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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.
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