Role Playing Practice: Using the CFI to Individualize Anxiety Care, Thesis of Financial Accounting

A report of a role-playing interview between two social work students at Walden University. The interviewee, Toni Smith, is a single mother and student who has a fear of public speaking. The interviewer used the CFI (Clinical Feedback Interview) to individualize Toni's anxiety care. the techniques used during the interview and the most helpful questions of the CFI. It also provides insights into Toni's background and cultural perspective.

Typology: Thesis

2023/2024

Available from 01/22/2024

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WEEK FIVE ASSIGNMENT 1
Role Playing Practice: Using the CFI to Individualize Anxiety Care
Walden University
My partner is Toni Smith, she identifies as an American Caucasian female who lives in
Florida. She is a single mother and student, who has a presenting issue of fear of public speaking.
She reports that she feel anxious when she has to speak in front of crowds or groups (i.e.
presenting in front of her peers and instructor in class). She noted that when she first started
social work she became really nervous when speaking to clients and patients. When asked about
what troubles her most with her problem is that she is afraid to say the wrong thing or not being
able to explain her thoughts in a conducive and well thought-out manner.
The social work abilities and techniques that I used in our role-playing interview was that
I was attentive to her issues. I asked open ended questions and allowed her the time to speak. I
exhibited active and reflective listening when as she explained her presenting issues. I was able
to use empathy and come to a place of understanding for Toni. I was able to ask further questions
to prompt answers if questions were too complex to answer. The CFI simplified the recreation of
the Toni’s own history of her disorder.
There were a few questions of the CFI that were the most helpful in learning about my
partner’s view of her fear of public speaking. The first being, Cause: “Why do you think the
problem is happening to you? What do you think are the causes of your problem?” This was
helpful because it allowed me to see how Toni understood her problem. Her answer allowed me
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Role Playing Practice: Using the CFI to Individualize Anxiety Care Walden University My partner is Toni Smith, she identifies as an American Caucasian female who lives in Florida. She is a single mother and student, who has a presenting issue of fear of public speaking. She reports that she feel anxious when she has to speak in front of crowds or groups (i.e. presenting in front of her peers and instructor in class). She noted that when she first started social work she became really nervous when speaking to clients and patients. When asked about what troubles her most with her problem is that she is afraid to say the wrong thing or not being able to explain her thoughts in a conducive and well thought-out manner. The social work abilities and techniques that I used in our role-playing interview was that I was attentive to her issues. I asked open ended questions and allowed her the time to speak. I exhibited active and reflective listening when as she explained her presenting issues. I was able to use empathy and come to a place of understanding for Toni. I was able to ask further questions to prompt answers if questions were too complex to answer. The CFI simplified the recreation of the Toni’s own history of her disorder. There were a few questions of the CFI that were the most helpful in learning about my partner’s view of her fear of public speaking. The first being, Cause: “Why do you think the problem is happening to you? What do you think are the causes of your problem?” This was helpful because it allowed me to see how Toni understood her problem. Her answer allowed me

to know that this is an issue that has been ongoing since high school in her adolescent age. She was also able to reveal that she grew up in a household where domestic violence was an issue and this may have also played a part in her being too afraid to speak up and in front of others. Since Toni was a witness to domestic violence, she may be dealing with underlying issues of posttraumatic stress disorder. Studies show that many people with PTSD have a fear of speaking in public. The second aspect of the CFI that was help was her Stressors and Supports. The questions asked in this subset allowed me to see how much support the Toni has in dealing with her issue and what she believes makes her issue worse. The last CFI was that was helpful was seeing how Toni self-copes with her issue. All of the questions combined helped me have an inside look of how Toni view her environment without knowing her complete backstory. The questions were helpful that that were presented in an open end method that allowed me to get the maximum information from Toni without having to pry information that she did not feel comfortable disclosing or disclosing so soon. From a cultural prospective, Toni’s fear of public speaking started when she was a Caucasian female teenager attending a school that was primarily African American. This may have been attributed to not being sure how to fit in with the majority culture at the school. Toni feels that her fear of public speaking is interfering with her quantity of success at work and at school. She admitted that her fear has gotten to the point where she avoid jobs, classes or situations where they have to present in front of other people. I wanted to help her realize that she can overcome these fears, even if she is also dealing with PTSD. Toni reveals herself to the person that beats herself up over this fear. However her fear makes sense. When she’s speaking in front of a class or group, she’s vulnerable. This can be very frightening for her

Based on verbal report, I would come to a conclusion that Toni’s diagnoses would be DSM-5 300.23 (F40.10) Social Anxiety Disorder (Social Phobia) performance only (American Psychiatric Association, 2013). Public speaking anxiety (PSA, also known as fear of public speaking, or the fear of speaking in public) is classified in the DSM-5 as a social anxiety disorder. I would have to complete a Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult to that I can see how large of an issue Toni has. The significant element of social anxiety disorder (SAD) is the fear of negative evaluation by others. Consequently, SAD is directly linked to social standards and role expectations, which are culture dependent. Toni was raised in a low-income community which tends to have specific representations such as restricted resources, reduced houses, above average crime and violence percentages, and an insufficient school system, which are all connected with poor mental health results.

References American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (5th Edition). Washington, DC. Díaz, E., Añez, L. M., Silva, M., Paris, M., & Davidson, L. (2017). Using the Cultural Formulation Interview to Build Culturally Sensitive Services. Psychiatric Services, 68 (2), 112-114.