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6 - Cognitive Behavioral Therapy for Social Anxiety Disorder

from Part One - Cognitive Behavioral Therapy for Anxiety Disorders

Published online by Cambridge University Press:  06 January 2022

By
Michaela B. Swee ,
M. Taylor Wilmer  and
Richard G. Heimberg
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

This chapter begins with background on social anxiety disorder (SAD) and a review of a cognitive behavioral model of SAD. Next, we discuss the core components of cognitive behavioral therapy (CBT) for SAD and give an overview of literature. We then describe the diagnostic and assessment process, reviewing common clinician-administered and self-report measures. The latter portion of the chapter follows a case vignette of an individual with SAD seeking CBT. Using this illustration, we delineate the process of case formulation and conceptualization and present the use of a specific CBT protocol for SAD, reviewing each principal phase of treatment. This CBT protocol begins with psychoeducation and client socialization. It then advances to cognitive restructuring and behavioral exposure practice, and culminates with advanced cognitive work geared toward core beliefs. Treatment ends with a discussion of helpful ways to prevent relapse and preparing the client for termination.

Keywords

social anxiety disordersocial phobiacognitive behavioral therapyevidence-based treatmentassessmentdiagnosiscognitive restructuringbehavioral exposurescore beliefscase conceptualization
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 93 - 114
Publisher: Cambridge University Press
Print publication year: 2022

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References

Recommended Further Reading

Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R., Liebowitz, M., Hope, D. A., & Schneier, F. R. (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). Guilford Press.Google Scholar
Gordon, D., Wong, J., & Heimberg, R. G. (2014). Cognitive-behavioral therapy for social anxiety disorder: The state of the science. In Weeks, J. W. (Ed.), The Wiley-Blackwell handbook of social anxiety disorder (pp. 477–497). Wiley-Blackwell.Google Scholar
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2014). A cognitive-behavioral model of social anxiety disorder. In Hofmann, S. G. & DiBartolo, P. M. (Eds.), Social anxiety: Clinical, developmental, and social perspectives (3rd ed., pp. 705–728). Academic Press.CrossRefGoogle Scholar
Heimberg, R. G., & Magee, L. (2014). Social anxiety disorder. In Barlow, D. H. (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (5th ed., pp. 114–154). Guilford Publications.Google Scholar
Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36, 193–209.Google Scholar
Hope, D. A., Heimberg, R. G., & Turk, C. L. (2010a). Managing social anxiety: A cognitive-behavioral therapy approach (Therapist Guide, 2nd ed.). Oxford University Press.Google Scholar
Hope, D. A., Heimberg, R. G., & Turk, C. L. (2010b). Managing social anxiety: A cognitive-behavioral therapy approach (Client Workbook, 2nd ed.). New York: Oxford University Press.Google Scholar
Kaplan, S. C., Swee, M. B., & Heimberg, R. G. (2018). Psychological treatments for social anxiety disorder. In Braddic, O. (Ed.), Oxford research encyclopedia of psychology. Oxford University Press.Google Scholar
Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., Clark, D. M., Ades, A. E., & Pilling, S. (2014). Psychological and pharmacological interventions for social anxiety disorder in adults: A systematic review and network meta-analysis. The Lancet Psychiatry, 1, 368–376.Google Scholar
Powers, M. B., Sigmarsson, S. R., & Emmelkamp, P. M. G. (2008). A meta-analytic review of psychological treatments for social anxiety disorder. International Journal of Cognitive Therapy, 1, 94–113.Google Scholar

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