The scientific literature supports the use of CBT. CBT uses practical and logical strategies directed at changing the factors that maintain anxiety such as negative thoughts or expectations, physical symptoms, avoidance, and the reactions and responses of adults to an anxious child. Children learn to think more realistically about fears and to confront the feared social situations.
Group therapy which provides experiences in social skills, such as initiating conversations, inviting others to get together, and being assertive is also helpful.
When deemed necessary by a child and adolescent psychiatrist, a combination of CBT and medication may be prescribed.