Treatment for Social Anxiety Disorder

ADG Marriage & Family Therapy • 3 October 2024

Cognitive Behavioral Therapy (CBT) is an effective treatment for social anxiety disorder (SAD), which involves an intense fear of judgment or embarrassment in social settings.


CBT focuses on identifying and restructuring negative thought patterns and employs behavioral strategies, such as exposure therapy, to help individuals gradually face their social fears. It also provides practical skills like deep breathing and mindfulness to manage physiological anxiety symptoms. 

Automatic Thoughts

Automatic thoughts significantly contribute to the maintenance of social anxiety. These thoughts are frequently negative and distorted, intensifying anxiety by acting as a mechanism that perpetuates it.


In cognitive behavioral therapy, various methods are employed to address these automatic thoughts. For instance, techniques such as journaling, restructuring, and replacing distorted thinking are utilized in counseling to treat these automatic thoughts.

Other Therapies

Gradual exposure is a behavioral technique in which individuals progressively confront social situations they fear, beginning with less intimidating ones and gradually advancing to more challenging scenarios. For example, a person might start by making small talk with a cashier before eventually delivering a presentation in class. This method of gradual exposure helps build confidence and reduces avoidance behaviors.


Relaxation techniques, such as deep breathing and progressive muscle relaxation, often complement cognitive and behavioral strategies. These techniques help individuals stay calm and focused during anxiety-provoking situations, making it easier to confront their fears.

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