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    Bonnie Case

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    Neha Dhoundiyal
    Two theories may explain Bonnie's social anxiety: the cognitive theory and self-presentation theory. The cognitive theory suggests Bonnie overestimates threats in social situations and underestimates her ability to handle them. The self-presentation theory states that social anxiety occurs when individuals feel they cannot present themselves in a desired way and lack social skills. Bonnie exhibits physical and psychosocial symptoms of social anxiety, including avoiding social interactions and having low self-esteem. She may benefit from interpersonal therapy to improve social skills or acceptance and commitment therapy to address negative thoughts. The GROW agency could help Bonnie through support groups and learning coping strategies.

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    Bonnie Case

    Uploaded by

    Neha Dhoundiyal
    62 views4 pages
    Two theories may explain Bonnie's social anxiety: the cognitive theory and self-presentation theory. The cognitive theory suggests Bonnie overestimates threats in social situations and underestimates her ability to handle them. The self-presentation theory states that social anxiety occurs when individuals feel they cannot present themselves in a desired way and lack social skills. Bonnie exhibits physical and psychosocial symptoms of social anxiety, including avoiding social interactions and having low self-esteem. She may benefit from interpersonal therapy to improve social skills or acceptance and commitment therapy to address negative thoughts. The GROW agency could help Bonnie through support groups and learning coping strategies.

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    BONNIE-CASE

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    Two theories may explain Bonnie's social anxiety: the cognitive theory and self-presentation theory. The cognitive theory suggests Bonnie overestimates threats in social situations and underestimates her ability to handle them. The self-presentation theory states that social anxiety occurs when individuals feel they cannot present themselves in a desired way and lack social skills. Bonnie exhibits physical and psychosocial symptoms of social anxiety, including avoiding social interactions and having low self-esteem. She may benefit from interpersonal therapy to improve social skills or acceptance and commitment therapy to address negative thoughts. The GROW agency could help Bonnie through support groups and learning coping strategies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    62 views4 pages

    Bonnie Case

    Uploaded by

    Neha Dhoundiyal
    Two theories may explain Bonnie's social anxiety: the cognitive theory and self-presentation theory. The cognitive theory suggests Bonnie overestimates threats in social situations and underestimates her ability to handle them. The self-presentation theory states that social anxiety occurs when individuals feel they cannot present themselves in a desired way and lack social skills. Bonnie exhibits physical and psychosocial symptoms of social anxiety, including avoiding social interactions and having low self-esteem. She may benefit from interpersonal therapy to improve social skills or acceptance and commitment therapy to address negative thoughts. The GROW agency could help Bonnie through support groups and learning coping strategies.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 4

    THEROIES TO BONNIE’S CONDITION

    Two theories that explain the situation are the cognitive theory and the self-presentation theory
    of social anxiety. According to the cognitive theory, there is an overestimation of the threats that
    a person perceives in social situations (Davis et al.2015). For example, Bonnie is thinking about
    how others will think and talk about her. She underestimates her capabilities to handle social
    situations; for example, bonnie is fearful of her interactions at schools with teachers and friends.
    The cognitive theory is based on the fact that social anxiety results from overestimating negative
    social interactions and underestimating the positive aspects. As per the theory, the reason for
    anxiety is the consequences of the perceived negative outcome of the social interactions; for
    example, Bonnie is feeling conscious of going to the mall to be worried about what others might
    think of her (Ratnani et al, 2017)..
    The other theory is the self-presentation theory of social anxiety; this theory states that social
    anxiety occurs when individuals feel distressed as they cannot present themselves in a particular
    way. They feel they lack the sufficiency to interact in society. This theory is suitable to current
    condition as the theory proposes that people with social phobia desire for certain impression on
    others and are doubtful that they will be successful (Koban, 2017). Bonnie is fearful that she will
    not be able to impress her teacher hence has stopped asking questions to them. Similarly, she has
    stopped participating in her band activities due to her self-presentational concerns and skill
    deficits.

