BANDALAN, Robie Mae S.

BSN-3A

Social Anxiety

Situation: Hannah has been feeling increasingly anxious in social situations and has decided that
psychological therapy may be beneficial for her. This is her first session.

1. Assessment
a. Other Significant Emotional or Medically Unexplained Complaints mhGAP master
chart assessment
i. Does the person have moderate severe depression or any other priority
condition (other than self-harm) No
ii. Does the person have a physical condition that fully explains the
presence of the symptoms? No
iii. Are there any prominent medically unexplained somatic symptoms? Yes
(sweating and hand shaking)
iv. Has the person been recently exposed to extreme stressors (losses,
traumatic events)?
v. Have there been (a) thoughts or plans of suicide/self-harm during the last
month or (b) acts of self-harm during the last year? No
2. Intervention
a. Relaxation Therapy – involves training the person in techniques such as
breathing exercise and progressive relaxation to elicit the relaxation response.
Progressive relaxation teaches how to identify and relax specific muscle groups.
This therapeutic intervention is appropriate since the client is feeling anxious all
throughout the interview. This technique will make the client relax and to attain
a state of increased calmness.
• Refocusing attention on something calming and increasing awareness of body.
• Reducing activity stress hormones
• Slowing heart rate
• Reducing muscle tension and chronic pain
3. Process Recording

Clinical Psychologist Patient Analysis

Verbal Nonverbal Verbal Nonverbal Themes Therapeutic
Techniques
Hi Hannah Maintains Hi Smiles. Does Content: Greets the
nice to meet eye contact not maintain Greetings. patient in a
you while sitting eye contact. Mood: calm way.
nervous,
BANDALAN, Robie Mae S. BSN-3A

on the chair. partly

Smiles. awkward
So I Maintains Hmm yeah Nods. Content: Broad
understand eye contact um yeah I Smiles. Does Describes openings
that you while sitting guess it kind not maintain how she
were on the chair. of started like eye contact. feels.
referred to Smiles. five six years Mood:
me by your ago anxious
GP because
you’ve been
experiencing
some
anxiety
difficulties
Okay Maintains Um it kind of Looks down Content: Accepting
eye contact. escalated a while Describes
bit and I’ve fiddling with how she
just recently her hands. feels.
moved out Mood:
um from anxious
living with
my parents
so it made it
a bit worse I
think
Okay is this Maintains Yeah I am yes Does not Content: Broad
the first time eye contact. first time the maintain Describing openings
that you’ve Nods. yeah um I eye contact. about how
left home? was going to Smiles a she feels.
a few years little bit. Mood:
ago just anxious
thought it
would be
easier to stay
home
Okay so it’s Nods. Smiles Yeah Does not Content: Giving
been quite a a little bit. maintain Describing recognition
big step in a
BANDALAN, Robie Mae S. BSN-3A

big change Touches eye contact. about how

and it hair. Looks down. she feels.
sounds like Mood:
that was anxious
what led you
to go to your
GP
So how has Nods. Um you know Does not Content: Broad
that change Maintains its kind of I maintain Describing openings,
things for eye contact. haven’t really eye contact. about how Exploring
you told anyone Looks down. she feels.
so I mean it’s Mood:
made up like anxious
better and
since I feel
hopefully this
is this is like
oh cool it’ll
help but I
don’t like
thinking that
I’ve like had
to do this I
never
thought I’d
like be the
kind of
person you’d
have to
actually go
and like get
help that
makes sense
Okay so how Has a pen in Feels like Smiles & Content: Broad
do you feel hand, the scared I don’t laugh Describing openings,
about being notebook is know awkwardly. about how Exploring
here today on the lap. hopefully it Lip bites. she feels.
Nods. will help
BANDALAN, Robie Mae S. BSN-3A

Maintains
eye contact.
Okay so Has a pen in Yeah Nods. Looks Content: Making
we’d be a hand, the down. Describing observations
little bit notebook is about how
anxious on the lap. she feels.
about today Nods. Mood:
Maintains anxious
eye contact.
Okay so I Has a pen in I thought that Nods. Looks Content: Placing
guess just hand, the they’d e down. Describing event in
going back notebook is better but about how time or
to and why on the lap. because I she feels. sequence
you went to Nods. thought I’d Mood:
the GP and Maintains have to kind anxious
how you’ve eye contact. of be
ended up independent
kind of and space
coming here actually a lot
today so it were so I’m
sounds like just kind of
you’ve been staying in the
experiencing house a lot I
anxiety for don’t really
quite a few have any
years but friends or
just recently anything I
moved out mean my
of home for family come
the first time and visit a bit
and that was but it’s not I
what kind of don’t know
led you to go it’s kind of
to the GP so scary
how did that because I’ve
change just been
things how kinds of let
were things you just in
BANDALAN, Robie Mae S. BSN-3A

after you the flat by

moved out myself which
I always
thought I’d
like but I
don’t actually
like it
Okay so Has a pen in I mean I’m Nods. Looks Content: Exploring,
what other hand, the I’m a down. Lip Describing Broad
kind of notebook is photographer bites. about how openings,
difficulties on the lap. and so I kind she feels. Focusing,
that you Nods. of it’s Mood: General
have been Maintains stopping me anxious leads,
experiencing eye contact. a bit my Encouraging
Smiles a anxiety from description
little bit. being able to of
get work and perceptions
because
every time
you know
there’s an
opportunity
that is kind of
involving me
having to
interact with
people I just
tent to just
turn it on so I
was kind of
making
things hard in
that respect
and just kind
of friend wise
and
everything I’d
feel like I’m
BANDALAN, Robie Mae S. BSN-3A

just kind of
increasingly
more alone
so it’s kind of
stopping me
from making
friends and
you know like
relationships
and suff