Social Phobia
Social Phobia (DSM code 300.23) Marked and persistent fear of one or more social or performance situations involving exposure to unfamiliar people or to possible scrutiny by others; individual fears that he or she will act in a way (or show anxiety symptoms) that will be humiliating or embarrassing In children, evidence requires the capacity for age-appropriate social relationships with familiar people and anxiety must occur in peer settings, not just in interactions with adults Exposure to feared social situation almost invariably provokes anxiety, which may take the form of situationally bound or situationally predisposed panic attack; in children, anxiety may be expressed by crying, tantrums, freezing, or shrinking from social situations with unfamiliar people Person recognizes fear as excessive or unreasonable; in children, this feature may be absent Feared social or performance situations avoided or endured with intense anxiety or distress Avoidance, anxious anticipation, or distress in feared social or performance situation(s) interferes significantly with normal routines, occupational (academic) functioning, or social activities or relationships, or marked distress about phobia present In individuals under age eighteen, duration of at least six months Fear or avoidance not due to direct physiological effects of a substance or general medical condition Not better accounted for by another mental disorder such as Panic Disorder with or Without Agoraphobia, Separation Anxiety Disorder, Body Dysmorphic Disorder, a Pervasive Developmental Disorder, or Schizoid Personality Disorder If general medical condition or another mental disorder present, fear unrelated to it Specify if Generalized (fears include most social situations)
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