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

by Hofmann; Stefan G.

• ISBN13: 9780415954037
• ISBN10: 0415954037
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2008-04-24
• Publisher: Routledge

Summary

Social phobia, or social anxiety disorder, is among the most common (and debilitating) of the anxiety disorders, and at any given time it effects somewhere between 3 and 5% of the US population, with similar statistics found in countries around the world. Cognitive-Behavior Therapy (CBT) has been demonstrated to be the most effective form of treatment for social phobia, but research has shown that conventional CBT principles and general interventions fall short of the mark. With this in mind, Drs. Hofmann and Otto have composed an organized treatment approach that includes specifically designed interventions to strengthen the relevant CBT strategies. This volume builds upon empirical research to address the psychopathology and heterogeneity of social phobia, creating a series of specific interventions with numerous case examples.

Author Biography

Stefan G. Hofmann, Ph.D., is Professor of Psychology at Boston University and Director of the Cognitive Therapy and Emotion Research Laboratory. One of his main research areas includes cognitive behavioral therapy of social anxiety disorder Michael W. Otto, Ph.D., is Professor of Psychology at Boston University and a Past President of the Association for Behavioral and Cognitive Therapies. The treatment of anxiety and mood disorders is his main area of study, and he has developed clinical research programs for the treatment of several psychological disorders, including social anxiety disorder

Table of Contents

Preface	p. xi
Acknowledgments	p. xiii
Characterizing Social Anxiety Disorder	p. 1
What is Social Anxiety Disorder?	p. 2
Diagnostic Criteria for SAD	p. 4
Disorder Prevalence and Characteristics	p. 6
Information Processing in SAD	p. 13
Etiology of SAD	p. 15
Assessment of Social Anxiety and SAD	p. 18
Contemporary Psychological Treatments	p. 20
Pharmacological Treatments	p. 25
Combined Pharmacotherapy and CBT	p. 29
Overall Description of Treatment Strategy	p. 31
Just Do It!	p. 31
The General Treatment Model	p. 33
The Elements of the Treatment Model	p. 34
Putting It All Together: Designing Exposures	p. 50
Session-by-Session Outline	p. 53
General Outline	p. 54
Session 1	p. 55
Session 2	p. 69
Sessions 3-6	p. 74
Session 7-End	p. 75
Last Session	p. 76
Research Basis for the Treatment Model	p. 77
Social Standards	p. 78
Goal Setting	p. 78
Self-Focused Attention	p. 79
Self-Perception	p. 80
Estimated Social Cost	p. 82
Perception of Emotional Control	p. 84
Perceived Social Skills	p. 86
Safety and Avoidance Behaviors	p. 88
Post-Event Rumination	p. 89
Summary	p. 90
Treatment in Action: Clinical Examples	p. 91
Preparation for Exposures	p. 94
Early In-Session Exposures With Attention Training	p. 96
PostExposure Discussion	p. 98
Viewing Videotaped Exposures	p. 101
Home Practice Exposures	p. 105
Later In-Session Exposure	p. 107
In Vivo Social Mishap Exposures	p. 110
Complicating Factors	p. 115
Intrusive and Self-Deprecating Thoughts	p. 115
Hostility and Paranoia	p. 118
Depression and SAD	p. 120
Substance Abuse and SAD	p. 125
Troubleshooting: NonResponse	p. 127
Troubleshooting: Poor Adherence	p. 130
Combination Treatment With Medication and CBT	p. 133
Maintenance and Follow-Up Strategies	p. 137
Generalizing Treatment Skills	p. 138
Additional Relapse Prevention Skills	p. 141
Closing Treatment: Attending to Well-being	p. 144
Booster Sessions	p. 145
References	p. 147
Handout 1: A CBT Model of Social Anxiety Disorder	p. 175
Handout 2: Learning Objectives	p. 177
Handout 3: Approach to Social Situations Scale	p. 179
Handout 4: Daily Record of Social Situations (DRSS)	p. 181
Instructions on how to complete the Daily Record of Social Situations (DRSS)	p. 181
Handout 5: Cognitive Preparation for Video Feedback	p. 183
Prediction of Social Performance	p. 183
Imagination of Social Performance	p. 184
Identifying and Challenging Incorrect Predictions	p. 185
Self-Defeating Thoughts	p. 187
Worksheet for Challenging Automatic Thoughts	p. 189
Fear and Avoidance Hierarchy	p. 191
Social Fear Worksheet for Exposure Planning	p. 193
The Maintaining Variables of Social Anxiety	p. 197
The Vicious Cycle Model of Avoidance	p. 197
Anxiety Episode With Avoidance	p. 198
Anxiety Episode Without Avoidance	p. 198
Anxiety After Repeated Exposure to the Same Situation	p. 199
Examples of In Vivo Exposure Tasks to Challenge Estimated Social Cost	p. 201
Booster Worksheet for Exposure Planning	p. 203
Author Index	p. 205
Subject Index	p. 211
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