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Social anxiety disorder

Social anxiety disorder (SAD), also known as social phobia, is arguably one of the most common mental health problems seen in primary care, only being exceeded by depression; however, it frequently goes unrecognised. It is common that GPs, rather than psychiatrists, face the challenge of making a diagnosis and explaining the treatment options. Evidence suggests that there is a significant need to identify patients with SAD, as it remains under-diagnosed and under-treated. Frequently, patients with SAD present with co-morbid and overlapping anxiety and mood disorders in addition to substance misuse. There are effective treatments for SAD, they include both pharmacotherapy and cognitive behavioural therapy; however, if the condition remains unrecognised there is a strong association with long-term disability and distress. The aim of this article is to increase awareness among GP trainees of this common mental health problem and to shed some light on this disorder and its treatment options.