- A marked and persistent fear of one or more
social or performance situations in which the person is exposed to
unfamiliar people or to possible scrutiny by others. The individual fears
that he or she will act in a way (or show anxiety symptoms) that will be
humiliating or embarrassing. Note: In children, there must be
evidence of the capacity for age-appropriate social relationships with
familiar people and the anxiety must occur in peer settings, not just in
interactions with adults.
- Exposure to the feared social situation
almost invariably provokes anxiety, which may take the form of a
situationally bound or situationally predisposed Panic Attack. Note: In
children, the anxiety may be expressed by crying, tantrums, freezing, or
shrinking from social situations with unfamiliar people.
- The person recognizes that the fear is
excessive or unreasonable. Note: In children, this feature may be
- The feared social or performance situations
are avoided or else are endured with intense anxiety or distress.
- The avoidance, anxious anticipation, or
distress in the feared social or performance situation(s) interferes
significantly with the person's normal routine, occupational (academic)
functioning, or social activities or relationships, or there is marked
distress about having the phobia.
- In individuals under age 18 years, the
duration is at least 6 months.
- The fear or avoidance is not due to the
direct physiological effects of a substance (e.g., a drug of abuse, a
medication) or a general medical condition and is not better accounted for
by another mental disorder (e.g., Panic Disorder With or Without
Agoraphobia, Separation Anxiety Disorder, Body Dysmorphic Disorder, a
Pervasive Developmental Disorder, or Schizoid Personality Disorder).
- If a general medical condition or another
mental disorder is present, the fear in Criterion A is unrelated to it,
e.g., the fear is not of Stuttering, trembling in Parkinson's disease, or
exhibiting abnormal eating behavior in Anorexia Nervosa or Bulimia Nervosa.
Generalized: if the fears include most
social situations (also consider the additional diagnosis of Avoidant
- Depressed Mood
- Somatic/Sexual Dysfunction
- Anxious/Fearful/Dependent Personality
Panic Disorder With Agoraphobia; Agoraphobia
Without History of Panic Disorder; Separation Anxiety Disorder; Generalized
Anxiety Disorder; Specific Phobia; Pervasive Developmental Disorder; Schizoid
Personality Disorder; Avoidant Personality Disorder; associated features of many
other mental disorders; Anxiety Disorder Not Otherwise Specified; Performance
anxiety, stage fright, and shyness.
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