Social Anxiety Disorder Counseling Outcomes: Meta‐Analysis of Studies From 2000 to 2024

ABSTRACT This meta‐analysis of 147 articles examined the effectiveness of counseling in reducing symptoms of social anxiety disorders (SADs) and the durability of these treatments upon follow‐up assessments. Depending upon the type of comparison group used, counselors can expect average posttreatment effect size gains of (Cohen's d ) 0.466 (95% CI [0.294, 0.638]) to 1.047 (95% CI [0.946, 1.149]) (primarily moderate to large effects of treatment) and follow‐up effect size gains of 0.680 (95% CI [0.212, 1.149]) to 1.285 (95% CI [1.072, 1.498]) (primarily moderate to large effects of treatment) for placebo to single‐group comparisons, respectively. The hypothesized moderators used within the study revealed only one moderator analysis. Homogeneity of effect size averages ( χ 2 , I 2 ) was evident across all comparison groups, so no moderation study follow‐ups were required. These results are consistent with and expand previous meta‐analyses of the treatment of SAD using counseling interventions. Counseling treatment of SAD was effective regardless of approach, meaning that traditional counseling, internet‐based, and low‐contact interventions are all viable. Earlier interventions, wider availability of treatment options, and cost‐effectiveness studies are needed. The prevalence, functional impairment, and treatment avoidance associated with SAD reinforce the critical role of counseling in promoting recovery and enhancing quality of life.