SOCIAL ANXIETY DISORDER IN DSM-5

Authors

  • Richard G. Heimberg Ph.D.,

    Corresponding author
    1. Department of Psychology, Adult Anxiety Clinic, Temple University, Philadelphia, Pennsylvania
    • Correspondence to: Richard Heimberg, Adult Anxiety Clinic, Department of Psychology, Temple University, Weiss Hall, 1701 N. 13th St., Philadelphia, PA 19122. E-mail: heimberg@temple.edu

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  • Stefan G. Hofmann Ph.D.,

    1. Department of Psychology, Boston University, Boston, Massachusetts
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  • Michael R. Liebowitz M.D.,

    1. Department of Psychiatry, Columbia University College of Physicians and Surgeons and the Medical Research Network, New York, New York
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  • Franklin R. Schneier M.D.,

    1. Anxiety Disorders Clinic, New York State Psychiatric Institute and Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, New York
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  • Jasper A. J. Smits Ph.D.,

    1. Department of Psychology and the Institute for Mental Health Research, University of Texas at Austin, Austin, Texas
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  • Murray B. Stein M.D., M.P.H.,

    1. Department of Psychiatry, University of California at San Diego, La Jolla, California
    2. Department of Family & Preventive Medicine, University of California at San Diego, La Jolla, California
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  • Devon E. Hinton M.D., Ph.D.,

    1. Department of Psychiatry, Harvard University, Cambridge, Massachusetts
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  • Michelle G. Craske Ph.D.

    1. Department of Psychology, University of California at Los Angeles, Los Angeles, California
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Abstract

With the publication of DSM-5, the diagnostic criteria for social anxiety disorder (SAD, also known as social phobia) have undergone several changes, which have important conceptual and clinical implications. In this paper, we first provide a brief history of the diagnosis. We then review a number of these changes, including (1) the primary name of the disorder, (2) the increased emphasis on fear of negative evaluation, (3) the importance of sociocultural context in determining whether an anxious response to a social situation is out of proportion to the actual threat, (4) the diagnosis of SAD in the context of a medical condition, and (5) the way in which we think about variations in the presentation of SAD (the specifier issue). We then consider the clinical implications of changes in DSM-5 related to these issues.

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