$19.99

6 CEs
CEU Course

Cognitive-Behavioral Therapies for Social Anxiety Disorder: An Integrative Strategy (May 2024)

Cognitive Behavior Institute is excited to welcome Larry Cohen, LICSW, A-CBT for a live interactive webinar on: Cognitive-Behavioral Therapies for Social Anxiety Disorder: An Integrative Strategy

Learning Objectives:

  • Participants will develop strategies to help clients understand the impact of self- focus and self-evaluation when experiencing social anxiety, and how to train clients in the use of external mindfulness when socially anxious.
  • Participants will develop strategies to train clients in differing means of doing cognitive restructuring before and after social anxiety triggers.
  • Participants will develop strategies to help clients design, execute and learn from behavioral experiments 7 exposures to test socially anxious thoughts and underlying core beliefs, and to increase client motivation to carry out such experiments.
  • Participants will develop strategies to train clients in the use of assertive defense of the self to increase self-confidence in handling fears come true.
  • Participants will develop strategies to help clients identify and change underlying core beliefs that exacerbate their social anxiety.
  • Participants will describe what social anxiety disorder is, its impact on those who suffer from it, and what treatments have been demonstrated to be most effective.

Date

5/10/2024 10:00AM - 5:00PM EST

Cost

$19.99

Credit Hours

6 Clinical CEs

Course Overview

Cognitive-behavioral therapy has been demonstrated in hundreds of outcome studies to be the most effective treatment for social anxiety disorder, the 3rd or 4th most prevalent mental health disorder in the United States (Mayo-Wilson 2014). However, there are several different CBT for social anxiety protocols, each with different emphases, although all sharing much in common.

This session provides an intensive overview of five evidence-based cognitive-behavioral strategies for the treatment of social anxiety disorder: behavioral experiments/exposure; cognitive restructuring; external mindfulness plus thought defusion; assertion training; and core belief change work (Hofmann 2017; Hope 2019; OXCADAT 2019; McEvoy 2018; Padesky). Attendees will learn how to apply, combine, and adapt these strategies to the needs of socially anxious individuals. Several of these strategies will be demonstrated during the session through clinical role plays. There will also be discussion on how to design and implement exposures as behavioral experiments to test and modify automatic thoughts, underlying assumptions and core beliefs for the purpose of decreasing social anxiety and building self-confidence. Many client worksheets, instructional handouts and questionnaires are provided for use and adaptation in your own practices. Attendees will become familiarized with the major debates among the three waves of cognitive-behavioral therapies as to the most effective strategies for treating social anxiety disorder, and how to integrate the best of each of these variant approaches depending on the needs of particular clients.

Learning Objectives

1. Participants will develop strategies to help clients understand the impact of self- focus and self-evaluation when experiencing social anxiety, and how to train clients in the use of external mindfulness when socially anxious.

2. Participants will develop strategies to train clients in differing means of doing cognitive restructuring before and after social anxiety triggers.

3. Participants will develop strategies to help clients design, execute and learn from behavioral experiments / exposures to test socially anxious thoughts and underlying core beliefs, and to increase client motivation to carry out such experiments.

4. Participants will develop strategies to train clients in the use of assertive defense of the self to increase self-confidence in handling fears come true.

5. Participants will develop strategies to help clients identify and change underlying core beliefs that exacerbate their social anxiety.

6. Participants will describe what social anxiety disorder is, its impact on those who suffer from it, and what treatments have been demonstrated to be most effective.

Course Bibliography

Herbert, J. D., Forman, E. M., Kaye, J. L., Gershkovich, M., Goetter, E., Yuen, E. K., Glassman, L., Goldstein, S., Hitchcock, P., Tronieri, J. S., Berkowitz, S., & Marando-Blanck, S. (2018). Randomized controlled trial of acceptance and commitment therapy versus traditional cognitive behavior therapy for social anxiety disorder: Symptomatic and behavioral outcomes. Journal of Contextual Behavioral Science, 9, 88-96.

Hofmann, S.G., & Otto, M.W. (2017). Cognitive Behavioral Therapy for Social Anxiety Disorder: Evidence-Based and Disorder-Specific Treatment Techniques (2nd ed.). Routledge. https://doi.org/10.4324/9781315617039

Hope, D., Heimberg, R., & Turk, C. (2019-10). Managing Social Anxiety, Therapist Guide and Workbook : A Cognitive-Behavioral Therapy Approach. New York, NY: Oxford University Press.

Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016). Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. Journal of consulting and clinical psychology, 84(5), 427–437. https://doi.org/10.1037/ccp0000092

Koban, L., Schneider, R., Ashar, Y. K., Andrews-Hanna, J. R., Landy, L., Moscovitch, D. A., Wager, T. D., & Arch, J. J. (2017). Social anxiety is characterized by biased learning about performance and the self. Emotion (Washington, D.C.), 17(8), 1144–1155. https://doi.org/10.1037/emo0000296

Leigh E, Chiu K, Clark DM (2020) The effects of modifying mental imagery in adolescent social anxiety. PLoS ONE 15(4): e0230826. https://doi.org/10.1371/journal.pone.0230826

Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., Clark, D. M., Ades, A. E., & Pilling, S. (2014). Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis. The lancet. Psychiatry, 1(5), 368–376. https://doi.org/10.1016/S2215-0366(14)70329-3 NOTE: This is a meta-analysis of 101 trials of differing treatments for social anxiety disorder.

McEvoy, P. M., Saulsman, L. M., & Rapee, R. M. (2018). Imagery-enhanced Cbt for Social Anxiety Disorder. The Guilford Press.

Oxford Centre for Anxiety Disorders and Trauma, OXCADAT (2019-2020). Cognitive Therapy for Social Anxiety Disorder; a series of online training videos by OXCADAT. https://oxcadatresources.com/social-anxiety-disorder/

Padesky, Christine (2008-2020). CBT for Social Anxiety: Assertive Defense of the Self; audio and video recordings of training seminars. https://payhip.com/b/bt593 and https://payhip.com/b/dZT2R . Romano, M., Moscovitch, D. A., Huppert, J. D., Reimer, S. G., & Moscovitch, M. (2020). The effects of imagery rescripting on memory outcomes in social anxiety disorder. Journal of anxiety disorders, 69, 102169. https://doi.org/10.1016/j.janxdis.2019.102169.

Approvals

Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 6 clinical continuing education credits.

Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program. Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

TICKETS TO THIS WEBINAR ARE NON-REFUNDABLE/NON-TRANSFERABLE. ALL SALES ARE FINAL. REFUNDS WILL NOT BE ISSUED FOR ANY REASON OTHER THAN THE EVENT’S CANCELLATION BY CBI

Course Schedule

Course Date Course Start Time Course End Time Timezone
5/10/2024 10:00AM 5:00PM EST

