VignetteClient A is a 22-year-old college student who experiences intense fear and worry when faced with social situations (e.g., parties, dates, sporting events, activities group) or situations where she will be the center of attention. (e.g. birthday party, public speaking, class response). Client A describes racing thoughts, intense stomach aches, rapid heart rate, trembling, and sweating when she considers herself part of the stressful situations above and ultimately often avoids these situations. She said she became a homebody in high school when she started feeling uncomfortable around others and worried about what they would say about her or that something bad was going to happen . Client A wants to get more involved with his friends, activities and clubs; she believes her intense fear and anxiety are affecting her academic and career goals. Her good friend recently teased her about rarely leaving the dorm, which encouraged Stacy to seek help. Appropriateness/effectiveness of the model Cognitive therapy (CT) considers the personality as a whole and recognizes the relationship between individual thoughts, feelings and behavior (Cooper & Lesser, 201, p. CT is a skills-based therapy used to help the person understand their conscious thoughts and how they influence their perceptions and behavior in reality and to develop skills to combat distorted thoughts and beliefs (Cooper & Lesser, 2011, p. 129). Indicated/contra- indicatedCognitive therapy is generally effective for clients who are good planners, responsible and organized, whereas clients suffering from delusions, dementia or thought disorders will probably not be able to understand the techniques and strategies to 'improve thinking and communication It is also noted that clients with mild depression, regardless of age, will...... middle of paper ...... http://www.sciencedirect. com.ezproxy.fiu.edu/science/article/pii/S0272735812001602# Friedberg, R.D., McClure, J.M., & Garcia, J.H. (2009). Cognitive therapy techniques for children and adolescents: tools to enrich practice. New York: Guilford Press. Leahy, R.L. (2003). Cognitive therapy techniques: practitioner's guide. New York, NY [ua: Guilford Press. Ougrin, D. (2011). Effectiveness of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis. BMC Psychiatry, 11 (200). Retrieved from http://www.biomedcentral.com/1471-244X/11/200Walsh, J. (2010). Theories for Direct Social Work Practice (2nd ed.). Belmont, CA: Wadsworth Weiss, BJ, Singh, JS, & Hope, DA (2011). Cognitive-behavioral therapy for immigrants with social anxiety disorder: Two case studies. Clinical case studies. do I:10.1177/1534650111420706