A 21-year-old Korean, single, and immigrant male presented to therapy with significant symptoms of social anxiety disorder (SAD) for treatment at a university training clinic. At the time of intake, he was experiencing intense distress and remarkable adaptations in his life to accommodate rather chronic physiological symptoms related to social interactions. He immigrated to the United States 5 years prior to treatment from Seoul, Korea. He endured social anxiety for 6 years preceding treatment. The case was conceptualized and treated from a cognitive-behavioral framework. Treatment gains were measured using behavioral markers and a reliable change index using standardized outcome measures. This case illustrates the ability to adhere to a cognitive-behavioral treatment model for SAD while considering pertinent cultural factors. Furthermore, it highlights the generalizability of a specific treatment model when working with Korean immigrants. The authors discuss the need for future research, and treatment implications of this case are described. © 2011 The Author(s).

Cultural considerations Social anxiety disorder Cognitive-behavioral therapy exposure response prevention

male case report cognitive therapy cultural factor symptom social phobia cultural competence Article clinical feature patient compliance human adult Treatment Outcome