Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/52654
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Type: Journal article
Title: Schizophrenia, obsessive covert mental rituals and social anxiety: case report
Author: Tully, P.
Edwards, C.
Citation: Clinical Psychologist, 2009; 13(2):75-77
Publisher: Taylor & Francis Ltd.
Issue Date: 2009
ISSN: 1328-4207
1742-9552
Statement of
Responsibility: 
Phillip J. Tully and Christopher J. Edwards
Abstract: This case study reports the outcomes of cognitive therapy for social anxiety in a 45-year-old man with a 27-year history of paranoid schizophrenia. The intervention targeted the overlapping and interrelated symptoms of social anxiety and delusional beliefs. After 11 sessions of treatment, the patient showed no improvement in social anxiety, avoidance or selfconsciousness. Failure to make significant progress was potentially due to treatment of social anxiety rather than the obsessional delusional thoughts. Clinicians should be cautious to distinguish between anxiety associated with obsessional delusions, non-obsessional delusions and non-delusional thoughts when treating social anxiety in schizophrenia.
Keywords: Clinical/counselling psychology; emotional disorders; experimental psychopathology; obsessive–compulsive disorder; schizophrenia; social anxiety disorder
RMID: 0020095659
DOI: 10.1080/13284200902810460
Appears in Collections:Psychology publications

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