Cognitive-Behavioral Therapy (CBT)

Description:
Cognitive-Behavioral Therapy has been shown through scientific research to be the most effective form of therapy for Social Anxiety Disorder. Although it is recognized as a specific psychotherapy type, there are many different ways to practice CBT, and your therapist should be experienced in using it specifically with those suffering with social anxiety.

CBT consists of two basic elements, the cognitive and the behavioral. Through the therapy process, patients learn to recognize negative thoughts and think about how to prevent them from occurring as an immediate response to a certain situation. They are then guided to learn how to think about a stressful situation in a different, positive and less anxiety-provoking way. Some therapists describe the cognitive portion as a kind of a “reprogramming” of the brain to follow a more positive set of responses to certain situations. CBT is designed to be reinforced at home and throughout the daily lives of the patients, however, many people benefit from group CBT sessions in which the behaviors related to the cognitive changes can be practiced.

More Info: http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy
2 Treatment Experiences:
CBT
Shared by Black_Widow on Nov 12th, 2008
26 out of 34 people found this treatment experience helpful:
Social Anxiety Background
I've suffered social anxiety from around the age of 11, as a result of going through a number of difficult bullying experiences at high school and also some bad family times previously which had a negative impact on my self esteem.

I first decided to seek out help for this condition last year, because of the way that it's seriously impacting upon my ability to work and support myself, sustain personal and working relationships with others, and upon my ability to live an independent adult life because of these things.
Other Treatments
Before starting CBT treatment tried general counselling. But found that it didn't help.

Have also tried medication before. Helps, but only minimally.
Treatment Experience
As a starting point I've found this type of therapy very useful. But unfortunately, since finishing therapy sessions at the start of this year, haven't yet made the progress with it that I initially hoped to. I expected much faster results but have since come to realise that I've yet a long way to go before I can realistically expect to master the techniques involved - as have found this is something which is taking me both time and practice.

I would still highly recommend this type of therapy to anybody suffering with SA, as even though my experience has been somewhat disappointing still feel that the ideas involved are very good and useful one's. But would also advise anybody out there, who is hoping to achieve fast results from this type of therapy, to re-think their expectations. CBT is a type of therapy that requires both determination and persistence in order for the full benefits to be gained.
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CBT can really change your thoughts and feelings
Shared by Drew on Dec 25th, 2008
29 out of 40 people found this treatment experience helpful:
Social Anxiety Background
Social anxiety has affected me since I was in elementary school. While it was triggered initially by a traumatic experience, it is something that runs in the family and I certainly had a predisposition for. Some examples of how it manifested itself over the years: avoiding certain types of social situations and friends, avoiding public speaking, avoiding the opposite sex completely, hiding in the library during lunch, the thought of just walking down certain hallways at my highschool terrified me, fear of being around large groups of people, fear and avoidance of going to parties or social gatherings, etc. My social anxiety started to get severe when I dropped out of college after one quarter because of my social anxiety. That's when I started to get uncomfortable just leaving my apartment and hit "the bottom" so to speak. Through treatment with group cognitive-behavioral therapy (CBT), Eye Movement Desensitization and Reprogramming (EMDR) for mild Post Traumatic Stress Disorder (PTSD), and medication I've been able to live the balanced life that I value and form healthy friendships and relationships.
Other Treatments
EMDR worked well for dealing with some specific traumatic events from my life and resulting physiological responses, but CBT was what was effective for learning to think, act and feel differently in social situations.
Treatment Experience
I hit a low point and just couldn't function with the level of social anxiety I was experiencing, so I hopped on the internet and started my search for information on how to "fix myself."

I eventually came upon CBT through Dr. Richard's audio series Overcoming Social Anxiety: Step by Step on the Social Anxiety Institute's website: http://www.socialanxietyinstitute.org/

The material includes a book and 20 audio sessions, similar to what you'd get if you were meeting with a psychologist.

The cognitive portion includes techniques for disrupting, stopping and later turning around negative thoughts, relaxation techniques, dealing with setbacks, slow talk to control anxiety, deserving statements, among other things.
The behavioral portion includes strategy for creating and following an anxiety hierarchy, which involves creating an ordered list of things that cause you anxiety and slowly working your way up and doing them while trying to maintain a reasonable level of anxiety using the cognitive techniques learned.

All the details of the program can be seen here: http://www.socialanxietyinstitute.org/audioseries.html

Initially, I went over the cognitive materials for 30 minutes every day and started working on some of the behavioral exercises on my own (ie making phone calls, going clothing shopping, going to restaurants by myself, etc.) At first it didn't feel like I was getting any better or making any progress, but I kept at it day in and day out (missing days on occasion and trying not to feel too guilty about it) and with time I started to notice small changes in how negatively I was viewing myself, others, and social situations, along with lower levels of anxiety in social situations.

The big progress came later when I participated in a 20 week group in San Francisco based on the material. We went over the new concepts presented in the CDs and the workbook each week and then practiced our individual anxiety hierarchy items with or in front of the group. The group leader and the other participants were very supportive.

Ultimately, the real benefits of the cognitive therapy and behavioral exercises, on my own and with the group, took months to materialize. It was hard work, took persistence and courage, and there were setbacks, but my life took a turn down a new path as a result.
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Recommended Book

The Shyness and Social Anxiety Workbook: Proven, Step-by-Step Techniques for Overcoming Your Fear

Purchase book at Amazon

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About Treatment Experiences

The individual experiences about treatment for social anxiety disorder (social phobia) are not a substitute for medical advice.

You should always consult a qualified health care professional before beginning, changing or stopping a treatment.

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