Cognitive Behavioral Therapy for Social Anxiety Disorder : Evidence-Based and Disorder Specific Treatment Techniques book cover
2nd Edition

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

ISBN 9781138671430
Published December 18, 2017 by Routledge
224 Pages

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Book Description

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

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



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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