A treatment-refractory case of social anxiety disorder: Lessons learned from a failed course of cognitive-behavioral therapy

Cognitive and Behavioral Practice

Volumn 18, Issue 3, 2011, Pages 316-325

  Brozovich, Faith A ^a   Heimberg, Richard G ^a  

^a TEMPLE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ALCOHOLISM; ARTICLE; BEHAVIOR ACTIVATION; CASE REPORT; COGNITIVE THERAPY; COMORBIDITY; COPING BEHAVIOR; DEPRESSION; EXPECTATION; HUMAN; MALE; MEDICAL RESEARCH; MOTIVATIONAL INTERVIEWING; PATIENT ATTITUDE; PATIENT COMPLIANCE; PRIORITY JOURNAL; PSYCHOEDUCATION; PSYCHOTHERAPY; SOCIAL PHOBIA; TREATMENT FAILURE; TREATMENT OUTCOME;

EID: 79958032904     PISSN: 10777229     EISSN: 1878187X     Source Type: Journal    
DOI: 10.1016/j.cbpra.2010.07.003     Document Type: Article

References (40)

1. Acarturk C., Smit F., de Graaf R., van Straten A., ten Have M., Cuijpers P. Economic costs of social phobia: A population-based study. Journal of Affective Disorders 2009, 115:421-429.
2. American Psychiatric Association, (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
3. Beck A.T., Emery G Anxiety disorders and phobias: A cognitive perspective 1985, Basic Books, New York.
4. Blanco C., Heimberg R.G., Schneier F.R., Fresco D.M., Chen H., Turk C.L., et al. A placebo-controlled trial of phenelzine, cognitive behavioral group therapy and their combination for social anxiety disorder. Archives of General Psychiatry 2010, 67:286-295.
5. Buckner J.D., Ledley D.R., Heimberg R.G., Schmidt N.B. Treating comorbid social anxiety and alcohol use disorders: Combining motivation enhancement therapy with cognitive-behavioral therapy. Clinical Case Studies 2008, 7:208-223.
6. Chambless D.L., Ollendick T.H. Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology 2001, 52:685-716.
7. Clark D.M., Ehlers A., Hackmann A., McManus F., Fennell M., Grey N., et al. Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology 2006, 74:568-578.
8. Clark D.M., Ehlers A., McManus F., Hackmann A., Fennell M., Campbell H., et al. Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo controlled trial. Journal of Consulting and Clinical Psychology 2003, 71:1058-1067.
9. Davidson J.R., Foa E.B., Huppert J.D., Keefe F.J., Franklin M.E., Compton J.S., et al. Fluoxetine, comprehensive cognitive behavioral therapy, and placebo in generalized social phobia. Archives of General Psychiatry 2004, 61:1005-1013.
10. Dimidjian S., Hollon S.D., Dobson K.S., Schmaling K.B., Kohlenberg R.J., Addis M.E., et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology 2006, 74:658-670.
11. Erwin B.A., Heimberg R.G., Juster H.R., Mindlin M. Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour Research and Therapy 2002, 40:19-35.
12. Gaston J.E., Abbott M.J., Rapee R.M., Neary S.A. Do empirically supported treatments generalize to private practice? A benchmark study of a cognitive-behavioural group treatment programme for social phobia. British Journal of Clinical Psychology 2006, 45:33-48.
13. Greenberg P.E., Sisitsky T., Kessler R.C., Finkelstein S.N., Berndt E.R., Davidson J.R.T., et al. The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry 1999, 60:427-435.
14. Hayes S.A., Hope D.A., VanDyke M., Heimberg R.G. Working alliance for clients with social anxiety disorder: Relationship with session helpfulness and within-session habituation. Cognitive Behaviour Therapy 2007, 36:34-42.
15. Heimberg R.G. Manual-based treatment: An essential ingredient of clinical practice in the 21st century. Clinical Psychology: Science and Practice 1998, 5:387-390.
16. Heimberg R.G., Becker R.E. Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies 2002, Guilford Press, New York.
17. Heimberg R.G., Dodge C.S., Hope D.A., Kennedy C.R., Zollo L., Becker R.E. Cognitive behavioral group treatment of social phobia: Comparison to a credible placebo control. Cognitive Therapy and Research 1990, 14:1-23.
18. Heimberg R.G., Liebowitz M.R., Hope D.A., Schneier F.R., Holt C.S., Welkowitz L., et al. Cognitive-behavioral group therapy versus phenelzine in social phobia: 12-week outcome. Archives of General Psychiatry 1998, 55:1133-1141.
