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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 28-year-old man reports feeling anxious and self-conscious around people in school, work, and social situations since his early teens. He appears shy and, on questioning, describes avoidance of speaking up in work meetings, attending social gatherings, and dating. He desperately wants to be more socially active but fears he will appear nervous and embarrass himself. How should he be evaluated and
The Clinical Problem
Strategies and Evidence
Evaluation
Treatment
Cognitive–Behavioral Therapy
Pharmacotherapy
Selective Serotonin-Reuptake Inhibitors
Benzodiazepines
Other Medications
Maintenance Therapy
Nongeneralized Social Anxiety
Areas of Uncertainty
Resistance
Treatment of Children and Adolescents
Guidelines
Summary and Recommendations
Source Information
From the Anxiety Disorders Clinic, New York State Psychiatric Institute; and the Department of Psychiatry, Columbia University College of Physicians and Surgeons — both in New York.
Address reprint requests to Dr. Schneier at the Anxiety Disorders Clinic, New York State Psychiatric Institute, 1051 Riverside Dr., Unit 69, New York, NY 10032, or at frs1@columbia.edu.
Related Letters:
Social Anxiety Disorder
Schwaber E. A., Schneier F. R.
Extract |
Full Text |
PDF
N Engl J Med 2006;
355:2702, Dec 21, 2006.
Correspondence
This article has been cited by other articles:
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