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Treating Social Anxiety Disorder Remotely with Cognitive Therapy

Research output: Contribution to journalArticlepeer-review

Emma Warnock-Parkes, Jennifer Wild, Graham R. Thew, Alice Kerr, Nick Grey, Richard Stott, Anke Ehlers, David M. Clark

Original languageEnglish
Article number2000032X
JournalCognitive Behaviour Therapist
Accepted/In press1 Jan 2020
Published1 Jan 2020

Bibliographical note

Financial support. The authors were funded by Wellcome Trust grant 200796 (awarded to A.E. and D.M.C.), and supported by the Oxford Health NIHR Biomedical Research Centre and NIHR Senior Fellowships (A.E., D.M.C.).

King's Authors


Remote delivery of evidence-based psychological therapies via video conference has become particularly relevant following the COVID-19 pandemic, and is likely to be an on-going method of treatment delivery post-COVID. Remotely delivered therapy could be of particular benefit for people with social anxiety disorder (SAD), who tend to avoid or delay seeking face-To-face therapy, often due to anxiety about travelling to appointments and meeting mental health professionals in person. Individual cognitive therapy for SAD (CT-SAD), based on the Clark and Wells (1995) model, is a highly effective treatment that is recommended as a first-line intervention in NICE guidance (NICE, 2013). All of the key features of face-To-face CT-SAD (including video feedback, attention training, behavioural experiments and memory-focused techniques) can be adapted for remote delivery. In this paper, we provide guidance for clinicians on how to deliver CT-SAD remotely, and suggest novel ways for therapists and patients to overcome the challenges of carrying out a range of behavioural experiments during remote treatment delivery. Key learning aims (1) To learn how to deliver all of the core interventions of CT-SAD remotely.(2) To learn novel ways of carrying out behavioural experiments remotely when some in-person social situations might not be possible.

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