Cognitive Behavioral Therapy for Social Anxiety Disorder: by Stefan G. Hofmann, Michael W. Otto

By Stefan G. Hofmann, Michael W. Otto

Social phobia, or social anxiousness ailment, is without doubt one of the most typical (and debilitating) of the anxiousness problems, and at any given time it results someplace among three and five% of the U.S. inhabitants, with related data present in international locations worldwide. Cognitive-Behavioral treatment (CBT) has been confirmed to be the best type of therapy for social phobia, yet learn has proven that traditional CBT ideas and basic interventions fall in need of the mark. With this in brain, Hofmann and Otto have composed an geared up therapy technique that comes with particularly designed interventions to reinforce the appropriate CBT suggestions. This quantity builds upon empirical study to deal with the psychopathology and heterogeneity of social phobia, making a sequence of particular interventions with quite a few case examples.

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However, it has yet to be examined whether parents with SAD are also more likely to have behaviorally inhibited children and whether behavioral inhibition in childhood leads to SAD in adulthood. If this relationship between behavioral inhibition and SAD holds true, future studies will need to identify the factors that protect behaviorally inhibited children from developing SAD in adulthood. indb 17 3/21/08 12:00:21 PM 18 Cognitive Behavioral Therapy for Anxiety Disorder protective factors might be family factors and peer relationships.

Once the goals are clearly defined, they are then used to evaluate the social encounter in terms of the degree of success. ) Once social goals have been identified, care may need to be taken in helping the patient identify and evaluate the best strategy to reach a particular goal. Regardless of how well the goal is defined, it is likely that most patients will organize their behavior around habit—the nonspecific goal of being liked socially, for example—rather than the specified goal. Discussion of how the patient can best meet a goal helps hone attention and behaviors toward some of the actual demands of a social situation, rather than the default fears of humiliation and failure.

1993). In the Clark and Agras (1991) study, 29 musicians with performance anxiety (all of whom met DSM–III–R criteria for SAD) were treated with either buspirone, buspirone plus CBT, a pill placebo, or a pill placebo plus CBT. All treatments lasted for 6 weeks. The drug was not any more effective than placebo and less effective than CBT. In contrast, Schneier et al. (1993) reported that patients who tolerated high dosages did experience modest benefit. The treatment phase of this study lasted for 12 weeks and it was based on 22 patients.

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