Shyness and social anxiety are common emotions experienced by children and teenagers. When intense, they often result in the avoidance of social situations and can significantly impair a child's functioning and emotional development. Left untreated in its clinical state, Social Anxiety Disorder (SAD) is a serious condition often lasting into adulthood. Cognitive Behavioral Therapy (CBT) is highly effective in treating adults with SAD and has been successfully adapted for the treatment of youth. This therapist guide presents a group treatment program for adolescents aged 13 to 18 that uses well-tested CBT techniques. In this program, groups of 5 to 7 youths with excessive shyness or social anxiety learn how to cope in social situations. Cognitive restructuring exercises help participants understand their anxiety and reexamine thinking that may contribute to their distress. Other exercises teach social and problem solving skills, and also increase self-esteem and assertiveness. Behavioral exposure exercises give participants the opportunity to practice these skills by systematically confronting them in feared or avoided social situations. This guide offers practical instruction on how to apply this program, as well as information on the theory and research on which it is based. It provides session outlines for adolescent group therapy, including sample dialogues, role-playing scenarios, and homework assignments. It also addresses individual therapy and provides tips for conducting the treatment with children aged 8 to 12.
Shyness and social anxiety are common emotions experienced by children and teenagers. When intense, they often result in the avoidance of social situations and can significantly impair a child's functioning and emotional development. Left untreated in its clinical state, Social Anxiety Disorder (SAD) is a serious condition often lasting into adulthood. Cognitive Behavioral Therapy (CBT) is highly effective in treating adults with SAD and has been successfully adapted for the treatment of youth. This therapist guide presents a group treatment program for adolescents aged 13 to 18 that uses well-tested CBT techniques. In this program, groups of 5 to 7 youths with excessive shyness or social anxiety learn how to cope in social situations. Cognitive restructuring exercises help participants understand their anxiety and reexamine thinking that may contribute to their distress. Other exercises teach social and problem solving skills, and also increase self-esteem and assertiveness. Behavioral exposure exercises give participants the opportunity to practice these skills by systematically confronting them in feared or avoided social situations. This guide offers practical instruction on how to apply this program, as well as information on the theory and research on which it is based. It provides session outlines for adolescent group therapy, including sample dialogues, role-playing scenarios, and homework assignments. It also addresses individual therapy and provides tips for conducting the treatment with children aged 8 to 12.
1: Introductory Information for Therapists
2: Assessment
Treatment Phase I Skill Building:
3: Session 1: Treatment Rationale and Getting Acquainted
4: Session 2: The Cognitive-Behavioral Model of Social Anxiety
Disorder
Cognitive Component
5: Chapter 5: Session 3: Automatic Thoughts and Rational
Responses
6: Chapter 6: Session 4: A Four-Stage Model of Cognitive
Restructuring
Problem-Solving:
7: Session 5: Social Skills Training
8: Session 6: Assertiveness Training
Review and Preparation for Phase Two:
9: Session 7: Review of Skills
10: Session 8: Communication with Support System and Preparation
for Phase Two of Treatment
Treatment Phase II - Exposure:
11: Session 9 to End: Exposure Sessions
12: Relapse Prevention Session
13: Final Session
14: Applying this Program to Children or in an Individual Therapy
Context
References:
About the Authors:
1. Introductory Information for Therapists; 2. Assessment; TREATMENT PHASE I - SKILL BUILDING; Psychoeducation and Treatment Rationale; 3. Session 1: Treatment rationale and getting acquainted; 4. Session 2: The cognitive-behavioral model of social anxiety disorder; Cognitive component; 5. Session 3: Automatic thoughts and rational responses; 6. Session 4: A four-stage model of cognitive restructuring; Problem-solving; 7. Session 5: Social skills training; 8. Session 6: Assertiveness training; Review and preparation for phase two; 9. Session 7: Review of skills; 10. Session 8: Communication with support system and preparation for phase two of treatment; TREATMENT PHASE II - EXPOSURE; 11. Session 9 to end: Exposure sessions; 12. Relapse prevention session; 13. Final session; 14. Applying this program to children or in an individual therapy context
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