Early Intervention in the Real World
A case report of cognitive behavioural therapy for social anxiety in an ultra-high risk patient
Version of Record online: 4 JUN 2013
© 2013 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry
Volume 8, Issue 2, pages 176–180, May 2014
How to Cite
Haglund, M., Cabaniss, D., Kimhy, D. and Corcoran, C. M. (2014), A case report of cognitive behavioural therapy for social anxiety in an ultra-high risk patient. Early Intervention in Psychiatry, 8: 176–180. doi: 10.1111/eip.12053
- Issue online: 15 APR 2014
- Version of Record online: 4 JUN 2013
- Manuscript Accepted: 23 MAR 2013
- Manuscript Received: 21 JUL 2012
- Center for Research Resources and the National Center for Advancing Translational Sciences. Grant Number: UL1 RR024156 (CMC)
- NIMH. Grant Numbers: K23MH066279 (CMC), R21MH086125-02 (CMC)
- Brain and Behavior Research Foundation
- case report;
- clinical high risk;
- cognitive behavioural therapy;
- ultra-high risk
Psychological treatments such as cognitive behavioural therapy (CBT) may have efficacy in young people at ultra-high risk (UHR) for psychosis. Case reports can illuminate the obstacles and challenges, and potential trajectory of symptom changes, observed with this treatment.
This is a detailed case report of a young adult at UHR for psychosis who received manualized CBT for accompanying social anxiety.
Cognitive deficits and suspiciousness created initial challenges for successful implementation of CBT. Engagement in treatment occurred with slowing of pace and simplification of material, and modelling of social interaction. Treatment of social anxiety was accompanied by decreases in suspiciousness, conceptual disorganization, and social anhedonia, and increase in range of affect.
Adaptation of manualized CBT to accommodate cognitive deficits and suspiciousness in UHR patients may improve engagement. CBT focused on social anxiety can lead to improvement across symptom domains in UHR patients.