms in class when the teacher asks me to speak or read and im not prepared. but this advice is always on my mind and helos regardless
Thank you for making these videos!
This whole time I thought this was authentic.... I don't see point to seeing something that's being acted out
Probably not the easiest thing getting a socially anxious person to go on camera and speak to the internet about their issues i guess
AMAZING VIDEO
nice one. but how did this end? I am interested to see the next episode. Can you share it please.
Question are we giving interventions in first therapy session? Or just reflecting and gathering information?
we need psycologists in this time, People are suffering depression and suicides case's are rising.
Only psycologists can make early intervention and reffer if their is some brain severity
Where’s the CBT
Exactly.
just gotta have the mindset idgaf but its hard my walk messes up i get red start breathing fast i don’t stay still😓
Thank u very much, it really helps！
I'm really glad you found it useful :)
I just stepped out of the house and felt hopeless
Hi Judith great insight into what takes place. I would like to know I think I have SAD I think its abbreviated too, would I see a therapist or a councillor for this. I have been out of work as of late and I find it hard to talk to people as it never mind an interview its embarrassing. Its only certain type of people I am just not sure why.the funny bit about this my uncle and ant are practicing Psychologists but I don't tell my family anything as I don't like it all I want to do is get rid of going red and having hot flushes, the rest I can put up with. Another question how does this differ from AVPD?Any tips?Mat
well..i think you were kind of hesitated at the beginning of the session then you felt sort of comfortable with the flow ..
Aw too bad it was obvious at the first 3 seconds it's an actor. Sure, it's in the description, so no wonder, just saying. It's a bit of a stereotype, it's not necessarily general nervousness like she tries to play out. But then again the point of the video is to show what a session looks like, so all good. I'll just search for an actual session if it exists.
That would totally violate HIPAA and I for one would never ask a real client to do that.
What a great actress Hannah is.
try this positive self talk, optimistic rational emotive therapy and maybe pray about it et cetra..etc
what communication skills are used here by the worker ?
attending/active listening, questioning, summarising, non-verbal communication (hand gestures/movements, facial expressions), displaying empathy
What is the best book to read in other to overcome this social anxiety.......
If you are still in a toxic state of mind that was rooted years ago should you still be doing this dangerous actions to heal yourself? And is therapy needed?
It's hell. It's more the anticipation for me.
Is rephrasing the patient's answer back at them a standard practice?
Yes it is.
yeah summarising
She scared but yet doing it publicly on youtube for first session! lol
I have completed CBT Therapy and it's done nothing. My SA isnt rooted in a rational cause like negative thoughts. Its just there and theres no cure. Just have to wait until the grave. Meanwhile I've no interest in friends and certainly not a GF unless I want to surrender my privacy. I'm just a miserable loner LOL
Hey sorry to hear that Jimmy, don't give up though, keep trying, and really try and find what the reason behind you SA is. Sending you love and light.
Can I sample this???
I think i have this anxiety :(
I been in my own therapy 5y i am stuck and my phone my parents are suicidal.
the british culture is mind boggling they way they communicate ideas and emotions
Glad l am listening to this?
Since this is her first session how come the counsellor did not mention the limits of confidentiality with her right at the beginning
moo 2929 presumably because she is an actor and this is role play rather than a real session? I’m sure she adheres to professional standards IRL!