Social anxiety disorder (SAD) is characterized by a marked fear or anxiety about social situations in which the child or adolescent perceives that he or she may be scrutinized by others. This chapter reviews the current state of treatment for youth with SAD, beginning with a brief discussion of the etiology of social anxiety, followed by an overview of the empirical support for cognitive behavioral interventions. It reviews three empirically supported interventions for social anxiety in youth, such as the Coping Cat, cognitive behavioral group therapy for adolescents (CBGT-A), and social effectiveness therapy for children and adolescents (SET-C). The Many factors, including genetic, neurobiological, cognitive, and environmental, have been implicated in the development of SAD. The most efficacious psychological treatment for SAD is cognitive behavioral therapy (CBT). Despite SAD’s pervasiveness and multiple causes, efficacious cognitive behavioral treatment exists and is effective.