THEROIES TO BONNIE’S CONDITION

Two theories that explain the situation are the cognitive theory and the self-presentation theory
of social anxiety. According to the cognitive theory, there is an overestimation of the threats that
a person perceives in social situations (Davis et al.2015). For example, Bonnie is thinking about
how others will think and talk about her. She underestimates her capabilities to handle social
situations; for example, bonnie is fearful of her interactions at schools with teachers and friends.
The cognitive theory is based on the fact that social anxiety results from overestimating negative
social interactions and underestimating the positive aspects. As per the theory, the reason for
anxiety is the consequences of the perceived negative outcome of the social interactions; for
example, Bonnie is feeling conscious of going to the mall to be worried about what others might
think of her (Ratnani et al, 2017)..
The other theory is the self-presentation theory of social anxiety; this theory states that social
anxiety occurs when individuals feel distressed as they cannot present themselves in a particular
way. They feel they lack the sufficiency to interact in society. This theory is suitable to current
condition as the theory proposes that people with social phobia desire for certain impression on
others and are doubtful that they will be successful (Koban, 2017). Bonnie is fearful that she will
not be able to impress her teacher hence has stopped asking questions to them. Similarly, she has
stopped participating in her band activities due to her self-presentational concerns and skill
deficits.

ISSUES THAT ARE BONNIE CURRENTLY FACING

The issues for Bonnie current situation are related to social anxiety or phobia. She is exhibiting
the physical and psychosocial symptoms related to social anxiety. The selection of the condition
is due to her social avoidance and self-perceptions. She is afraid of interaction with others in
social settings. Also, she is overestimating the negative outcome of these interactions; this fear of
being evaluated by others affects her daily activities and quality of life. This leads to several
conditions like low self-esteem: negative thoughts, poor skills development (Stein, 2015).
Bonnie is avoiding gatherings and making friends. She is avoiding interactions and initiatives,
and this can affect the overall well-being and development of Bonnie. In future, this may affect
the employment status and ability to build relationships with others. It will interfere with her
competency to accomplish tasks at school and extracurricular activities as she will avoid
participating (Ratnani et al, 2017).
Along with the above stated psychosocial signs and symptoms, Bonnie is exhibiting physical
symptoms, which reflect anxiety disorders. She is having headaches, frequent abdominal pain
(Tougas, 2015). This issue is hindering her physical well-being and her tendency to participate in
schools and functions. The selection of the mental health disorder is based on the self-
presentation concern exhibited by Bonnie. For example, she holds very high standards and
expectations towards the negatively biased perceptions and reviews that are causing anxiety.
Hence, as per the social anxiety disorder, individuals focus on attention and concern about how
others are perceived and evaluated (Hakami et al, 2017)
.
STRATEGIES TO RELEASE THE ANXIETY
Two strategies that can be used for treating social anxiety and associated signs and symptoms in
Bonnie's case are interpersonal therapy and acceptance and commitment therapy.
INTERPERSONAL THEORY: interpersonal therapy can help the distinct interpersonal
characteristics shown by Bonnie in the case scenario. This strategy is capable of improving
social interaction and communication skill, and functioning for Bonnie (Rajhans et al. 2020).
This therapy is focused on problem-solving and decision making by solving interpersonal
disputes and addressing the deficit characteristics. This strategy will help her in understanding
the new changes in her life and coping with sudden grief (Rajhans et al. 2020). For example, this
strategy will equip Boonie for her new grade and recent breakup from the boyfriend. Also,
encouraging her to evaluate the action plan required for exploring the adaption for new situations
and finding appropriate solutions.

Acceptance and commitment therapy: this strategy helps evaluate the negative impact of thought
process an individual has about self. This therapy is provided through role-plays and
experimentation; hence Bonnie can gain confidence by understanding that others are too facing
the similar situations (Chapdelaine et al., 2018). This therapy will help her understanding
emotions like self-criticism and accept her identity and value through interventional exercises.
The biggest issue is that Bonnie lacks the quality of life due to self-perception. She has restricted
her activities responsible for gaining enjoyment and fulfillment in life; hence, acceptance and
commitment therapy will help her understand her thoughts and fight the negative emotions of
deception (Dindo, Van Lie, & Arch, 2017).

TWO DIFFERENT AGENCIES HELPFUL FOR BONNIE

Two agencies that can help bonnie address her concern, issues, and anxiety are GROW and
HEADSPACE. Both of these agencies are working for mental health, and hence Bonnie can be
referred to ameliorate her anxiety.
Headspace is a non-profit organization that helps young people fight against mental health
ailments, including social anxiety. The agency works through the community outreach program
for young people with age group 15-25 year through high-quality services. They work through
phone support and telehealth, and vocational services.
https://headspace.org.au/
However, out of these two, the GROW, AUSTRALIA, would be recommended to Bonnie and
her current issues. The reason is that the agency has experienced counsellors and healthcare
workers along with volunteers that work with every individual inclusively having a mental health
problem. They promote interaction, support, and mutual bonding within the community's people
suffering from anxiety disorders, including social anxiety. The agency will help Bonnie is
fighting her negative thoughts through communications and support. Bonnie will interact with
others having similar problems, and hence she can learn to develop specific coping strategies.

http://www.grow.org.au/

ETHICAL ISSUES
As a fundamental concern for any mental health issues case, Bonnie case too is sensitive for
sharing information.

