Cognitive-behavioural therapy (CBT) is a form of psychotherapy that focuses on the connection between our thoughts, emotions, and behaviours. In the case of a 35-year-old male who struggles with low self-esteem, social anxiety, and relationship difficulties, CBT can be a helpful approach to understanding and addressing his challenges.

One CBT theory that may be particularly relevant to this case is the cognitive model of anxiety, which proposes that anxiety is caused by negative thoughts and beliefs about oneself, the world, and the future. According to this model, the 35-year-old male may have developed negative core beliefs about himself and his abilities due to the traumatic childhood event, contributing to his social anxiety and low self-esteem.

A CBT intervention that could benefit this client is cognitive restructuring, which involves identifying and challenging negative thoughts and beliefs and replacing them with more balanced and realistic ones. The therapist may work with the client to identify and examine the negative core beliefs that underlie his social anxiety and low self-esteem, such as “I’m not good enough” or “I’ll never be accepted.” The therapist may help the client challenge these beliefs by exploring evidence contradicting them and developing more realistic and positive self-talk.

In addition to cognitive restructuring, the therapist may use exposure therapy to help the client overcome his fear of social situations. Exposure therapy involves gradually exposing the client to feared social problems and helping him develop coping strategies to manage his anxiety. This can help the client build confidence and create more positive experiences in social situations.

Finally, the therapist may work with the client to develop social skills, such as assertiveness and active listening, to help him build and maintain relationships. Role-playing and other behavioural techniques can be used to practice these skills in a safe and supportive environment.

Overall, CBT can be a helpful approach for individuals who struggle with social anxiety, low self-esteem, and relationship difficulties. By addressing negative thoughts and beliefs and developing coping strategies and social skills, clients can improve their confidence and build more fulfilling relationships with others.

By Ari Sotiriou M.A. psychodynamic psychotherapist co-founder Online Therapy Clinic