Social anxiety disorder (social phobia)

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Complications

Left untreated, social anxiety disorder can be debilitating. Your anxieties may run your life. They can interfere with work, school, relationships or enjoyment of life. You may be considered an "underachiever," when in reality it's your fears holding you back, not your ability or motivation. In severe cases, you may drop out of school, quit work or lose friendships. Social anxiety disorder can cause:

  • Low self-esteem
  • Trouble being assertive
  • Negative self-talk
  • Hypersensitivity to criticism
  • Poor social skills

Social anxiety disorder can also result in:

  • A poor work record
  • Low academic achievement
  • Isolation and difficult social relationships
  • Substance abuse
  • Excessive drinking, particularly in men
  • Suicide
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, 2011.
  2. Schneier FR. Social anxiety disorder: Epidemiology, clinical manifestations, and diagnosis. http://www.uptodate.com/home/index.html. Accessed June 17, 2011.
  3. Hollander E, et al. Social phobia (social anxiety disorder). In: Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed June 11, 2011.
  4. Phobic disorders. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec15/ch196/ch196e.html. Accessed June 17, 2011.
  5. Hofmann SG. Psychotherapy for social anxiety disorder. http://www.uptodate.com/home/index.html. Accessed June 17, 2011.
  6. Bruce TJ, et al. Pharmacotherapy for social anxiety disorder. http://www.uptodate.com/home/index.html. Accessed June 17, 2011.
  7. Lee RA. Anxiety disorders. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/154207005-3/0/1494/57.html?tocnode=54111716&fromURL=57.html#4-u1.0-B978-1-4160-2954-0..50014-4_229. Accessed June 10, 2011.
  8. Lakhan SE, et al. Nutritional and herbal supplements for anxiety and anxiety-related disorders: Systematic review. Nutrition Journal. 2010;9:42. http://www.nutritionj.com/content/9/1/42. Accessed June 17, 2011.
DS00595 Aug. 23, 2011

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