Social Phobia: Causes

Pathogenesis (development of the disease) Individuals with social phobia often exhibit psychosocial stressors. These are often family overprotection and isolation, as well as a positive family history for the presence of mental disorders such as anxiety disorders or depression. Etiology (causes) Biographical causes Anxious, introverted personality structure. Frequent humiliations, offenses in the anamnesis.

Social Phobia: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Hyperthyroidism (overactive thyroid gland). Cardiovascular system (I00-I99) Cardiovascular disease, unspecified. Psyche – nervous system (F00-F99; G00-G99). Depression Organic anxiety disorders Personality disorder Primary anxiety disorders such as agoraphobia (claustrophobia). Psychiatric anxiety disorders Addictive disorders, especially alcohol dependence. Other conditions that can be confused with social phobia: Shyness

Social Phobia: Complications

The following are the most important diseases or complications that may be contributed to by social phobia: Factors that influence health status and lead to health care utilization (Z00-Z99). Suicide (suicide) Psyche – nervous system (F00-F99; G00-G99) Other anxiety disorders Depression Eating disorders Social withdrawal up to loneliness Addictions Symptoms and abnormal clinical and laboratory … Social Phobia: Complications

Social Phobia: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes [tremor (shivering), flushing]. Inspection and palpation (palpation) of the thyroid gland [due todifferential diagnosis: hyperthyroidism (hyperthyroidism)]. Auscultation (listening) of the heart [palpitations]. Auscultation of the … Social Phobia: Examination

Social Phobia: Drug Therapy

Therapy target Improvement of symptomatology Therapy recommendations Antidepressants, if necessary: Selective serotonin reuptake inhibitors (SSRIs): paroxetine, escitalopram, sertraline. Selective serotonin norepinephrine reuptake inhibitors (SSNRI): venlafaxine. Monoamine oxidase inhibitors: moclobemide If necessary, short-term, i.e. 2- 4 weeks (due toRisk of dependence): lorazepam, temazepam (benzodiazepines). The use of medication can achieve satisfactory therapeutic results only with simultaneous … Social Phobia: Drug Therapy

Social Phobia: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification in the case of clinical indications Electrocardiogram (ECG) – for suspected structural heart disease. Electroencephalography (EEG) – if brain changes are suspected.

Social Phobia: Medical History

Medical history (history of illness) represents an important component in the diagnosis of social phobia. Family history Are there frequent mental health problems in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints) (modified … Social Phobia: Medical History