Angststoornissen - Vereniging EMDR Nederland

SOCIALE ANGSTSTOORNIS
Maak onderscheid tussen het gegeneraliseerde subtype en het specifieke subtype. Bij
het gegeneraliseerde subtype kan doorgaans het beste worden gestart met hetzij exposure
in vivo (met name wanneer vermijding centraal staat) of cognitieve herstructurering
(met name wanneer disfunctionele cognities centraal staan). Wanneer de
gekozen behandeling onvoldoende effect heeft kan de behandeling worden gecombineerd
met sociale vaardigheidstraining (met name wanneer gebrekkige sociale vaardigheden
centraal staan) of met taak concentratie training (met name wanneer overbetrokkenheid
op het eigen functioneren centraal staat). Wanneer nog steeds onvoldoende
resultaat wordt bereikt, kan in de hoofdinterventie worden ‘geswitched’ van
exposure naar cognitieve herstructurering of andersom.
Bij het specifieke subtype sociale fobie worden dezelfde beslisprocedures toegepast,
zij het dat sociale vaardigheidstraining doorgaans geen ondersteunende interventie
zal zijn naast exposure in vivo en/of cognitieve herstructurering.
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