SOCIAL ANXIETY 319 11. Discuss Cognitive Biases (11) A. A discussion was held regarding how social anxiety derive s from cognitive biases that overestimate negative evaluation by others, undervalue the self, increase distress, and often lead to unnecessary avoidance. B. The client was provided with examples of cognitive biases that support social anxiety symptoms. C. The client was reinforced as he/she identified his/her own cognitive biases. D. The client was unable to identify any cognitive biases that support his/her anxiety symptoms and was provided with tentative examples in this area. 12. Assign Information on Social Anxiety, Avoidance, and Treatment (12) A. The client was assigned to read information on social anxiety that explains the cycle of social anxiety and avoidance and provides a rationale for treatment. B. The client was assigned information about s ocial anxiety, avoidance, and treatment from Overcoming Shyness and Social Phobia (Rapee). C. The client was assigned information about social anxiety, avoidance, and treatment from Overcoming Social Anxiety and Shyness (Butler). D. The client has read t he information on social anxiety, avoidance, and treatment, and key concepts were reviewed. E. The client has not read the assigned material on social anxiety, avoidance, and treatment and was redirected to do so. 13. Discuss Cognitive Restructuring (13) A. A discussion was held about how cognitive restructuring and exposure serve as an arena to desensitize learned fear, build social skills and confidence, and reality test biased thoughts. B. The client was reinforced as he/she displayed a clear understa nding of the use of cognitive restructuring and exposure to desensitize learned fear, build social skills and confidence, and reality test biased thoughts. C. The client did not display a clear understanding of the use of cognitive restructuring and expos ure and was provided with remedial feedback in this area. 14. Assign Information on Cognitive Restructuring and Exposure (14) A. The client was assigned to read about how cognitive restructuring and exposure-based therapy could be beneficial. B. The clie nt was assigned to read excerpts from Managing Social Anxiety (Hope, Heimberg, Juster, and Turk). C. The client was assigned to read portions of Dying of Embarrassment (Markaway, Carmin, Pollard, and Flynn). D. The client has read the assigned informatio n on cognitive restructuring and exposure-based therapy techniques, and key points were reviewed. E. The client has not read the assigned information on cognitive restructuring and exposure-based therapy techniques, and he/she was redirected to do so. 15. Teach Anxiety Management Skills (15) A. The client was taught anxiety management skills. B. The client was taught about staying focused on behavioral goals and riding the wave of anxiety. 