Application of the Fear Model in Cognitive Behavioural Therapy for a person with mixed anxiety and depression: A case study

Abstract

Background: Cognitive Behavioural Therapy (CBT) is widely recognized as the most effective therapeutic approach for treating anxiety and depression, often used alongside medication. Aims: This study aimed to assess psychosocial issues and provide CBT-based intervention using the FEAR Model for an individual with Mixed Anxiety and Depression. Methodology: A single-subject case study design was employed. A participant diagnosed with Mixed Anxiety and Depression according to ICD 10 criteria was purposefully selected from the Outpatient Department of the tertiary care Institute. The participant received information regarding the purpose of the assessment and the potential benefits of the intervention. A psychiatric social work intervention, utilizing Cognitive Behavioural Therapy (CBT) and centred around FEAR Model, was delivered to the client.  Various assessment tools were utilized, including Social History Taking Performa, Perceived Stress Scale (PSS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Brief COPE. Pre- and post-assessments were conducted to evaluate intervention effectiveness. Results: The participant demonstrated improved insight into their illness, and symptoms of anxiety and depression notably decreased. Conclusion: Psychiatric social work intervention utilizing the FEAR Model of CBT proved effective for managing symptoms in an individual with Mixed Anxiety and Depression.

Keywords: FEAR Model, Cognitive Behavioural Therapy, Mixed Anxiety and Depression, Psychiatric Social Work Intervention