{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T09:56:17Z","timestamp":1782467777422,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Psych Nursing"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Problem<\/jats:title><jats:p>Previous research suggests that the adult\u2010focussed Clark and Wells (1995) model of social anxiety disorder (SAD) can be used to guide clinic\u2010based treatment for adolescents. This single\u2010case study (<jats:italic>N<\/jats:italic>\u2009=\u20091) investigated whether this model could also guide community\u2010based outreach work for a 16\u2010year\u2010old female who was unable to attend clinic\u2010based appointments due to social anxiety comorbid with panic and agoraphobia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An experimental A\u2010B\u2010A design was used with three assessment\u2013formulation sessions and 12 intervention sessions, focussing on exposure, cognitive restructuring, attention training, behavioural experiments and imagery rescripting. The Revised Child Anxiety and Depression Scale (RCADS), the Session Rating Scale (SRS) and the Goal Based Outcome form were administered at regular intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings and Conclusions<\/jats:title><jats:p>Social anxiety and panic scores reduced below the clinical threshold and the young person was able to leave home, travel independently (short\u2010term goal) and re\u2010engage with her social\u2013family life (medium\u2010term goal). SRS scores suggest that the intervention was acceptable and the therapeutic alliance was maintained throughout. In summary, this case study suggests that the Clark and Wells (1995) model of SAD can be used to guide community\u2010based outreach work with adolescents unable to leave their home. Limitations and ideas for future research are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcap.12216","type":"journal-article","created":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T14:22:56Z","timestamp":1545229376000},"page":"120-126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Cognitive\u2010behavioural outreach for an adolescent experiencing social anxiety, panic and agoraphobia: A single\u2010case experimental design"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4635-7884","authenticated-orcid":false,"given":"Samuel M.","family":"Waldron","sequence":"first","affiliation":[{"name":"Avon &amp; Wiltshire Mental Health Partnership NHS Trust, South Bristol Child &amp; Adolescent Mental Health Services Avon UK"},{"name":"Clinical Department of Psychology, University of Bath, Claverton Down Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Maddern","sequence":"additional","affiliation":[{"name":"Avon &amp; Wiltshire Mental Health Partnership NHS Trust, East &amp; Central Bristol Child &amp; Adolescent Mental Health Services Avon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Wynn","sequence":"additional","affiliation":[{"name":"Avon &amp; Wiltshire Mental Health Partnership NHS Trust, East &amp; Central Bristol Child &amp; Adolescent Mental Health Services Avon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,22]]},"reference":[{"key":"e_1_2_6_1_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731513503713"},{"key":"e_1_2_6_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2008.10.002"},{"key":"e_1_2_6_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.12.003"},{"key":"e_1_2_6_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.02.004"},{"key":"e_1_2_6_1_7_1","first-page":"pp. 193","volume-title":"The Essential Handbook of Social Anxiety for Clinicians","author":"Clark D. 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