ABSTRACT
This chapter demonstrates the process of Cognitive Behaviour Therapy for multiple comorbidities (alcohol, social anxiety, and depression) with a client with significant clinical issues. Garry was referred by a private practice psychologist for Cognitive Behaviour Therapy for social anxiety. Garry was a 35-year-old unemployed single male living in public housing. Pre-assessment questionnaires indicated positive screens for a number of psychiatric diagnoses in addition to social anxiety. Garry also reported drinking large quantities of alcohol and met criteria for Alcohol Use Disorder. Garry's depression was characterised by dysfunctional coping strategies that temporarily provided mild relief but longer-term perpetuation of depressed mood. Garry attended 20 sessions with a consistent structure: agenda-setting; reviewing execution of previously-assigned tasks; and planning new changes to behaviour for the coming week, anticipating, and planning to cope with foreseeable impediments. Efforts to enhance motivation to change drinking were introduced gradually across the sessions.
