HCD.3:5.3 - Unlike Case: Social-Anxiety Clinical Route

When an adult seeks treatment for social anxiety, return that question to qualified clinical care. A diagnostic label, symptoms, avoidance, or treatment request alone does not establish a target for changing a separately specified contribution in later Work. The current NICE social-anxiety guideline (BEH-05) places recognition, assessment, treatment choice, provider competence, safety, shared decision-making, and outcome monitoring with qualified clinical care.

HCD.3 returns a non-training clinical route whenever diagnosis, treatment choice, exposure or CBT content, clinical safety, consent, provider competence, or clinical outcome interpretation is current. It may preserve a legitimate later-participation Work question and the distinction between observed behaviour, support, transfer, and outcome, but it does not prescribe exposure, behavioural experiments, homework, counterconditioning, symptom targets, or provider arrangements. Retry HCD only when the person and clinical owner supply a bounded non-clinical Work question whose evidence can be used safely without taking clinical authority.