Comment
These results contradict the notion that social phobia is "medicalization" of a normal human emotion. The major distinction between social anxiety and shyness is that the anxiety associated with social phobia results in impairments that are significant enough to negatively impact one or more life areas (school, work, relations with friends or family). Few adolescents with social phobia ever sought treatment for anxiety or received psychiatric medication, which indicates that we need a better system for identifying these youth and helping them get the care they really need to treat the social phobia and other identified comorbidities. The SCARED screening tool is a standardized instrument to screen for child anxiety disorders in primary care and includes questions about shyness and specific anxieties.
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