Social Anxiety Disorder is seen in 7% to 12% of the population of Westen Countries. It affects females and males fairly equally and often begins in mid-teens but can also occur in early childhood. Social anxiety disorder is not simply extreme shyness, it is associated with great distress and can cause substantial impairments in one’s life and social functioning.
Individuals with social anxiety disorder fear scrutiny by others in social situations and fear humiliation, embarrassment, rejection and so on. These individuals typically avoid feared social situations or endure them with distress, and the duration of this disorder is at least 6 months, but typically many years, and sometimes decades.
Cognitive behavioral treatment of social anxiety disorder involves using behavioral strategies to provide an individual with a systematic set of opportunities to learn that social situations are not threatening. This is done session by session and the therapist acts as a coach providing the individual opportunities to learn, guides individuals for accurate interpretation of current performance, and encourages individuals to try out new alternatives in most feared social situations. The goal is for the individual to become their own therapist by understanding and applying what they learn in treatment in their own life.