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...Issn annals of clinical case studies study a cognitive behavioural therapy for social anxiety depression george baldwin department psychologist cambridgeshire and peterborough nhs foundation trust uk abstract report is presented penny aged who was referred to the psychology pathway in chronic pain service after reporting feeling anxious low during physiotherapy appointment neck an initial assessment highlighted experienced situations had pervasive mood stemming from her childhood being maintained by difficulties now twelve sessions cbt were offered longitudinal formulation facilitated joint conceptualization s early experiences negative core beliefs derived how they contributed this set foundations intervention relive restructure conjunction with use thought diary relating arising work home life approach enabled us empower process past develop new positive break identified maintenance reduction measured observed using gad phq reflections on what learnt are provided keywords self compas...