Case Report
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Cognitive Behavioral Therapy In Posttraumatic Stress Disorder and Social Anxiety Disorder: A Case Report

Year 2023, Volume: 13 Issue: 71, 510 - 518, 29.12.2023
https://doi.org/10.17066/tpdrd.1299613_8

Abstract

Domestic violence is common in Turkey and can lead to the development of post-traumatic stress disorder (PTSD). Cognitive behavioral therapy (CBT) is an effective approach for treating posttraumatic stress disorder (PTSD). It has been found that there are various reasons for the development of social anxiety disorder. Therefore, it can be evaluated by considering details such as life history, personal characteristics, the environment in which anxiety is experienced, and a lack of skills. CBT has also been found to be an effective method of reducing social anxiety. In this study, a 16-year-old patient who developed PTSD after witnessing long-term violence against her mother and recovered as a result of CBT is presented. In addition to PTSD symptoms, the patient reported that she felt significant anxiety and fear in many social situations where she could be evaluated by people, and that she engaged in safety and avoidance behaviors. CBT was administered for these complaints, and her symptoms improved significantly.

References

  • Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford.
  • Cohen, J. A., Mannarino, A. P., Perel, J. M., Staron, V. (2007). A pilot randomized controlled trial of combined trauma-focused CBT and sertraline for childhood PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 46(7), 811-819. doi: 10.1097/chi.0b013e3180547105. PMID: 17581445.
  • Esbjørn, B., Falch, A., Walczak, M., Normann, N., & Breinholst, S. (2021). Social anxiety disorder in children: Investigating the relative contribution of automatic thoughts, repetitive negative thinking and metacognitions. Behavioural and Cognitive Psychotherapy, 49(2), 159-171. https://doi.org/10.1017/S1352465820000430
  • Graham-Bermann, S. A., & Levendosky, A. A. (1998). Traumatic stress symptoms in children of battered women. Journal of interpersonal violence, 13(1), 111-128. https://doi.org/10.1177/088626098013001007
  • Hacetepe Üniversitesi Nüfus Etütleri Enstitüsü (HUNEE). (2015). Türkiye’de Kadına Yönelik Aile İçi Şiddet Araştırması [Research on Domestic Violence Against Women in Turkey]. Elma Teknik Basım ve Matbaacılık.
  • Karabacak, A., Yıldırım, N., Adıgüzel, E., & Ediz, K. (2015). Üniversite öğrencilerinin bilişsel çarpıtma ve sosyal kaygı düzeyleri arasındaki ilişkinin aile ile ilgili değişkenler açısından incelenmesi [Examining the relationship between university students' cognitive distortion and social anxiety levels in terms of family-related variables]. Bayburt Eğitim Fakültesi Dergisi, 10(2).
  • Kaval, N. O., & Sütcü, S. T. (2016). Çocuk ve ergenlerde sosyal anksiyete bozukluğunun tedavisinde bilişsel-davranışçı grup terapisinin etkililiği: Sistematik bir gözden geçirme [Effectiveness of cognitive-behavioral group therapy in the treatment of social anxiety disorder in children and adolescents: A systematic review]. Psikiyatride Güncel Yaklaşımlar, 8(1), 3-22.