19. Hofmann S.G. Cognitive mediation of treatment change in social phobia. Journal of Consulting and Clinical Psychology 2004, 72:392-399.
20. Hope D.A., Heimberg R.G., Bruch M.A Dismantling cognitive-behavioral group therapy for social phobia. Behaviour Research and Therapy 1995, 33:637-650.
21. Hope D.A., Heimberg R.G., Turk C.L. Managing social anxiety: A cognitive-behavioral therapy approach 2010, Oxford University Press, New York. Client Workbook, 2nd ed.
22. Kendall P.C., Chu B., Gifford A., Hayes C., Nauta M. Breathing life into a manual: Flexibility and creativity with manual-based treatments. Cognitive and Behavioral Practice 1998, 5:177-198.
23. Kendall P.C., Gosch E., Furr J.M., Sood E. Flexibility within fidelity. Journal of American Academy of Child and Adolescent Psychiatry 2008, 47:1-7.
24. Kessler R.C., Berglund P.D., Demler O., Olga J.R., Merikangas K.R., Walters E.E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 2005, 62:593-602.
25. Ledley D.R., Heimberg R.G., Hope D.A., Hayes S.A., Zaider T.I., Van Dyke M., et al. Efficacy of a manualized and workbook-driven individual treatment for social anxiety disorder. Behavior Therapy 2009, 40:414-424.
26. Liebowitz M.R., Heimberg R.G., Schneier F.R., Hope D.A., Davies S., Holt C.S., et al. Cognitive-behavioral group therapy versus phenelzine in social phobia: Long-term outcome. Depression and Anxiety 1999, 10:89-98.
27. Lincoln T.M., Rief W., Hahlweg K., Frank M., von Witzleben I., Schroeder B., et al. Effectiveness of an empirically supported treatment for social phobia in the field. Behaviour Research and Therapy 2003, 41:1251-1269.
28. Magee W.J., Eaton W.W., Wittchen H.U., McGonagle K.A., Kessler R.C. Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry 1996, 53:159-168.
29. Marom S., Gilboa-Schechtman E, Aderka I.M., Weizman A., Hermesh H. Impact of depression on treatment effectiveness and gains maintenance in social phobia: A naturalistic study of cognitive behavior group therapy. Depression and Anxiety 2009, 26:289-300.
30. Martell C.R., Dimidjian S., Herman-Dunn R. Behavioral activation for depression: A clinician's guide 2010, Guilford Press, New York.
31. McEvoy P.M. Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: A benchmarking study. Behaviour Research and Therapy 2007, 45:3030-3040.
32. Miller W.R., Rollnick S Motivational interviewing: Preparing people for change 2002, Guilford, New York. 2nd ed.
33. Miller W.R., Zweben A., DiClemente C.C., Rychtarik R.G. Motivational Enhancement Therapy manual 1992, National Institute on Alcohol Abuse and Alcoholism, Rockville, MD.
34. Ponniah K., Hollon S.D. Empirically supported psychological interventions for social phobia in adults: A qualitative review of randomized controlled trials. Psychological Medicine 2007, 38:3-14.
35. Pontoski K.E., Heimberg R.G. The myth of the superiority of concurrent combined treatments for anxiety disorders. Clinical Psychology: Science and Practice 2010, 17:107-111.
36. Powers M.B., Sigmarsson S.R., Emmelkamp P.M.G. A meta-analytic review of psychological treatments for social anxiety disorder. International Journal of Cognitive Therapy 2008, 1:94-113.
37. Safren S.A., Heimberg R.G., Juster H.R. Client expectancies and their relationship to pretreatment symtomatology and outcome of cognitive-behavioral group treatment for social phobia. Journal of Consulting and Clinical Psychology 1997, 65:694-698.
38. Schneier F., Foose T., Hasin D.S., Heimberg R.G., Liu S.-M., Grant B., Blanco C. Social anxiety disorder and alcohol use disorder: Comorbidity in the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine 2010, 40:977-988.
39. Schneier F.R., Heckelman L.R., Garfinkel R., Campeas R., Fallon B.A., Gitow A., et al. Functional impairment in social phobia. Journal of Clinical Psychiatry 1994, 55:322-331.
40. Westra H.A., Dozois D.J.A. Preparing clients for cognitive behavioral therapy: A randomized pilot study of motivational interviewing for anxiety. Cognitive Therapy and Research 2006, 30:481-498.