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This chapter reviews the empirical support for cognitive-behavioral interventions for social anxiety disorder (SAD) with the aim of informing evidence-based practice. Exposure techniques with and without cognitive restructuring are best supported, with social skills training and applied relaxation also commonly used. These techniques are compared to other forms of psychotherapy including mindfulness-based stress reduction, interpersonal psychotherapy, and pharmacological interventions administered alone or in combination with cognitive-behavioral therapy. A brief review of neuroimaging findings related to brain regions active in SAD and changes in activation of those regions following treatment is provided. We then consider factors affecting treatment outcome such as comorbidity and treatment modality, and end by highlighting areas in need of further study, including considerations in working with minority populations.
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