Daydreamer and Night Owl: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Social Anxiety Disorder


  • Ava Schulz
  • Alessia Vincent
  • Thomas Berger



Social Anxiety Disorder, Internet-Based CBT Treatment (ICBT), cognitive-behavioral treatment, clinician-guided self-help, clinical case studies, case studies


Internet-Based Cognitive-Behavior Treatment (ICBT) has garnered strong empirical support in the last decade. However, despite the growing body of evidence that web-based treatments work, there are still a considerable number of clients who do not benefit sufficiently from such interventions. Recently, research has started to focus on identifying factors that affect treatment outcome and adherence to Internet interventions. To explore the difference between clients who are successful versus unsuccessful in response to ICBT, this article presents two systematic case studies that describe the course of treatment of a positive-outcome client (named "Daydreamer") and a more negative outcome client (named "Night Owl") in clinician-guided ICBT for Social Anxiety Disorder (SAD). We present focal points of therapist communication, as well as the clients

Author Biographies

Ava Schulz

Ava Schulz

Alessia Vincent

Alessia Vincent

Thomas Berger

Thomas Berger






Case Study