Social anxiety disorder (social phobia)

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Definition

It's normal to feel nervous in some social situations. Going on a date or giving a presentation may give you that feeling of having butterflies in your stomach, for instance. This isn't social anxiety disorder.

In social anxiety disorder, everyday interactions cause extreme fear and self-consciousness. It may become impossible for you to eat with acquaintances or write a check in public, let alone go to a party with lots of strangers. If your life is disrupted by this kind of fear, you may have social anxiety disorder.

If you or a loved one has social anxiety disorder, take heart. Effective treatment — often with cognitive behavioral therapy, medication and positive coping skills — can improve the symptoms of social anxiety disorder and open up new opportunities.

References
  1. Social phobia (social anxiety disorder). In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed June 11, 2009.
  2. Hollander E, et al. Social phobia (social anxiety disorder). In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed June 11, 2009
  3. Bruce TJ, et al. Social anxiety disorder. http://www.uptodate.com/home/index.html. Accessed June 11, 2009.
  4. Phobic disorders. The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec15/ch196/ch196e.html. Accessed June 11, 2009.
  5. Social phobia (social anxiety disorder). National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/social-phobia-social-anxiety-disorder/index.shtml#SocialPhobia. Accessed June 11, 2009.
  6. Feldman MD, et al. Phobias. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008: http://www.mdconsult.com/das/book/body/142893743-5/851356429/1701/448.html#4-u1.0-B978-0-323-04134-8..50019-7--subchapter28_9560. Accessed June 11, 2009.
  7. Abramowitz JS. Self-help cognitive-behavioral therapy with minimal therapist contact for social phobia: A controlled trial. Journal of Behavior Therapy and Experimental Psychiatry. 2009;40:98.
  8. Ebell MH. Diagnosis of anxiety disorders in primary care. American Family Physician. 2008;78:501.
  9. Whiteside SP (expert opinion). Mayo Clinic, Rochester, Minn. June 17, 2009.

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Aug. 28, 2009

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