1. Category: Anxiety Disorders Source: DSM-IV TR

2. Characterized by an intense fear in social situations causing considerable distress and impaired ability to function Can be specific (only some situations are feared) or generalized Generalized = persistent, intense, chronic fear of being judged by others and being embarrassed or judged by one’s own actions

3. About 13.3% of the population may meet criteria for SAD at some point in their lives Third most prevalent disorder in the US after depression and alcohol dependence 2 to 3 male to female ratio

4. Excessive blushing Sweating Trembling Nausea Stammering Panic attacks

5. Three times more likely to suffer SAD if a family members has been diagnosed Previous negative social experience 50% of those diagnosed can identify a specific traumatic event Social/cultural factors Other cultures more accepting of shyness (US vs China studies) Evolutionary context Fight or flight Substance abuse Psychological factors Develop based on personality and adverse experiences and are activated when the person feels under threat

6. Psychotherapy Cognitive behavior therapy has been shown to be affective Medication SSRIs Zoloft Prozac Paxil Both