What Is CT-SAD?

Cognitive Therapy for Social Anxiety Disorder (CT-SAD)

CT-SAD is the most well-researched and effective treatment for social anxiety available today. Developed at Oxford University, it helps people break free from the cycle of self-consciousness, overthinking, avoidance, and fear of judgment.

Social anxiety is not simply “being shy.” It can feel like carrying the constant weight of monitoring how you appear, rehearsing what to say, and replaying conversations after they happen. It is the fear that others are judging you, even when they have not said a word. Many people with social anxiety already spend much of their day facing fears just to get by, yet when those moments do not feel safe, lasting change does not happen.

That is where CT-SAD comes in. This therapy changes the way you experience social situations—not just by talking about anxiety, but by doing something different while those moments are happening. You will learn how to:

  • Shift your attention outward so you are no longer stuck in your head

  • Drop habits that quietly reinforce fear

  • Reclaim your ability to be present, spontaneous, and connected

CT-SAD is active, structured, and collaborative. We work together to map out exactly what is keeping you stuck and practice stepping out of that cycle in real time.

At Apex Therapy, we are trained to provide this highly specialized treatment. If you are ready to move past constant overthinking and show up differently, we are here to help you do that work.