Cognitive-Behavioral Therapy for Immigrants Presenting with Social Anxiety Disorder: Two Case Studies

Authors

Brandon J. Weiss, University of Nebraska-Lincoln
J. Suzanne Singh, Hazeldon Graduate School for Addiction Research
Debra Anne Hope, University of Nebraska-LincolnFollow

Date of this Version

2011

Citation

Clinical Case Studies (2011) 10(4): 324-342.

Comments

Publication of record: http://ccs.sagepub.com/content/10/4/324. DOI: 10.1177/1534650111420706. Copyright 2011, Sage. Used by permission.

Abstract

Cognitive-behavioral therapy (CBT) for the treatment of social anxiety disorder (SAD) has demonstrated efficacy in numerous randomized trials. However, few studies specifically examine the applicability of such treatment for ethnic minority clients. Thus, the purpose of this article is to present two case studies examining the utility of individualized CBT for SAD with two clients who immigrated to the United States, one from Central America and one from China, for whom English was not the primary language. Both clients demonstrated improvement on a semistructured interview and self-report measures. Necessary adaptations were modest, suggesting that therapy could be conducted in a culturally sensitive manner without much deviation from the treatment protocol. Results are discussed in terms of adapting treatment to enhance acceptability for and better fitting the needs of ethnic minority clients and non-native speakers of English. Implications for treating ethnic minority clients, as well as the practice of culturally sensitive treatment, are discussed.