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Treating Comorbid Social Anxiety and Alcohol Use Disorders

Combining Motivation Enhancement Therapy With Cognitive-Behavioral Therapy

Florida State University

Deborah Roth Ledley

Temple University

Richard G. Heimberg

Temple University

Norman B. Schmidt

Florida State University, schmidt{at}psy.fsu.edu

Social anxiety disorder (SAD) and alcohol use disorders (AUD) co-occur at particularly high rates, resulting in greater impairment than either disorder alone. Thus, the development of effective treatments for patients with SAD and comorbid AUD is an important clinical and research aim. Yet little work has examined treatments for SAD with comorbid AUD. Given the efficacy of motivation enhancement therapy (MET) for AUD and cognitive-behavioral therapy (CBT) for SAD, combining MET with CBT may decrease symptoms of both AUD and SAD. The present case study outlines the successful use of combined MET-CBT to treat a 33-year-old man with a long history of generalized SAD with AUD. Following 19 sessions of MET-CBT, the patient was considered in remission for both disorders, with notable decreases in social anxiety and alcohol-related problems (with continued gains at 6-month follow-up). Although these data are preliminary, they indicate that the combination of MET and CBT may be a viable approach to the treatment for patients with SAD and comorbid AUD.

Key Words: social anxiety disorder • social phobia • alcohol use disorder • motivation enhancement therapy • cognitive-behavioral therapy • motivational interviewing

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