I wrote an initial blog post yesterday on this month's new NICE guideline on "Social anxiety disorder: recognition, assessment and treatment".  In today's post I would like to focus more on the guideline's very interesting treatment recommendations. 

Fascinatingly this NICE guidance comes down fair & square on the side of one-to-one cognitive therapy as the first line treatment for social anxiety disorder.  So the authors write:

1.3.2 Offer adults with social anxiety disorder individual cognitive behavioural therapy (CBT) that has been specifically developed to treat social anxiety disorder (based on the Clark and Wells model or the Heimberg model; see recommendations 1.3.13 and 1.3.14).

The National Institute for Health and Clinical Excellence (NICE) have just published their new evidence-based clinical guideline on "Social anxiety disorder: recognition, assessment and treatment".  They state: "This clinical guideline offers evidence-based advice on the recognition, assessment and treatment of social anxiety disorder in children and young people (from school age to 17 years) and adults (aged 18 years and older).

A high percentage of chronic pain sufferers seem to be affected by recurrent imagery that is linked to and aggravates their pain.  Often the imagery's occurrence only emerges with careful questioning.  "Rescripting" these images is associated with impressive short term improvements in pain and distress.  What's exciting is the potential for longer term benefits from this kind of rescripting approach ... not only for chronic pain sufferers but also for people suffering from other persistent distressing states like depression and anxiety.

(This & last week's social anxiety blog posts are available as a PDF file or a Word doc - you may need to 'save' the latter before you can open it)

"Courage is not simply one of the virtues but the form of every virtue at the testing point"     C. S. Lewis

(This & next week's social anxiety blog posts are available as a PDF file or a Word doc - you may need to 'save' the latter before you can open it)

"At bottom every man knows well enough that he is a unique being, only once on this earth; and by no extraordinary chance will such a marvelously picturesque piece of diversity in unity as he is, ever be put together a second time."         Frederich Nietzsche