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Social Phobia: Goals of The Exercise

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Therapist’s Overview

SOCIAL PHOBIA

GOALS OF THE EXERCISE

1. Explore social situations in which the client interacts with peers without excessive fear or
anxiety.
2. Reduce the anxiety associated with social situations.
3. Express feelings associated with unfamiliar people or when placed in new social situations.

ADDITIONAL HOMEWORK THAT MAY BE APPLICABLE TO SOCIAL PHOBIA

• Anxiety Coping with Anxiety Page 45


• Anxiety Stress Management Page 59
• Anxiety Relaxation Page 63
• Depression What Makes You Happy? Page 121
• Self-Esteem Goal Setting Page 313
• Separation Anxiety Fun with Friends Page 322

ADDITIONAL PROBLEMS FOR WHICH THIS EXERCISE MAY BE USEFUL

• Anxiety
• Self-Esteem
• Separation Anxiety

SUGGESTIONS FOR PROCESSING THIS EXERCISE WITH CLIENT

Children with social phobia frequently experience excessive anxiety in social situations. The past
experience of anxiety can inhibit social interactions, whereby the child recalls previous feelings
of anxiety and refrains from initiating contact with peers.

This assignment can help the child identify positive social interactions. The first part of this
assignment encourages the child to identify social situations in which he/she interacts with peers
and does not report anxiety. In the therapy session, identify one positive peer social interaction in
which the child can participate during the week. The child will draw a picture about this social
interaction.
Therapist’s Overview

In the therapy session, explore aspects of this situation that differ from other social situations (for
example, the person, the activity).

In the therapy session, help the child identify social situations that are anxiety provoking.
Together create a list of anxiety-provoking social situations. The child will rate these situations
from 1 to 5 as a homework assignment. Remind the child to bring the list to the next therapy
session.

In the next session, review the list with the child and create a hierarchy of anxiety from the least
anxiety-provoking situation to the most anxiety-provoking situation.

Use therapy sessions to help the child develop strategies to manage the anxiety. Practice
relaxation strategies in the therapy session. When the child is able to successfully complete the
first task as a homework assignment, move on to the next task. Each week the child will build
upon previous successes and complete a social task.
EXERCISE XXV.C

SOCIAL PHOBIA

Think of a fun time that you have had with a friend. Draw a picture of you and your friend.
EXERCISE XXV.C

Rate the degree of anxiety you feel in each of these social situations.

1 = little anxiety 3 = medium anxiety 5 = extreme anxiety

Social Situation Anxiety Rating

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
EXERCISE XXV.C

Anxiety Hierarchy

List anxiety-provoking situations on the following lines, with the least anxiety-provoking
situation listed on line 1 and the most anxiety-provoking situation on line 10. Cross off each task
as it is completed.

Task Date Completed

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

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