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Adolescent Social Phobia in Clinical Services

  • Chapter
Social Anxiety and Phobia in Adolescents

Abstract

The normal course of adolescence presents many developmental challenges at the biological, psychological, and interpersonal level (Steinberg 2004; Levpuscek 2006). The onset of puberty, increasing complexity of peer relationships and increased expectations at home, school, and often work, can make successful transition through adolescence complex even for the most well-adjusted teen. Social anxiety disorder (SAD) in adolescence exacerbates these challenges exponentially. As such, study of SAD during this developmental stage is of particular importance, given that SAD frequently onsets during adolescence and disrupts functioning and quality of life throughout the life span (Brown et al. J Abnorm Psychol 110:49–58, 2001; Burstein et al. J Am Acad Child Adoles Psychiatry 50:870–880, 2011; Rosellini et al. J Psychopathol Behav Assess 35:356–365, 2013). This chapter provides an overview of the ways in which adolescence provides fertile ground for the development and exacerbation of SAD, focusing on the particular challenges unique to this developmental stage at the biological, cognitive, behavioral, and interpersonal level. Next, we review the ways in which empirically supported treatments and interventions have been tailored to meet those challenges in this age group. The chapter also addresses how recent sociocultural changes and contemporary research have increased awareness of how these challenges can extend and develop during emerging adulthood. Finally, we discuss new frontiers in empirically supported treatments to engage the challenges accompanying this newly recognized developmental stage transition.

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Notes

  1. 1.

    One will note that the age-group labels differ somewhat from conventional labels (including, indeed, other chapters in this volume). For the purposes of accurate reporting, we have chosen to conform to the labels used in the research reviewed in this study. We will address this labeling concern in more detail in the conclusion of this chapter.

  2. 2.

    In fact, the earlier Wittchen and Fehm article reported that epidemiological samples find a unimodal peak onset during childhood and adolescence, between the ages of 10 and 16, while clinical samples report evidence for somewhat lower age of onset of the generalized subtype as compared with the nongeneralized subtype. The nature of these subtypes, as well as their continued redefinition, has been debated as recently as the latest edition of the Diagnostic and Statistical Manual (DSM-5; APA 2013).

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    John D. Guerry PhD

  2. Child and Adolescent Psychiatry, Columbia University Clinic for Anxiety and Related Disorders, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY, USA

    James Hambrick PhD & Anne Marie Albano PhD, ABPP

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  1. John D. Guerry PhD
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  2. James Hambrick PhD
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  3. Anne Marie Albano PhD, ABPP
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Correspondence to Anne Marie Albano PhD, ABPP .

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Editors and Affiliations

  1. Dept of Adolescent Psychiatry, Helsinki University Central Hospital, Helsinki, Finland

    Klaus Ranta

  2. University of Miami, Coral Gables, Florida, USA

    Annette M La Greca

  3. Department of Psychology, University of Jaen, Jaen, Spain

    Luis-Joaquin Garcia-Lopez

  4. Department of Mental Health and Substance Abuse, National Institute for Health and Welfare, Helsinki, Finland

    Mauri Marttunen

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Guerry, J.D., Hambrick, J., Albano, A.M. (2015). Adolescent Social Phobia in Clinical Services. In: Ranta, K., La Greca, A., Garcia-Lopez, LJ., Marttunen, M. (eds) Social Anxiety and Phobia in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-16703-9_9

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