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. Reviews 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 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 About the Authors 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.
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