Managing Social Anxiety: A Cognitive-behavioral Therapy Approach (treatments That Work) (client Workbook)

il, Ft, It I Managing Social Anxiety A Cognitive-BebavioralTberapyApproacb Client Workbook Debra A. Hope Richard G. Heimberg Harlan R.Juster Cynthia L. Turk 7I h6dw"C" Copyright 0 2000 by Graywind Publications Incorporated All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission inwriting from the publisher. Permission is hereby granted to reproduce the Monitoring Forms in this publication in complete pages, with the copyright notice, for instructional use and not for resale. The Psychological Corporation and the PSI logo are registered trademarks of The Psychological Corporation. TherapyWorks is a registered trademark of The Psychological Corporation. Printed in the United States of America 1 2 3 4 5 6 7 8 9 10 11 12 A B C D E Contents Chapter 1: The Invitation: Are You Ready to Begin the Journey to Overcome Social Anxiety?................................. Defining Social Anxiety 1 4 5 5 7 8 .......................................... Social Anxiety or Social Anxiety Disorder? ..... . . .. . . . .. . . . . .. . . . .. . How Do I Know if This Program is for Me?............................. Will This Program Work for Me?..................................... What Can I Do to Get the Most Out of This Program? ................... Overview of This Treatment Program ................................. 10 Self-Assessment ........................................... 12 Chapter 2: Starting Our Journey Together From the Same Place: Understanding Social Anxiety................................. The Cognitive Component ...................................... 13 14 14 16 The Behavioral Component ..................................... 19 The Three Components of Anxiety .................................. The Physiological Component ................................... Interaction of the Physiological, Cognitive, and 23 24 26 26 Behavioral Components ........................................ .................................................... Summary .................................................... Homework Self-Assessment .................. ................................. Chapter 3: More About Social Anxiety and This Treatment Program .......... 29 29 Possible Causes of Social Anxiety .................................... Genetics: Is Social Anxiety in Your Genes?....... . . . . . . . . . . . . . . . . . . . Family Environment ........................................... 29 30 31 Important Experiences ......................................... Pulling It All Together: The Interaction of Genetics, Family Environment, and Important Life Experiences ........... 31 32 Dysfunctional Thinking Patterns .................................... How Dysfunctional Thinking Patterns Play Out 33 34 35 in an Actual Situation ....................................... Dysfunctional Beliefs and Increased Physiological Arousal ............. Dysfunctional Beliefs and Behavior ............................... Summary of the Development of Social Anxiety and 35 Dysfunctional Beliefs .......................................... ill U Frequently Asked Questions ........................................ Cognitive-Behavioral Therapy as Treatment for Social Anxiety ............. What Is Involved in Cognitive-Behavioral Therapy? ..................... Systematic Graduated Exposure ..................................... C