Table 19 DSM-5 diagnosis of SAD (social phobia)

• Marked fear or anxiety about social situations in which the person may be exposed to scrutiny by others

• Fear that actions or showing anxiety symptoms will cause negative evaluation (e.g., embarrassment, humiliation) or offend others

• The social situation:

○ Almost always provokes fear or anxiety

○ Is actively avoided or endured with marked fear or anxiety

• The fear, anxiety, or avoidance:

○ Is out of proportion to the actual threat posed by the social situation

○ Is persistent, typically ≥6 months

○ Causes significant distress or functional impairment

• If another medical condition is present (e.g., stuttering, obesity), the disturbance is unrelated or out of proportion to it

• Specify “performance only” if the fear is restricted to speaking or performing in public