Social anxiety disorder

Social anxiety disorder is characterised by a fear of scrutiny by other people in comparatively small groups(as opposed to crowds like in agoraphobia), leading to avoidance of social situations. 

Social phobia affects3-5 percent of the population and is seen equally in both sexes.

Social phobias may be discrete (i.e., restricted to public speaking, eating in front of others, being unable to urinate in a public lavatory, trembling of hands while writing in presence of others, and not being able to answer questions in social situations) or diffuse, involving almost all social situations outside the family circle.

Social phobias are usually associated with low self esteem and fear of criticism.

The patient may present with complaints of blushing, shakiness or tremors of hands, nausea or urgency of micturition.

Symptoms may progress onto panic attacks. Avoidance is often marked, and in extreme cases may result in complete social isolation.

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