SAD Exam 1

Question 1

SAD DSM-5 Criteria

Answer 1

Fear and/or anxiety about 1 or more social situations in which the individual is exposed to possible scrutiny by others .
Fear that they will act in a way that will show their anxiety and by negatively evaluated.
Social situation almost always provoke anxiety/fear.
Social situations are avoided/ endured with intense fear/ anxiety.
Fear/ anxiety is out of proportion to actual threat posed by the social situation.
Fear/ anxiety/ avoidance is persistent - 6 months or more.
Causes clinically significant distress / impairment in areas of functioning.
Not attributable to substance abuse or medical condition.
Not better explained by another disorder
If a medical condition exists, fear, anxiety, avoidance is unrelated or excessive.

Question 2

CBT Theory for SAD

Answer 2

● Process information in social situations for potential negative evaluation
○ In presence of an audience
○ Audience is perceived as inherently critical and has standards that are unattainable
○ Create mental representations of how they are being perceived by others
○ Cognitions, behaviors, physiology anxiety symptoms develop
○ Anxiety creates negative representation of the self and the negative representation of the self feeds anxiety

Question 3

Assessments for SAD

Answer 3

ADIS-5: Anxiety Disorder Interview Schedule for the DSM-V For anxiety disorder assessment

SPS: Social Phobia Scale Questionnaire specifically for Social Anxiety Disorder

LSAS: Liebowitz Social Anxiety Scale

Question 4

Segment 1

Answer 4

● Segment 1: Psychoeducation
○ Learn about social anxiety (what’s normal and what’s problematic), learn where they fall
○ Discuss fears and goals of treatment
○ Learn about components of anxiety (physiological, cognitive, behavioral, genetics, etiology)

Question 5

Segment 2

Answer 5

● Segment 2: Training in Cognitive Restructuring
○ Learn about CBT Model (emotional reactions result from interpretations of situation, not the situations themselves)
○ Identify automatic thoughts and thinking errors
■ Challenge those
○ Preface exposures

Question 6

Segment 3

Answer 6

●	Segment 3: Exposures (sessions 5-8)
○	Explain the rationale
○	Main focus in on exposures and behavioral goals
○	Review homework
○	Complete in session exposure
○	Homework: in vivo exposure

Question 7

Segment 4

Answer 7

● Segment 4: Advanced Cognitive Restructuring
○ Explore beliefs to created targeted exposures
○ Address themes in thoughts
○ Use downward arrow technique
○ Review records and probe for core beliefs
○ Create exposures to challenge beliefs

Question 8

Segment 5

Answer 8

● Segment 5: Termination
○ Assessment of progress, discuss relapse prevention and issues of termination
○ Make plans for potential relapses
○ Use follow ups to see progress and challenges