  • Köroğlu E. (2013). DSM-5 Tanı Ölçütleri Başvuru El Kitabı [Desk Reference to the Diagnosis Criteria from Dsm-5]. Hekimler Yayın Birliği.
  • Lehmann, P. (1997). The development of posttraumatic stress disorder (PTSD) in a sample of child witnesses to mother assault. Journal of family violence, 12, 241-257.
  • Levendosky, A. A., Huth-Bocks, A. C., Semel, M. A., & Shapiro, D. L. (2002). Trauma symptoms in preschool-age children exposed to domestic violence. Journal of interpersonal Violence, 17(2), 150-164. https://doi.org/10.1177/0886260502017002003
  • Memiş, Ç. Ö., & Şen, H. G. (2015). Sosyal anksiyete bozukluğu ve diğer psikiyatrik eş tanılar [Social anxiety disorder and other psychiatric comorbidities]. Türkiye Klinikleri Dergisi, 8(3), 29-38.
  • Mercan, Ç. S., & Yavuzer, H. (2007). Bilişsel davranışçı yaklaşımla bütünleştirilmiş sosyal beceri eğitiminin ergenlerin sosyal kaygı düzeyine etkisi[The effect of social skills training integrated with cognitive behavioral approach on adolescents' social anxiety level]. Elektronik Sosyal Bilimler Dergisi, 16(63), 1187-1202.
  • Nixon, R. D. V., & Sterk, J., Pearce, A. (2012). A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. Journal of Abnormal Child Psychology, 40, 327-337. doi: 10.1007/s10802-011-9566-7. PMID: 21892594.
  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on psychological science, 3(5), 400-424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
  • Oflaz, F., Özcan, C. T., Taştan, S., Çiçek, H., Aslan, Ö., & Vural, H. (2010). Hemşirelerin travma sonrası stres bozukluğu belirtilerini tanıma durumları [Nurses' recognition of post-traumatic stress disorder symptoms]. Psikiyatri Hemşireliği Dergisi, 1(1), 1-6.
  • Özgen, F. & Aydın, H. (1999). Travma sonrası stres bozukluğu [Post-traumatic stress disorder]. Klinik Psikiyatri, 1(34-41).
  • Öztürk, A. (2014). Sosyal kaygıyı açıklayan yaklaşımlar [Approaches explaining social anxiety]. Elektronik Sosyal Bilimler Dergisi, 13(48), 15-26.
  • Raja, A. J., Alam, I., & Sarir, S. (2017). Domestic violence against women in union council watala, District Bhimber Azad Kashmir. Peshawar Journal of Psychology and Behavioral Sciences (PJPBS), 3(2), 135-143. https://doi.org/10.32879/pjpbs.2017.3.2.135-143
  • Shubina, I. (2015). Cognitive-behavioral therapy of patients with ptsd: literature review. Procedia-Social and Behavioral Sciences, 165, 208-216. https://doi.org/10.1016/j.sbspro.2014.12.624
  • Tezcan, G. (2015). Çocukluk döneminde sosyal kaygının gelişiminde ebeveyn kabul-red algısı: Otomatik düşüncelerin aracı rolü. (Publication no: 393347) [Master Dissertation, Ankara Sosyal Bilimler University]. CoHE Thesis Center.
  • Yanık, D., & Çiçek, E. (2022). Aile içi şiddetin sessiz mağdurları: Çocuklar [Silent victims of domestic violence: Children]. Meyad Akademi, 3(1), 272-284.
Year 2023, Volume: 13 Issue: 71, 510 - 518, 29.12.2023
https://doi.org/10.17066/tpdrd.1299613_8

