Abstract: Disclosed are a video conference image-based social anxiety treatment system using biofeedback and exposure therapy, and a recording medium having, recorded thereon, a program for executing a method for same. According to an embodiment of the inventive concept, a social anxiety treatment system includes an anxiety level measurement unit that measures an anxiety level of a subject, which is a target of social anxiety treatment, while the subject performs a speech task through a video conference, a video conference image provision unit that provides the subject with video conference images including a participant connected to and participating in the video conference and a virtual participant prepared in advance, and an exposure therapy level adjustment unit that adjusts an exposure therapy level according to the anxiety level of the subject, which changes according to the video conference images.