In CBT the social worker will only consider structural influences if the client 's core beliefs have been altered by external factors (Walsh, 2013). In the case study, Asif expressed that he feels self-conscious about his body image. The rationality of Asif’s thinking refers to societies negative attitudes and stigma towards being overweight (Hepworth et al., 2013). Societal beliefs have negative implications for Asif 's emotional well-being when engaging in interpersonal relationships with others. By internalizing the negative attitudes and stigma placed on him by the society he developed low self-esteem and self-criticizing behavior (Walsh, 2013). The social worker will want to bring attention to the connection in Asif’s thinking patterns