Specific phobia and social anxiety disorder (social phobia) Quiz: Ace Your Exams
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A 28-year-old woman comes to the psychiatric clinic due to severe distress over the past eight months regarding an upcoming family wedding. The patient feels paralyzed when thinking about giving a speech at the event and has considered skipping the wedding altogether. The patient worries about “saying something stupid” or being judged. She has also experienced anxiety when asked to give speeches at work. There is no fear of flying, heights, animals, or blood. There is no other significant psychiatric or medical history. Temperature is 37.0°C (98.6°F), pulse is 66/min, respirations are 15/min, and blood pressure is 112/66 mmHg. Cardiopulmonary exam is unremarkable. The mental status exam shows a cooperative adult with an anxious affect, normal speech, and appropriate grooming and hygiene. Which of the following is the most likely diagnosis?
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