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Vignette Client A is a 22 year old college student experiencing intense fear and worry of social situations (e.g. parties, dating, sporting events, group activities) or situations where she will be the center of attention (e.g. birthday party, public speaking, answering in class). Client A describes racing thoughts, intense upset stomach, rapid heartbeat, trembling, and sweating when she considers being part of the above stressful situations and ultimately often avoids these situations. She stated she became a homebody during high school when she began feeling uneasy around others and worrying about what they would say about her or something bad will happen. Client A desires to be more involved with friends, activities, and clubs; she believes her intense fear and anxiety are affecting her academic and occupational goals. Her good friend recently teased her about rarely leaving the dorm room which encouraged Stacy to seek help. Appropriate/Effectiveness of Model Cognitive therapy (CT) views personality as a whole and acknowledges the relationship of one’s thoughts, feelings, and behavior (Cooper & Lesser, 201, p. 129). CT is a skills based therapy used to help the person understand their conscious thoughts and how they influence their perceptions and their behavior in reality and to develop skills to combat distorted thoughts and beliefs (Cooper & Lesser, 2011, p. 129). Indicated/contraindicated Cognitive therapy is generally successful for clients who are good planners, responsible and organized, whereas clients with delusions, dementia, or thought disorders most likely will not be able to comprehend techniques and strategies for improved thinking and communication; also noted, clients with mild depression of any age will... ... middle of paper ... ... http://www.sciencedirect.com.ezproxy.fiu.edu/science/article /pii/S0272735812001602# Friedberg, R. D., McClure, J. M., & Garcia, J. H. (2009). Cognitive therapy techniques for children and adolescents: Tools for enhancing practice. New York: Guilford Press. Leahy, R. L. (2003). Cognitive therapy techniques: A practitioner's guide. New York, NY [u.a.: Guilford Press. Ougrin, D. (2011). Efficacy of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis. BMC Psychiatry, 11(200). Retrieved from http://www.biomedcentral.com/1471-244X/11/200 Walsh, J. (2010). Theories for direct social work practice (2nd ed.). Belmont, CA: Wadsworth Weiss, B. J., Singh, J. S., & Hope, D. A. (2011). Cognitive-Behavioral Therapy for Immigrants Presenting With Social Anxiety Disorder: Two Case Studies. Clinical Case Studies. doi:10.1177/1534650111420706