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Treating Social Anxiety Disorder Remotely with Cognitive Therapy

Research output: Contribution to journalArticle

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

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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