Therapeutic strategies for patients with social phobia

Social phobia is a serious condition in the range of anxiety disorders which, until quite recently, has not been given due attention in research. In this paper we compare existing studies and follow-up results of behaviour therapy and pharmacotherapy. We have endeavoured to work out an effective therapy for this serious condition. Apart from psychological education as a basic therapeutic element, the use of effective drugs promises to yield good results, especially in conjunction with behaviour therapy, including training in social skills, cognitive therapy and exposure therapy. Whichever form of treatment is chosen depends on the patient's preference and the availability of services. If the patient does not respond, the possible causes should be examined thoroughly and new types of treatment considered. A combination of behaviour and drug treatments might be provided for special groups.