Nonpharmacologic Therapy

Patient education on disease course, treatment options, and expectations is essential given the chronic nature and functional impairment of SAD. Support groups may be beneficial for some patients. CBT targets avoidance-learning and negative-thinking patterns associated with social anxiety by exposing the patient to a feared situation. CBT is effective for reducing anxiety and phobic avoidance and leads to a greater likelihood of maintaining response after treatment discontinuation than does pharmaco-therapy60

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