Playing it safe: How social anxiety can trick us

This resource introduces the concept of safety behaviours, showing how attempts to ‘play it safe’ can unintentionally maintain social anxiety.

Using Amina’s story as an example, it helps young people identify their own safety behaviours and reflect on why anxiety returns, even when nothing bad happens. Designed to support psychoeducation and collaborative discovery within CBT.

References & Further Reading

  • Alves F, Figueiredo DV, Vagos P. (2022)  The Prevalence of Adolescent Social Fears and Social Anxiety Disorder in School Contexts. Int J Environ Res Public Health
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (p. 69–93). The Guilford Press.
  • Connor, K.M., Davidson, J.R., Churchill, L.E., Sherwood, A., Weisler, R.H. and Foa, E., 2000. Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 176(4), pp.379-386.
  • Hofmann SG. Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cogn Behav Ther. 2007;36(4):193-209. doi: 10.1080/16506070701421313. (Accessed 29/02/24)
  • Kashdan, T.B. and Herbert, J.D., 2001. Social anxiety disorder in childhood and adolescence: Current status and future directions. Clinical child and family psychology review, 4, pp.37-61.
  • Knappe S., Sasagawa S., Creswell C. (2015) Social Anxiety and Phobia in Adolescents. Springer; Cham, Switzerland: Developmental Epidemiology of Social Anxiety and Social Phobia in Adolescents; pp. 39–70.
  • Leigh E, Clark DM. Cognitive Therapy for Social Anxiety Disorder in Adolescents: A Development Case Series. Behavioural and Cognitive Psychotherapy. 2016;44(1):1-17. doi:10.1017/S1352465815000715 (Accessed 29/02/24)
  • Leigh, E., Percy, R., Clark, D.M., Creswell, C. and Waite, P., 2023. Cognitive and behavioural processes in adolescents with social anxiety disorder. Behaviour Research and Therapy, 170, p.104416.
  • Mohammadi, M.R., Salehi, M., Khaleghi, A., Hooshyari, Z., Mostafavi, S.A., Ahmadi, N., Hojjat, S.K., Safavi, P. and Amanat, M., 2020. Social anxiety disorder among children and adolescents: A nationwide survey of prevalence, socio-demographic characteristics, risk factors and co-morbidities. Journal of affective disorders, 263, pp.450-457.