Read the case study and answer the following questions:
Sarah is a 21-year old student studying at Stanford University. who is distressed by her inability to
form relationships with others and feels that she is generally unsuccessful in school and in life. She
is the only daughter of her parents. She experiences high levels of anxiety in social and academic
situations, and has trouble sleeping because of her tendency to ruminate. Her stress levels become
unbearable and she decides to reach out for help. When she visits her college’s counseling center
she is assigned to a therapist, Dr. Becker, who interviews Sarah extensively in the hopes of finding
and resolving key issues in her life. The following is an excerpt from Dr. Becker’s clinical notes on
Sarah’s condition.
“Sarah describes never fully developing trust in others, and states that she struggled with trust from
a very early age. She is very skeptical of other people’s intentions, which she says causes problems
when she tries to make friends. She is very timid and reserved in social situations. Sarah recently
gave a class presentation in front of a large group of her peers. She was incredibly nervous and bit
her nails excessively beforehand, even more than she usually does on a regular basis. Sarah
describes feeling as though she lacked the capacity to give a good presentation, despite extensive
preparation. She states that she felt that her level of interest in the behaviors, comments, thoughts,
and performance of others was unhealthy. She compares her performance to the performance of her
peers, and states that they were so good that she lost confidence in herself. Despite her feelings,
she says she was able to get through the presentation and received a good grade from her teacher.
She earned a 94% but feels that this is because the teacher was too lenient in grading, and it was
mere luck that she received an A.”
Based on the case study above, answer the following questions:
Q1. Describe Sarah’s personal and social identity characteristics.
Q2. What component of self is lacking in Sarah?
Q3. Based on your answer to Q2, identify if the component is cognitive or behavioural. Q4. What component will the therapist work upon?
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