2nd Edition

Cognitive Behavioral Therapy for Social Anxiety Disorder Evidence-Based and Disorder Specific Treatment Techniques

By Stefan G. Hofmann, Michael W. Otto Copyright 2018
    224 Pages
    by Routledge

    224 Pages
    by Routledge

    Cognitive Behavioral Therapy (CBT) has proven to be the most effective form of treatment for social anxiety disorder. This revision of a highly regarded treatment manual presents an original treatment approach that includes specifically designed interventions to strengthen the relevant CBT strategies. This extensively revised volume builds upon empirical research to address the psychopathology and heterogeneity of social anxiety disorder, creating a series of specific interventions with numerous case examples and four new chapters on working with patients on medication, cultural factors, individual therapy, and monitoring on-track outcomes.

    Table of Contents

    Chapter 1: Characterizing Social Anxiety Disorder

    What is Social Anxiety Disorder?

    Diagnostic Criteria for SAD

    Disorder Prevalence and Characteristics

    Information Processing of SAD

    Etiology of SAD

    Assessment of Social Anxiety and SAD

    Contemporary Psychological Treatments

    Pharmacological Treatments

    Chapter 2: Overall Description of Treatment Strategy

    Just do it!

    The General Treatment Model

    The Elements of the Treatment Model

    Putting It All Together: Designing Exposures

    Chapter 3: Research Basis for the Treatment Model

    Social Standards

    Goal Setting

    Self-Focused Attention


    Estimated Social Cost

    Perception of Emotional Control

    Perceived Social Skills

    Safety and Avoidance Behaviors

    Post-Event Rumination


    Chapter 4: Session-by-Session Outline

    General Outline

    Session 1

    Session 2

    Session 3-6

    Session 7-End

    Last Session

    Chapter 5: Treatment Modifications and Considerations

    Individual Treatment Modifications

    Working with Patients on Medication

    Chapter 6: Treatment in Action: Clinical Examples

    Preparation for Exposures

    Early In-Session Exposures with Attention Training

    Post-Exposure Discussion

    Viewing Videotaped Exposures

    Home Practice Exposures

    Later In-Session Exposures

    In-Vivo Social Mishap Exposures

    Chapter 7: Complicating Factors

    Intrusive and Self-Deprecating Thoughts

    Hostility and paranoia

    Depression and SAD

    Substance Abuse and SAD

    Troubleshooting: Nonresponse

    Trouble Shooting: Poor Adherence

    Troubleshooting: Poor Retention of Therapeutic Gains

    Chapter 8: Maintenance and Follow-Up Strategies

    Generalizing Treatment Skills

    Relapse Prevention Skills

    Closing Treatment: Attending to Well-Being

    Booster Sessions

    Chapter 9: Cultural Factors

    Cultural Differences in Prevalence Rates

    Cultural Differences in Treatment Response

    Cultural-Specific Expressions of SAD

    Dimensions Contributing to Cultural Differences




    Stefan G. Hofmann, PhD is a professor of psychology at Boston University, editor of Cognitive Therapy and Research, and a highly cited researcher with more than 300 peer-reviewed journal articles and 20 books on the nature and treatment of emotional disorders.

    Michael W. Otto, PhD is a professor of psychology at Boston University. His work includes over 400 publications on the nature and treatment of anxiety, mood, and substance use disorders.

    This book, written by two of the leading clinician-scientists in the field of anxiety disorders, is a thoughtfully revised and updated version of what was already a go-to manual for practitioners wanting to provide state-of-the-art care for their patients with social anxiety disorder (SAD). It provides clear, step-by-step guidance on utilizing cognitive-behavioral interventions for SAD, and effectively embeds case examples throughout to underscore and emphasize key principles for their employment. This is a very valuable book for both the trainee wanting practical guidance as they seek to master the practice of CBT as well as for the seasoned clinician looking to sharpen their practice.

    Mark H. Pollack, M.D., The Grainger Professor and Chairman, Department of Psychiatry, Rush University Medical Center, Past President, Anxiety and Depression Association of America


    Hofmann and Otto, with groundbreaking research paving the way, have produced an easy to use but powerful and cutting-edge program for treating the devastations of social anxiety disorder that should be on every clinician’s bookshelf. Their decades of hands-on experience with this difficult problem and their compassion for those suffering from it are evident.


    David H. Barlow Ph.D, ABPP, Professor of Psychology and Psychiatry, Founder and Director Emeritus, Center for Anxiety and Related Disorders at Boston University