47. Social Anxiety Disorder: Assessment and Treatment

  1. Paul Emmelkamp2 and
  2. Thomas Ehring3
  1. Denise M. Ginzburg,
  2. Franziska Schreiber and
  3. Ulrich Stangier

Published Online: 4 APR 2014

DOI: 10.1002/9781118775349.ch47

The Wiley Handbook of Anxiety Disorders

The Wiley Handbook of Anxiety Disorders

How to Cite

Ginzburg, D. M., Schreiber, F. and Stangier, U. (2014) Social Anxiety Disorder: Assessment and Treatment, in The Wiley Handbook of Anxiety Disorders (eds P. Emmelkamp and T. Ehring), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118775349.ch47

Editor Information

  1. 2

    University of Amsterdam, the Netherlands

  2. 3

    University of Münster, Germany

Author Information

  1. Goethe University, Germany

Publication History

  1. Published Online: 4 APR 2014
  2. Published Print: 24 MAR 2014

ISBN Information

Print ISBN: 9781118775356

Online ISBN: 9781118775349



  • Clark and Wells model;
  • clinical practice guidelines;
  • cognitive therapy (CT);
  • cognitive-behavioral therapy (CBT);
  • pharmacological treatments;
  • psychological treatments;
  • social anxiety disorder;
  • social phobia


The inclusion of social phobia (SP) in the third edition of the Diagnostic and Statistical Manual of Mental Disorders, led to extensive research on the etiology and epidemiology of this disorder. Increasing knowledge about the disorder stimulated the development and empirical evaluation of a number of psychological treatments. The most well-researched class of psychological treatments for SP is cognitive-behavioral therapy (CBT), which is the focus of this chapter. In addition, a brief review research on pharmacotherapy is also provided. The most clinically effective and cost-effective intervention is individual cognitive therapy, based upon the Clark and Wells model. Drugs are only recommended as a second-line treatment for social anxiety disorder due to reduced compliance and attrition, side effects, discontinuation symptoms, dietary restrictions, and the likelihood of relapse following discontinuation. Finally, the chapter presents a more comprehensive description of cognitive therapy (CT).