    ISSUES THAT ARE BONNIE CURRENTLY FACING


    The issues for Bonnie current situation are related to social anxiety or phobia. She is exhibiting
    the physical and psychosocial symptoms related to social anxiety. The selection of the condition
    is due to her social avoidance and self-perceptions. She is afraid of interaction with others in
    social settings. Also, she is overestimating the negative outcome of these interactions; this fear of
    being evaluated by others affects her daily activities and quality of life. This leads to several
    conditions like low self-esteem: negative thoughts, poor skills development (Stein, 2015).
    Bonnie is avoiding gatherings and making friends. She is avoiding interactions and initiatives,
    and this can affect the overall well-being and development of Bonnie. In future, this may affect
    the employment status and ability to build relationships with others. It will interfere with her
    competency to accomplish tasks at school and extracurricular activities as she will avoid
    participating (Ratnani et al, 2017).
    Along with the above stated psychosocial signs and symptoms, Bonnie is exhibiting physical
    symptoms, which reflect anxiety disorders. She is having headaches, frequent abdominal pain
    (Tougas, 2015). This issue is hindering her physical well-being and her tendency to participate in
    schools and functions. The selection of the mental health disorder is based on the self-
    presentation concern exhibited by Bonnie. For example, she holds very high standards and
    expectations towards the negatively biased perceptions and reviews that are causing anxiety.
    Hence, as per the social anxiety disorder, individuals focus on attention and concern about how
    others are perceived and evaluated (Hakami et al, 2017)
    .
    STRATEGIES TO RELEASE THE ANXIETY
    Two strategies that can be used for treating social anxiety and associated signs and symptoms in
    Bonnie's case are interpersonal therapy and acceptance and commitment therapy.
    INTERPERSONAL THEORY: interpersonal therapy can help the distinct interpersonal
    characteristics shown by Bonnie in the case scenario. This strategy is capable of improving
    social interaction and communication skill, and functioning for Bonnie (Rajhans et al. 2020).
    This therapy is focused on problem-solving and decision making by solving interpersonal
    disputes and addressing the deficit characteristics. This strategy will help her in understanding
    the new changes in her life and coping with sudden grief (Rajhans et al. 2020). For example, this
    strategy will equip Boonie for her new grade and recent breakup from the boyfriend. Also,
    encouraging her to evaluate the action plan required for exploring the adaption for new situations
    and finding appropriate solutions.

    Acceptance and commitment therapy: this strategy helps evaluate the negative impact of thought
    process an individual has about self. This therapy is provided through role-plays and
    experimentation; hence Bonnie can gain confidence by understanding that others are too facing
    the similar situations (Chapdelaine et al., 2018). This therapy will help her understanding
    emotions like self-criticism and accept her identity and value through interventional exercises.
    The biggest issue is that Bonnie lacks the quality of life due to self-perception. She has restricted
    her activities responsible for gaining enjoyment and fulfillment in life; hence, acceptance and
    commitment therapy will help her understand her thoughts and fight the negative emotions of
    deception (Dindo, Van Lie, & Arch, 2017).

    TWO DIFFERENT AGENCIES HELPFUL FOR BONNIE


    Two agencies that can help bonnie address her concern, issues, and anxiety are GROW and
    HEADSPACE. Both of these agencies are working for mental health, and hence Bonnie can be
    referred to ameliorate her anxiety.
    Headspace is a non-profit organization that helps young people fight against mental health
    ailments, including social anxiety. The agency works through the community outreach program
    for young people with age group 15-25 year through high-quality services. They work through
    phone support and telehealth, and vocational services.
    https://headspace.org.au/
    However, out of these two, the GROW, AUSTRALIA, would be recommended to Bonnie and
    her current issues. The reason is that the agency has experienced counsellors and healthcare
    workers along with volunteers that work with every individual inclusively having a mental health
    problem. They promote interaction, support, and mutual bonding within the community's people
    suffering from anxiety disorders, including social anxiety. The agency will help Bonnie is
    fighting her negative thoughts through communications and support. Bonnie will interact with
    others having similar problems, and hence she can learn to develop specific coping strategies.

    http://www.grow.org.au/

    ETHICAL ISSUES
    As a fundamental concern for any mental health issues case, Bonnie case too is sensitive for
    sharing information.

