Psychosocial interventions for social anxiety disorder

At the time of diagnosis, provide psychoeducation to the patient and, if relevant, their family, carers or significant others.

The treatment of choice in adults and young people is cognitive behavioural therapy [CBT] that incorporates both cognitive reframing (to address fears of evaluation by others) and exposure to feared situations. Where social skills deficits are suspected, social skills training may also be beneficial. There is limited evidence for acceptance and commitment therapy, interpersonal therapy, mindfulness-based stress reduction and psychodynamic psychotherapy.

CBT is first-line treatment for social anxiety disorder in children. Individual, group or internet-based methods are effective and can be used.