 315 SOCIAL ANXIETY CLIENT PRESENTATION 1. Social Anxiety/Shyness (1) * A. The client described a pattern of social anxiety and shyness that presents itself in almost any interpersonal situation. B. The client's social anxiety presents itself whenever he/she has to interact with people whom he/she does not know or must interact in a group situation. C. The client's social anxiety has diminished, and he/she is more confident in social situations. D. The client has begun to overcome his/her shyness and can ini tiate social contact with some degree of comfort and confidence. E. The client reported that he/she no longer experiences feelings of social anxiety or shyness when having to interact with new people or group situations. 2. Disapproval/Hypersensitivity ( 2) A. The client described a pattern of hypersensitivity to the criticism or disapproval of others. B. The client's insecurity and lack of confidence has resulted in an extreme sensitivity to any hint of disapproval from others. C. The client has acknow ledged that his/her sensitivity to criticism or disapproval is extreme and has begun to take steps to overcome it. D. The client reported increased tolerance for incidents of criticism or disapproval. 3. Social Isolation (3) A. The client has no close f riends or confidants outside of first-degree relatives. B. The client's social anxiety has prevented him/her from building and maintaining a social network of friends and acquaintances. C. The client has begun to reach out socially and to respond favorab ly to the overtures of others. D. The client reported enjoying contact with friends and sharing personal information with them. 4. Social Avoidance (4) A. The client reported a pattern of avoiding situations that require a degree of interpersonal contac t. B. The client's social anxiety has caused him/her to avoid social situations within work, family, and neighborhood settings. C. The client has shown some willingness to interact socially as he/she has overcome some of the social anxiety that was forme rly present. D. The client indicated that he/she feels free now to interact socially and does not go out of his/her way to avoid such situations. * The numbers in parentheses co rrelate to the number of the Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 