4 P's

CLIENT GOALS: To manage anxiety and improve social interactions. PRESENTING PROBLEM/S: The client reports experiencing severe anxiety in social situations, leading to avoidance behaviors and impacting daily functioning. PREDISPOSING FACTORS: Family history of anxiety disorders, childhood experiences of bullying. PRECIPITATING FACTORS: Recent job loss and increased social isolation due to the COVID-19 pandemic. PERPETUATING FACTORS: Negative self-talk, lack of social support, and avoidance of social situations. PROTECTIVE FACTORS: Strong motivation for change, supportive relationship with a partner, and previous positive experiences in therapy. PROBLEM LIST: 1. Severe social anxiety 2. Avoidance behaviors 3. Negative self-talk 4. Lack of social support TREATMENT GOALS: 1. Reduce anxiety in social situations 2. Increase social interactions 3. Develop positive self-talk 4. Build a support network CASE FORMULATION: The client presents with severe social anxiety, likely influenced by a family history of anxiety disorders and childhood bullying. Recent job loss and social isolation have exacerbated the condition. Negative self-talk and avoidance behaviors are maintaining the anxiety, while strong motivation for change and a supportive partner are protective factors. Treatment will focus on reducing anxiety, increasing social interactions, developing positive self-talk, and building a support network. TREATMENT MODE/INTERVENTIONS: Cognitive-behavioral therapy (CBT) to address negative self-talk and avoidance behaviors, exposure therapy to gradually increase social interactions, and social skills training to build a support network.