THE NATURE OF SOCIAL ANXIETY DISORDER

The essential feature of social anxiety disorder (social phobia) is a fear of scrutiny by other people in social or performance situations. The level of anxiety experienced by the person with social anxiety dis order is excessive, and results in substantial impairment in the suffe rer's social, family, and professional life. Three distinct subtypes o f the disorder have been identified: generalized social anxiety disord er, in which the individual fears a multitude of social situations; no ngeneralized social anxiety disorder, in which only 2 or 3 situations are feared; and public-speaking phobia. Results from a number of studi es suggest that these subtypes of social anxiety disorder may represen t distinct clinical syndromes, with the generalized subtype producing the most severe disability. Despite the prevalence of social anxiety d isorder and the disability it causes, this condition remains underdiag nosed, and thus undertreated, by clinicians. This review discusses the barriers that prevent people who have this disorder from seeking help , and the steps that clinicians can take to aid their recognition and treatment of the disorder. It is only by effective diagnosis and treat ment that the burden of social anxiety disorder will be lifted, allowi ng patients to resume a normal life.