Patient discussions
Patients should be educated about evidence-based treatment options, especially the efficacy and effectiveness of pharmacotherapy and cognitive behavioural therapy. Patients may benefit from web-based education materials. Anxiety & Depression Association of America: social anxiety disorder Opens in new window National Institute of Mental Health: anxiety disorders Opens in new window Anxieties.com (web-based CBT program and resources) Opens in new window PSYCHE: how to overcome social anxiety Opens in new window
Treatment options can involve self-help, computer-assisted, or therapist-assisted interventions. Attempts should be made to normalise the patient's distress and ambivalence for seeking treatment. The health professional should discuss how anxiety, avoidance behaviour, and other comorbid conditions may be contributing to functional impairment. Motivational enhancement strategies, problem solving barriers to accessing care, and timely follow-up with treatment recommendations can bolster patient compliance with treatment. The health professional should consider patient preference, availability, and cost-effectiveness when deciding treatment options.
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