This case study describes the integration of cultural values into the cognitive-behavioral therapy (CBT) of a Latino with depression to illustrate culture-based modifications in the use of CBT treatment with this client. Cultural values of familismo, personalismo, respeto, and machismo are defined and weaved into the case conceptualization and treatment process, to build a culturally competent treatment approach. The article describes challenges in the treatment of the individual and provides culture-specific strategies to modify the traditional CBT approach and increase the prospects of successful treatment outcomes. It acknowledges the heterogeneity of the Latino population and cautions against broad generalizations. Treatment implications; limitations relative to gender, education, and socioeconomic status; and recommendations for practice and research are also included. The article further provides a discussion on the status of intervention research with racial and ethnic minority groups and Latinos in particular.

Objectives: This pilot study evaluated the effectiveness of one-session, exposure-based therapy, to treat social anxiety disorder (SAD) with specific fear of public speaking. Methods: A quasi-experimental pre-posttest design with repeated measures-within-subject Analysis of Variance and paired sample t-tests was used to compare pretest, posttest and one month follow-up scores. Individuals (n = 32), from 18 to 51 years old, 75% women, participated in three hours of graduated exposure to group public speaking exercises followed by homework between post and follow-up. Results: Significant changes were found from pre- to posttest and pretest to follow-up for all measures. No differences were found from posttest to follow-up. Conclusions: Advantages of brief treatment for SAD, limitations of the study, and implications for practice and future research are discussed.