Hence if her class teacher approaches asking for information related to her case, special attention
should be made before replying to her. The ethical concern includes privacy, honesty,
trustworthiness, patient safety and treatment compliance. The biggest ethical issue if she replies
to her teacher is the breach of confidentiality and privacy. As a fundamental right, every
individual with mental health issues has the right to protect her information, and no healthcare
professional is allowed to discuss personal confidential information until it is a public health
hazard that is not in Bonnie's case (Sidhu & Srinivasraghavan,2016).. The other ethical issue is
the protection of the vulnerable person. If the nurse reveals the issue with Bonnie class teacher,
she might become the centre for discrimination and bully, raising concern for the nurse's ethical
responsibility. Hence being a nurse, the ethical code like honesty, integrity and dignity needs to
be maintained before answering the class teacher investigation regarding Bonnie condition,
undue attention may exacerbate her symptoms and treatment dropout, which should be avoided
(Vemuri & Dunn,2017).

REFERNCES

Chapdelaine, A., Carrier, J. D., Fournier, L., Duhoux, A., & Roberge, P. (2018). Treatment
adequacy for social anxiety disorder in primary care patients. PloS one, 13(11), e0206357.
https://doi.org/10.1371/journal.pone.0206357

Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015). Theories of behavior
and behaviour change across the social and behavioural sciences: a scoping review. Health
psychology review, 9(3), 323–344. https://doi.org/10.1080/17437199.2014.941722

Dindo, L., Van Liew, J. R., & Arch, J. J. (2017). Acceptance and Commitment Therapy:
ATransdiagnostic Behavioral Intervention for Mental Health and Medical
Conditions. Neurotherapeutics: the journal of the American Society for Experimental
NeuroTherapeutics, 14(3), 546–553. https://doi.org/10.1007/s13311-017-0521-3

Hakami, R. M., Mahfouz, M. S., Adawi, A. M., Mahha, A. J., Athathi, A. J., Daghreeri, H. H.,
Najmi, H. H., & Areeshi, N. A. (2018). Social anxiety disorder and its impact on
undergraduate students at Jazan University, Saudi Arabia. Mental illness, 9(2), 7274.
https://doi.org/10.4081/mi.2017.7274

Koban, L., Schneider, R., Ashar, Y. K., Andrews-Hanna, J. R., Landy, L., Moscovitch, D. A.,
Wager, T. D., & Arch, J. J. (2017). Social anxiety is characterized by biased learning about
performance and the self. Emotion (Washington, D.C.), 17(8), 1144–1155.
https://doi.org/10.1037/emo0000296

Rajhans, P., Hans, G., Kumar, V., & Chadda, R. K. (2020). Interpersonal Psychotherapy for
Patients with Mental Disorders. Indian journal of psychiatry, 62(Suppl 2), S201–S212.
https://doi.org/10.4103/psychiatry.IndianJPsychiatry_771_19

Ratnani, I. J., Vala, A. U., Panchal, B. N., Tiwari, D. S., Karambelkar, S. S., Sojitra, M. G., &
Nagori, N. N. (2017). Association of social anxiety disorder with depression and quality of life
among medical undergraduate students. Journal of family medicine and primary care, 6(2), 243–
248. https://doi.org/10.4103/2249-4863.219992

Sidhu, N., & Srinivasraghavan, J. (2016). Ethics and Medical Practice: Why Psychiatry is
Unique. Indian journal of psychiatry, 58(Suppl 2), S199–S202. https://doi.org/10.4103/0019-
5545.196838

Stein D. J. (2015). Social anxiety disorder and the psychobiology of self

consciousness. Frontiers in human neuroscience, 9, 489.
https://doi.org/10.3389/fnhum.2015.00489

Tougas, M. E., Hayden, J. A., McGrath, P. J., Huguet, A., & Rozario, S. (2015). A
Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework
for Chronic Health Condition Interventions. PloS one, 10(8), e0134977.
https://doi.org/10.1371/journal.pone.0134977

Vemuri, M., & Dunn, L. B. (2017). Ethical and Clinical Issues in Integrated Care Settings:
Patient Privacy Concerns and Electronic Health Records. Focus (American Psychiatric
Publishing), 15(3), 301–305. https://doi.org/10.1176/appi.focus.20170018