title: Cognitive Therapy for Social Anxiety Disorder in Adolescents: A Development Case Series.
abstract: BACKGROUND
  Social anxiety disorder is common and typically starts in childhood or adolescence. Cognitive Therapy for Social Anxiety Disorder (CT-SAD) in adults is a well-established treatment that shows strong evidence of differential effectiveness when compared to other active treatments. In contrast, CBT approaches to social anxiety in young people have yet to demonstrate differential effectiveness and there is some evidence that young people with social anxiety disorder respond less well than those with other anxiety disorders.
  
  
  OBJECTIVE
  To adapt CT-SAD for use with adolescents and conduct a pilot case series.
  
  
  METHODS
  Five adolescents, aged 11-17 years, with a primary DSM-5 diagnosis of social anxiety disorder received a course of CT-SAD adapted for adolescents. Standardized clinical interview and questionnaire assessments were conducted at pre and posttreatment, and 2 to 3-month follow-up.
  
  
  RESULTS
  All five participants reported severe social anxiety at baseline and achieved remission by the end of treatment. Significant improvements were also observed in general anxiety, depression, concentration in the classroom, and putative process measures (social anxiety related thoughts, beliefs and safety behaviours).
  
  
  CONCLUSIONS
  An adapted form of CT-SAD shows promise as a treatment for adolescents.
authors.affiliation: South London and Maudsley NHS Foundation Trust, andInstitute of Psychiatry,Psychology and Neuroscience,Kings College London,UK.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Leigh
authors.affiliation: University of Oxford, andNIHR Oxford Cognitive Health Clinical Research Facility,Oxford,UK.
authors.forename: David M
authors.initials: DM
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000628:therapy*; D016022:Case-Control Studies; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D010698:Phobic Disorders / Q000628:therapy; D010865:Pilot Projects; D012919:Social Behavior; D012920:Social Behavior Disorders / Q000628:therapy; D011795:Surveys and Questionnaires
keywords: Cognitive therapy; adolescent; social anxiety; young people