Comparing two therapies for veterans with social anxiety disorder
Official title: A Randomized Clinical Trial Comparing Transdiagnostic Behavior Therapy to Disorder-Specific Psychotherapy in the Recovery of Veterans With Social Anxiety Disorder and Comorbid PTSD Symptomatology
Run by VA Office of Research and Development · NCT05858346 · Data updated 2026-11-12
This study is testing whether a new therapy for social anxiety can help veterans feel better compared to the usual therapy they receive.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 264 (estimated) |
| Sponsor | VA Office of Research and Development Federal |
| Locations | 1 site (Charleston, South Carolina) |
| Status | Recruiting |
| Started | April 1, 2024 |
| Main results expected | April 1, 2027 |
| Study ends | October 31, 2027 |
| Registry record updated | February 10, 2026 |
| Trial ID | NCT05858346 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are veterans registered at the Ralph H. Johnson Veterans Affairs Health Care System who meet the criteria for social anxiety disorder and have significant PTSD symptoms.
✕Probably not a fit
Patients with recent psychiatric hospitalizations, severe medical conditions, or primary diagnoses of psychotic disorders, personality disorders, substance use disorders, or bipolar disorder may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of Transdiagnostic Behavior Therapy (TBT) compared to traditional Cognitive Behavioral Therapy (CBT) specifically for veterans suffering from social anxiety disorder (SAD) and comorbid posttraumatic stress disorder (PTSD). The research employs a randomized controlled trial design, assessing psychiatric symptoms and quality of life at multiple time points, including pre-treatment, mid-treatment, post-treatment, and at a 6-month follow-up. Veterans will be recruited from various mental health programs within the Charleston VA Health Care System, and their participation will involve a thorough intake process to ensure eligibility. The study aims to improve psychological well-being and social reintegration for participants.
Why it matters
Potential benefit: If successful, this study could provide a more efficient and accessible treatment option for veterans with social anxiety disorder and PTSD.
How similar studies have gone: Other studies have shown promise in using transdiagnostic approaches for treating anxiety disorders, suggesting potential success for this novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants must be Veterans and registered at Ralph H. Johnson Veterans Affairs Health Care System * Participants must be clearly competent to provide informed consent for research participation * Participants must meet DSM-5 criteria for social anxiety disorder * Participants must have clinically significant symptoms of comorbid posttraumatic stress Exclusion Criteria: * recent history (\< 2 months) of psychiatric hospitalization or a suicide attempt as documented in their medical record, * acute, severe illness or medical condition that likely will interfere with study procedures as documented in their medical record * recent start of new psychiatric medication(s) (\< 4 weeks), * primary diagnosis of a condition associated with psychotic symptoms, personality disorder, substance use disorder, or bipolar disorder.
Where it's running
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Ralph H. Johnson VA Medical Center, Charleston, SC
Charleston, South Carolina, United States Recruiting
Study contacts
- Principal investigator: Daniel F Gros, PhD MA BS — Ralph H. Johnson VA Medical Center, Charleston, SC
- Study coordinator: Daniel F Gros, PhD MA BS
- Email: daniel.gros@va.gov
- Phone: (843) 789-6225
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Anxiety Skills Study: See if video skill training plus therapy helps people with anxiety
This study tests whether a brief video-based skill training can help people with anxiety as well as four therapy sessions, and how durable the effects are over a year.
-
taVNS Therapy for Social Anxiety Disorder
This study tests whether non-invasive taVNS can help reduce social anxiety symptoms in adults with SAD.
-
Metacognitive Therapy vs Cognitive-Behavioral Therapy for Anxiety Disorders
This study asks people with generalized anxiety disorder, social anxiety disorder, or PTSD to share their experiences after trying metacognitive therapy or disorder-specific cognitive-behavioral therapy in a randomized trial.
-
VR exposure therapy versus sertraline for social anxiety in teens
This study will test whether virtual reality exposure therapy or the medication sertraline works better for adolescents aged 12–17 with social anxiety.
-
Mindful Self-Compassion delivered in person versus by video for anxiety and depression
This project will see if an 8-week Mindful Self-Compassion class delivered in person or by video helps people with anxiety or depression have fewer symptoms.
-
Stepped versus stratified care for anxiety in children and adolescents
This project tests whether starting all 8–17-year-olds with anxiety on online CBT and adding in-person CBT only if needed (stepped care) works as well as assigning online or in-person CBT up front based on clinical complexity (stratified care).
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.