Problem:
Considering a fictional client named Mariam, a 27-year old graduate student who experiences significant anxiety about public speaking. Her automatic thought is "I am going to embarrass myself." This thought stems from an intermediate belief that "If I am not perfect, I will be rejected," which reflects a core belief of being inadequate. Cognitive restructuring could help her evaluate evidence that contradicts her fears and practice developing more realistic thoughts such as "I may feel nervous, but I can still deliver a clear presentation." Through REBT, she could begin to challenge the belief that perfection is necessary, reframing it into a healthier preference for doing well without attaching her self-worth to flawless performance. Finally, DBT distress tolerance skills such as grounding or paced breathing could help her regulate her anxiety right before presenting. Over time, these interventions would not only reduce her public speaking anxiety but also build resilience she could carry into other areas of her life. Need Assignment Help?