BMJ Best Practice Podcast Social anxiety disorder
Sep 25, 2025
Professor Craig Sawchuk, a leading expert in social anxiety disorder from the Mayo Clinic, dives into the common yet debilitating condition that affects millions. He explains the critical differences between shyness and social anxiety, revealing fascinating insights into diagnosis and treatment approaches. The discussion spans effective cognitive behavioral therapy (CBT) techniques, the role of medication, and the significant delays many face before seeking help. Listeners will also learn about emerging online therapy options and how to navigate the path to improvement.
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Core Definition Of Social Anxiety
- Social anxiety disorder centers on fear of social situations and being embarrassed or rejected.
- That fear drives avoidance and long-term life problems if untreated.
Diagnose With Interview And Targeted Scales
- Use clinical interviews plus specific questionnaires like the Social Phobia Inventory to diagnose social anxiety.
- Ask about fear of negative evaluation, impact over time, and avoidance or safety behaviours.
Shyness Versus Disorder
- Shyness exists on a continuum and is a personality trait, not always pathological.
- Shyness can be a risk factor but many shy people have good quality of life without disorder.