Cognitive Behavioral Therapy for Social Anxiety Disorder

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.

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

Self-Perception

Estimated Social Cost

Perception of Emotional Control

Perceived Social Skills

Safety and Avoidance Behaviors

Post-Event Rumination

Summary

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

Summary