There is nothing new about social anxiety. Specific treatments, including both psychotherapy and pharmacotherapy, are presented in detail, along with other treatment considerations, such as comorbidity. This article details the prevalence, onset, disease impact, and etiology of social anxiety. Treatment for social anxiety can be quite effective and consists of psychotherapy, pharmacotherapy (including such medications as β-blockers, anxiolytics, antidepressants, and anticonvulsants), or a combination. The differential diagnosis for social anxiety includes panic disorder, agoraphobia, atypical depression, and body dysmorphic disorder. Social anxiety may coexist with other disorders, such as depression and dysthymia. It can be either specific (confined to 1 or 2 performance situations) or generalized, and can be diagnosed with a scale-based questionnaire. Social anxiety is fairly common, occurring in as much as 13% of the population, and can be extremely disabling. Social anxiety is defined as a “marked and persistent fear of social or performance situations” and includes such symptoms as sweating, palpitations, shaking, and respiratory distress.
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