ABSTRACT

Since its inception as a nosological category in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) (1), investigations of the efficacy of treatments for social anxiety disorder have greatly increased. Much of this research has focused on those approaches falling under the rubric of cognitive-behavioral therapy (CBT). This chapter provides an overview of the various cognitive-behavioral techniques used in the treatment of social anxiety disorder as well as a review of the current literature on the efficacy of these approaches. (A review of the relative efficacy of CBT and medication approaches is provided by Zaider and Heimberg in another chapter in this volume.) A review of empirical findings regarding the influence of particular factors on treatment outcome is also provided. Finally, practical guidelines for the implementation of CBT and directions for future research are discussed.