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This chapter begins with background on social anxiety disorder (SAD) and a review of a cognitive behavioral model of SAD. Next, we discuss the core components of cognitive behavioral therapy (CBT) for SAD and give an overview of literature. We then describe the diagnostic and assessment process, reviewing common clinician-administered and self-report measures. The latter portion of the chapter follows a case vignette of an individual with SAD seeking CBT. Using this illustration, we delineate the process of case formulation and conceptualization and present the use of a specific CBT protocol for SAD, reviewing each principal phase of treatment. This CBT protocol begins with psychoeducation and client socialization. It then advances to cognitive restructuring and behavioral exposure practice, and culminates with advanced cognitive work geared toward core beliefs. Treatment ends with a discussion of helpful ways to prevent relapse and preparing the client for termination.
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