社交焦虑障碍 (Social Anxiety Disorder, SAD) 是焦虑障碍中最普遍的一种。基于社交焦虑症状干预的重要性和必要性，结合研究者在校学习、实习期间与社交焦虑状态来访者工作所积累的知识和经验，本干预研究由此被催生。研究以单个个案为视角，主要使用Rapee和Heimberg (1997) 提出的社交焦虑障碍的认知行为模型对一例有社交焦虑症状的个案进行干预，旨在检验该理论模型及对应手册在干预中的有效性和可行性，为国内使用认知行为疗法干预社交焦虑提供参考资料。 研究实施分为筛查期、干预期和随访期三个阶段。筛查期包括网络征集、邮件初筛、评估访谈三个部分；符合入组标准的志愿者进入干预期，干预期在督导师的督导下实施干预。干预期结束一个月之后进入随访期，对来访者进行量表测评及访谈，评估干预的维持效果。本个案研究通过网络招募志愿者，进行评估及工作诊断，确定研究对象为一名25岁社交焦虑障碍倾向的男性。研究在CBT理论基础之上结合Rapee和Heimberg的SAD认知行为模型，参照该模型对应手册，综合个案概念化情况，制定干预计划，对来访者进行了含初评在内的13次咨询。 整个干预过程分为四个阶段：第一阶段（1-4），第二阶段（5-6），第三阶段（7-11），第四阶段（12）；咨询会谈的频率为每周一次，每次50分钟，进入暴露阶段后为每周两次，每次1.5小时。咨询过程中使用Beck抑郁量表 (BDI) 、Beck焦虑量表 (BAI) 、社交焦虑量表 (LSAS) 、社交回避及苦恼量表 (SADS) 、惧怕否定评价量表 (FNE) 对个案的社交焦虑症状及情绪状态实施监测；主要使用的干预技术有：心理教育、认知重建、暴露。干预工作在认知行为督导师的定期督导下进行。 随干预的进行，来访者所有量表的分数整体呈持续下降趋势，并在干预结束一个月之后的随访评估中得到保持。当干预工作进入认知重建阶段，LSAS、SADS、FNE量表的分数大幅下降尤为明显。至本段干预结束，来访者已完成恐惧回避等级中的三至七级，基本达成了咨询目标；他在与咨询师的会谈中持续显示出积极认知增加和消极认知减少的趋势，并在一个月之后的随访中依然维持了这种改善；来访者在咨询结束时主观自评社交焦虑状况有明显改善，并认为在自尊提升、自我成长等方面有额外收获。 本个案研究显示了使用CBT专病模型干预社交焦虑症状个体的良好效果，但基于个体的特殊性可能不具备普遍意义。本研究的效果和局限性同时推动作者在该领域进行更多的理论探索和干预研究。

Social anxiety disorder (SAD) is one of the most common anxiety disorders. Based on the importance and necessity of intervention on social anxiety symptoms, combined with the knowledge and experience accumulated by researchers during their study in school and period of internship, and worked with social anxiety visitors, this intervention study was nurtured. From the perspective of a single case, the study mainly used Rapee and Heimberg's cognitive behavioral model of social anxiety disorder (1997) to intervene in a case with social anxiety symptoms, this study was aimed to test the effectiveness and feasibility of the theoretical model and the corresponding manual in the intervention, and to provided reference data for the domestic use of cognitive behavioral therapy to intervene in social anxiety. The implementation of the study was divided into three stages: screening stage, intervention stage and follow-up stage.The screening period included three parts: network collection, mail screening and evaluation interview.The volunteers who met the criteria for enrollment entered the intervention period, which was conducted under the supervision of the supervisor for the intervention period. One month after the end of the intervention period, a follow-up period was entered. The visitors were evaluated by scale assessment and interview to evaluate the maintenance effect of the intervention. In this case study, volunteers were recruited through the Internet for evaluation and work diagnosis and the objective of the study was a 25-year-old male with social anxiety disorder tendency. Based on the theory of CBT and Rapee's and combined with Heimberg's SAD cognitive behavior model, the study consulted the visitors 13 times including the initial evaluation, referring to the corresponding manual of the model, synthesizing the conceptualization of the case, formulating intervention plans. The whole intervention process was divided into four stages: the first stage (1-4), the second stage (5-6), the third stage (7-11), and the fourth stage (12);The frequency of consultation was once a week for 50 minutes each time, and twice a week for 1.5 hours each time after entering the exposure phase. During the consultation, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Social Anxiety Scale (LSAS), Social Avoidance and Distress Scale (SADS) and Fear Negative Assessment Scale (FNE) were used to monitor the social anxiety symptoms and emotional state of the individual case. The main usage of intervention techniques were psychological education, cognitive reconstruction and exposure. The Intervention was conducted under the regular supervision of cognitive behavioral supervisors. With the progress of the intervention, the scores of scales assessment for all visitors was shown to decline with a continuous downward trend in general and obtained maintenance in the follow-up evaluation one month after the end of the intervention. When the intervention work entered the stage of cognitive reconstruction, it was special obviously for the scores of LSAS, SADS and FNE scales to decrease significantly. By the end of the intervention, visitors have completed three to seven levels of fear avoidance, and basically reached the goal of counseling. During the interviewing with the consultant, he continued to show a trend of increasing positive and decreasing negative perceptions, and this improvement was maintained in the follow-up one month later. At the end of the consultation, the visitors' subjective self-assessment of social anxiety improved significantly, and believed that there were additional gains in self-esteem improvement and self-growth. This case study showed the good effect of using CBT disease-specific model to intervene in individuals with social anxiety symptoms, but it may not be universal significance based on individuals. The effects and limitations of this study also promoted the author to conduct more theoretical exploration and intervention studies in this field.