Clinical Psychology Commons^™

Cognitive-Behavioral Treatment Of Social Anxiety Disorder And Comorbid Paranoid Schizophrenia, Monnica T. Williams, Michelle C. Capozzoli, Erica V. Buckner, David Yuska

Department of Psychology: Faculty Publications

We report on the cognitive-behavioral treatment (CBT) of a patient with comorbid social anxiety disorder (SAD), schizophrenia, and major depressive disorder, complicated by alcohol abuse. Symptoms included auditory hallucinations that commented on the patient’s behavior and paranoid thoughts. The paranoid symptoms affected his social interactions as this included the fear that his thoughts may be heard and judged by others. Therapeutic activities raised awareness as to how avoidance interferes with and perpetuates the cycle of depression and psychosis while maintaining symptoms of SAD. Psychoeducation was provided about factors that maintain social anxiety and increase social isolation. New skills were obtained …