Why social anxiety shows up

This psychoeducational resource is designed to help young people understand why social anxiety commonly emerges during adolescence.

It outlines key contributing factors including evolutionary responses to social threat, neurobiological differences in sensitivity, the impact of past experiences, and the role of self-perception. The resource supports clinicians in normalising anxiety responses while facilitating reflective discussion and engagement in early-stage CBT work.

References & Further Reading

  • 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.
  • 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.).
  • 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.