    Hence if her class teacher approaches asking for information related to her case, special attention
    should be made before replying to her. The ethical concern includes privacy, honesty,
    trustworthiness, patient safety and treatment compliance. The biggest ethical issue if she replies
    to her teacher is the breach of confidentiality and privacy. As a fundamental right, every
    individual with mental health issues has the right to protect her information, and no healthcare
    professional is allowed to discuss personal confidential information until it is a public health
    hazard that is not in Bonnie's case (Sidhu & Srinivasraghavan,2016).. The other ethical issue is
    the protection of the vulnerable person. If the nurse reveals the issue with Bonnie class teacher,
    she might become the centre for discrimination and bully, raising concern for the nurse's ethical
    responsibility. Hence being a nurse, the ethical code like honesty, integrity and dignity needs to
    be maintained before answering the class teacher investigation regarding Bonnie condition,
    undue attention may exacerbate her symptoms and treatment dropout, which should be avoided
    (Vemuri & Dunn,2017).

    REFERNCES

    Chapdelaine, A., Carrier, J. D., Fournier, L., Duhoux, A., & Roberge, P. (2018). Treatment
    adequacy for social anxiety disorder in primary care patients. PloS one, 13(11), e0206357.
    https://doi.org/10.1371/journal.pone.0206357

    Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015). Theories of behavior
    and behaviour change across the social and behavioural sciences: a scoping review. Health
    psychology review, 9(3), 323–344. https://doi.org/10.1080/17437199.2014.941722

    Dindo, L., Van Liew, J. R., & Arch, J. J. (2017). Acceptance and Commitment Therapy:
    ATransdiagnostic Behavioral Intervention for Mental Health and Medical
    Conditions. Neurotherapeutics: the journal of the American Society for Experimental
    NeuroTherapeutics, 14(3), 546–553. https://doi.org/10.1007/s13311-017-0521-3

    Hakami, R. M., Mahfouz, M. S., Adawi, A. M., Mahha, A. J., Athathi, A. J., Daghreeri, H. H.,
    Najmi, H. H., & Areeshi, N. A. (2018). Social anxiety disorder and its impact on
    undergraduate students at Jazan University, Saudi Arabia. Mental illness, 9(2), 7274.
    https://doi.org/10.4081/mi.2017.7274

    Koban, L., Schneider, R., Ashar, Y. K., Andrews-Hanna, J. R., Landy, L., Moscovitch, D. A.,
    Wager, T. D., & Arch, J. J. (2017). Social anxiety is characterized by biased learning about
    performance and the self. Emotion (Washington, D.C.), 17(8), 1144–1155.
    https://doi.org/10.1037/emo0000296

    Rajhans, P., Hans, G., Kumar, V., & Chadda, R. K. (2020). Interpersonal Psychotherapy for
    Patients with Mental Disorders. Indian journal of psychiatry, 62(Suppl 2), S201–S212.
    https://doi.org/10.4103/psychiatry.IndianJPsychiatry_771_19

    Ratnani, I. J., Vala, A. U., Panchal, B. N., Tiwari, D. S., Karambelkar, S. S., Sojitra, M. G., &
    Nagori, N. N. (2017). Association of social anxiety disorder with depression and quality of life
    among medical undergraduate students. Journal of family medicine and primary care, 6(2), 243–
    248. https://doi.org/10.4103/2249-4863.219992

    Sidhu, N., & Srinivasraghavan, J. (2016). Ethics and Medical Practice: Why Psychiatry is
    Unique. Indian journal of psychiatry, 58(Suppl 2), S199–S202. https://doi.org/10.4103/0019-
    5545.196838

    Stein D. J. (2015). Social anxiety disorder and the psychobiology of self


    consciousness. Frontiers in human neuroscience, 9, 489.
    https://doi.org/10.3389/fnhum.2015.00489

    Tougas, M. E., Hayden, J. A., McGrath, P. J., Huguet, A., & Rozario, S. (2015). A
    Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework
    for Chronic Health Condition Interventions. PloS one, 10(8), e0134977.
    https://doi.org/10.1371/journal.pone.0134977

    Vemuri, M., & Dunn, L. B. (2017). Ethical and Clinical Issues in Integrated Care Settings:
    Patient Privacy Concerns and Electronic Health Records. Focus (American Psychiatric
    Publishing), 15(3), 301–305. https://doi.org/10.1176/appi.focus.20170018

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