Abstract

References

  • Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford.
  • Cohen, J. A., Mannarino, A. P., Perel, J. M., Staron, V. (2007). A pilot randomized controlled trial of combined trauma-focused CBT and sertraline for childhood PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 46(7), 811-819. doi: 10.1097/chi.0b013e3180547105. PMID: 17581445.
  • Esbjørn, B., Falch, A., Walczak, M., Normann, N., & Breinholst, S. (2021). Social anxiety disorder in children: Investigating the relative contribution of automatic thoughts, repetitive negative thinking and metacognitions. Behavioural and Cognitive Psychotherapy, 49(2), 159-171. https://doi.org/10.1017/S1352465820000430
  • Graham-Bermann, S. A., & Levendosky, A. A. (1998). Traumatic stress symptoms in children of battered women. Journal of interpersonal violence, 13(1), 111-128. https://doi.org/10.1177/088626098013001007
  • Hacetepe Üniversitesi Nüfus Etütleri Enstitüsü (HUNEE). (2015). Türkiye’de Kadına Yönelik Aile İçi Şiddet Araştırması [Research on Domestic Violence Against Women in Turkey]. Elma Teknik Basım ve Matbaacılık.
  • Karabacak, A., Yıldırım, N., Adıgüzel, E., & Ediz, K. (2015). Üniversite öğrencilerinin bilişsel çarpıtma ve sosyal kaygı düzeyleri arasındaki ilişkinin aile ile ilgili değişkenler açısından incelenmesi [Examining the relationship between university students' cognitive distortion and social anxiety levels in terms of family-related variables]. Bayburt Eğitim Fakültesi Dergisi, 10(2).
  • Kaval, N. O., & Sütcü, S. T. (2016). Çocuk ve ergenlerde sosyal anksiyete bozukluğunun tedavisinde bilişsel-davranışçı grup terapisinin etkililiği: Sistematik bir gözden geçirme [Effectiveness of cognitive-behavioral group therapy in the treatment of social anxiety disorder in children and adolescents: A systematic review]. Psikiyatride Güncel Yaklaşımlar, 8(1), 3-22.
  • Köroğlu E. (2013). DSM-5 Tanı Ölçütleri Başvuru El Kitabı [Desk Reference to the Diagnosis Criteria from Dsm-5]. Hekimler Yayın Birliği.
  • Lehmann, P. (1997). The development of posttraumatic stress disorder (PTSD) in a sample of child witnesses to mother assault. Journal of family violence, 12, 241-257.
  • Levendosky, A. A., Huth-Bocks, A. C., Semel, M. A., & Shapiro, D. L. (2002). Trauma symptoms in preschool-age children exposed to domestic violence. Journal of interpersonal Violence, 17(2), 150-164. https://doi.org/10.1177/0886260502017002003
  • Memiş, Ç. Ö., & Şen, H. G. (2015). Sosyal anksiyete bozukluğu ve diğer psikiyatrik eş tanılar [Social anxiety disorder and other psychiatric comorbidities]. Türkiye Klinikleri Dergisi, 8(3), 29-38.
  • Mercan, Ç. S., & Yavuzer, H. (2007). Bilişsel davranışçı yaklaşımla bütünleştirilmiş sosyal beceri eğitiminin ergenlerin sosyal kaygı düzeyine etkisi[The effect of social skills training integrated with cognitive behavioral approach on adolescents' social anxiety level]. Elektronik Sosyal Bilimler Dergisi, 16(63), 1187-1202.
  • Nixon, R. D. V., & Sterk, J., Pearce, A. (2012). A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. Journal of Abnormal Child Psychology, 40, 327-337. doi: 10.1007/s10802-011-9566-7. PMID: 21892594.
  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on psychological science, 3(5), 400-424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
  • Oflaz, F., Özcan, C. T., Taştan, S., Çiçek, H., Aslan, Ö., & Vural, H. (2010). Hemşirelerin travma sonrası stres bozukluğu belirtilerini tanıma durumları [Nurses' recognition of post-traumatic stress disorder symptoms]. Psikiyatri Hemşireliği Dergisi, 1(1), 1-6.
  • Özgen, F. & Aydın, H. (1999). Travma sonrası stres bozukluğu [Post-traumatic stress disorder]. Klinik Psikiyatri, 1(34-41).
  • Öztürk, A. (2014). Sosyal kaygıyı açıklayan yaklaşımlar [Approaches explaining social anxiety]. Elektronik Sosyal Bilimler Dergisi, 13(48), 15-26.
  • Raja, A. J., Alam, I., & Sarir, S. (2017). Domestic violence against women in union council watala, District Bhimber Azad Kashmir. Peshawar Journal of Psychology and Behavioral Sciences (PJPBS), 3(2), 135-143. https://doi.org/10.32879/pjpbs.2017.3.2.135-143
  • Shubina, I. (2015). Cognitive-behavioral therapy of patients with ptsd: literature review. Procedia-Social and Behavioral Sciences, 165, 208-216. https://doi.org/10.1016/j.sbspro.2014.12.624
  • Tezcan, G. (2015). Çocukluk döneminde sosyal kaygının gelişiminde ebeveyn kabul-red algısı: Otomatik düşüncelerin aracı rolü. (Publication no: 393347) [Master Dissertation, Ankara Sosyal Bilimler University]. CoHE Thesis Center.
  • Yanık, D., & Çiçek, E. (2022). Aile içi şiddetin sessiz mağdurları: Çocuklar [Silent victims of domestic violence: Children]. Meyad Akademi, 3(1), 272-284.
There are 21 citations in total.

Details

Primary Language English
Subjects Psychology
Journal Section Makaleler
Authors

Ahmet Özbay 0000-0001-5021-5980

Süleyman Kahraman 0000-0002-8223-4614

Beste Işıklı 0009-0008-4954-5681

Publication Date December 29, 2023
Published in Issue Year 2023 Volume: 13 Issue: 71

Cite

APA Özbay, A., Kahraman, S., & Işıklı, B. (2023). Cognitive Behavioral Therapy In Posttraumatic Stress Disorder and Social Anxiety Disorder: A Case Report. Turkish Psychological Counseling and Guidance Journal, 13(71), 510-518. https://doi.org/10.17066/tpdrd.1299613_8

!! From 30 November 2023, English language proofreading will be required for accepted articles to ensure language quality.