Social phobia |
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| 2007-12-24 | No history |  | Add My version | |
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| Mind map Social phobia (from MedMaps.co.uk) - the online mind map resource for medical students and doctors. Psychiatry. Medicine. | |
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Social phobia
Characteristics
Definition
fear of humiliation/embarassment in social situations
excessive
insight ok
severe anxiety/distress
in anticipation
& during social event
fuctional impairment
2ary to avoidance of situations
presentation
public speaking
high responsibility jobs
In absence of other psychiatric disease/drug/organic cause
Types
Generalised
all situations
Non-Generalised
specific situations
Associations
Single
Less educated
80% other psychiatric disease
simple phobias
PTSD
Depression
Dysthymia
female
2.5:1
substance abuse
Causes
stressful/humiliating experience
spontaneous onset
genetic factors
Pathogenesis
Lifetime prevalence
2-5%
depending on diagnosis
Age of onset
bimodal
5yrs & 15 yrs old
present ~30yrs old
Complications
increased risk of suicide
Management
Treatment
No clear guidelines
taylor treatment to comorbidities
avoid polypharmacy
check for substance abuse & interactions
Pharmacological
SSRIs
MAOIs
Tricyclics
Benzodiazepines
Beta-blockers
Psychological
CBT
12 sessions
Prognosis
lifelong course if untreated
Differential
GAD
focus is on catastrophes
Agarophobia
feel ok with people
Depression
different reason for withdrawal
Schizophrenia
paranoia
Avoidant personality disorder
S&S
Fear
judgement of others
Autonomics
palpitations
trembling
sweating
'butterflies in stomach'
loose bowel motions
comfort when alone
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