Course Agenda

Course Event Day or Date Course Agenda Time Block Course Content Covered
Day 1 10:00AM - 10:45AM INTRODUCTION: ~45 minutes
  • Me, NSAC
  • Resources for therapists and for consumers
  • Basic facts about social anxiety, and the role of shame
  • Diversity factors in social anxiety
  • The vicious cycle of socially anxious beliefs, automatic thoughts, feelings and behaviors; walking through an example
  • Brief overview of outcome studies on social anxiety treatment
  • Integrating the 3 waves: debates and syntheses
  • Debate on accepting anxiety vs. decreasing anxiety as therapy goal
  • The 5 core CBT treatment strategies: external mindfulness; cognitive restructuring; behavioral experiments; assertiveness training; core belief change work
  • QUESTIONS & ANSWERS
Day 1 10:45AM - 11:45AM EXTERNAL MINDFULNESS (CURIOSITY TRAINING): ~60 minutes
  • Rationale
  • Debate on external mindfulness vs. internal mindfulness (meditation)
  • Thought and feeling defusion
  • Introducing external mindfulness to clients with in-session experiments and video recording
  • Clinical demonstration of introducing clients to external mindfulness in session
  • Homework to help clients master external mindfulness while observing and participating
  • QUESTIONS & ANSWERS
Day 1 11:45AM - 12:30PM LUNCH BREAK: 45 minutes
Day 1 12:30PM - 1:40PM COGNITIVE RESTRUCTURING (REFRAMING): ~70 minutes
  • Rationale
  • Themes of socially anxious hot thoughts
  • Debate on defusing from negative thoughts vs. reframing them
  • Debate on how and when to do cognitive restructuring for social anxiety
  • Debate on targeting verbal vs. imaginal thoughts
  • How to introduce clients to cognitive restructuring
  • Clinical demonstration of role-played cognitive restructuring argument
  • Clinical demonstration of use of confident imagery to reframe hot thoughts
  • Homework to help clients master cognitive restructuring
  • QUESTIONS & ANSWERS
Day 1 1:40PM - 3:05PM BEHAVIORAL EXPERIMENTS (EXPOSURES): ~85 minutes
  • Rationale
  • Debate on exposures for habituation vs. experiments for learning / cognitive restructuring
  • How to choose experiments
  • Debate on what types of experiments to choose: straightforward vs. paradoxical (social mishap, de-catastrophizing, shame-attacking); examples of both types
  • Debate on use of fear hierarchies
  • In-session and homework experiments
  • Use of video for in-session experiments
  • Clinical demonstration of use of video
  • Introducing clients to safety-seeking behaviors and how they are self-defeating
  • Common safety-seeking behaviors
  • Identifying, reducing and eliminating safety-seeking behaviors
  • Carrying out experiments: before, during and after
  • Debate on accepting anxiety vs. defying / combatting anxiety
  • Strategies to increase follow-through and decrease avoidance of experiments
  • Clinical demonstration of consensual role play to increase motivation to do experiments
  • Use of surveys as experiments
  • QUESTIONS & ANSWERS
Day 1 3:05PM - 3:20PM BREAK: 15 minutes
Day 1 3:20PM - 4:00PM ASSERTIVE DEFENSE OF THE SELF (HEAD-HELD-HIGH ASSERTION): ~40 minutes
  • Rationale
  • How to practice the strategy in session and in homework
  • Debate on the limitations of the strategy, and ways to address these limitations
  • Clinical demonstrations (2 or 3) of practicing this strategy in role plays
  • QUESTIONS & ANSWERS
Day 1 4:00PM - 5:00PM CORE BELIEF CHANGE WORK; ASSESSMENT, PROGRESS MONITORING, TERMINATION: ~60 minutes
  • Rationale
  • Debate on whether to target core beliefs at all when treating social anxiety
  • Themes of core beliefs in social anxiety
  • Helping clients identify their unhealthy core beliefs
  • Helping client write drafts of healthy new core beliefs
  • Core belief change strategies
  • Clinical demonstration of core belief argument
  • Clinical demonstration of Then vs. Now
  • Review of using scales for assessment and monitoring progress
  • Identifying treatment goals and fear hierarchies to provide direction & monitor progress
  • Termination strategies to maintain progress, make further progress beyond therapy, and to prevent relapse
  • QUESTIONS & ANSWERS

Frequently Asked Questions

Questions about Zoom and Webinars

What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

What time will the webinar begin and in what time zone? Please see the event page on https://www.cbicenterforeducation.com/ for information about the webinar, such as the start time. In addition, when registrants receive the email for the event, the date and time of the event is included.

When will I receive the link to attend the webinar? After you’ve signed up for the event through our website, you will receive an automated email from Blue Sky. At the bottom of this email is a blue button labeled “Join” that you can click on the day of the event. Or log in directly to your Blue Sky account and join from there.

Why can’t I get into the webinar? Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard-lined business-grade internet when presenting.

What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

Will there be a recording? No, there will not be a recording or replay.

Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a
video.

Questions about the Event

Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. If slides are being shared, they will be uploaded as a document within the course in Blue Sky and can be downloaded and printed as necessary. We are unable to respond to emails asking for the slides ahead of the presentation.
 

Questions about the Survey

When will I receive my course evaluation survey? Following the completion of the event, the survey will be unlocked and located within the course.

You must complete the survey within 14 calendar days following the event if you would like to receive a CE certificate.

We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.
 

Questions about Continuing Education & Certificates

What is the criteria for receiving CE? If you attend the whole webinar and complete the course evaluation survey, we will issue you the CE that you are eligible for.

How many suicide and ethics CE's will be issued? Please see the event page on https://www.cbicenterforeducation.com/for information about the training, including how much continuing education is offered and what type.

Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of the licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website https://www.cbicenterforeducation.com/for approvals that apply for each specific training.

Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones and technical difficulties).

When will I receive my CE certificate? Upon completion of the event and survey, your certificate will immediately be available.

How will I receive my CE certificate? Your CE certificate will be available through your Blue Sky account and will also be directly sent to your email associated with your Blue Sky account. It will automatically be accessible to you once all previous criteria have been met.

I filled out the wrong email address or misspelled my name on my account registration. How do I get a new certificate? In the registration, it asks for the participant to fill out
their name, licensure, and license number. These fields automatically populate within our certificates. PLEASE NOTE: Any requested changes to the email entered after
registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the
change fees. Please reach out to info@cbicenterforeducation.com

Questions about Accommodation

How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs
and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function.

For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.
 

Additional Questions

I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at info@cbicenterforeducation.com.

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