Evidence-based psychotherapy treatments are effective for social phobia. A recent study found that adolescents treated for social phobia with psychotherapy were able to maintain improvements for 5 years posttreatment.3 Referral to a psychiatrist is a consideration but would not be the first choice because the patient is adverse to pharmacologic interventions. Exercise may be beneficial, but additional treatment is indicated. Psychologic testing would not be helpful.
- Referral to a psychotherapist experienced in social phobia.
3. Garcia-Lopez LJ, Olivares J, Beidel D, et al. Efficacy of three treatment protocols for adolescents with social anxiety disorder: a 5-year follow-up assessment. J Anxiety Disord 2006;20:175-91.
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