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Review
. 2019 Apr 2:8:212573.
doi: 10.7573/dic.212573. eCollection 2019.

Comorbidity in social anxiety disorder: diagnostic and therapeutic challenges

Ahmet Koyuncu  1 , Ezgi İnce  2 , Erhan Ertekin  2 , Raşit Tükel  2
Affiliations
Review

Comorbidity in social anxiety disorder: diagnostic and therapeutic challenges

Ahmet Koyuncu et al. Drugs Context. .

Abstract

Comorbid disorders are highly prevalent in patients with social anxiety disorder, occurring in as many as 90% of patients. The presence of comorbidity may affect the course of the disease in several ways such as comorbidity in patients with social anxiety disorder (SAD) is related to earlier treatment-seeking behavior, increased symptom severity, treatment resistance and decreased functioning. Moreover, comorbidities cause significant difficulties in nosology and diagnosis, and may cause treatment challenges. In this review, major psychiatric comorbidities that can be encountered over the course of SAD as well as comorbidity associated diagnostic and therapeutic challenges will be discussed.

Keywords: alcohol use disorder; anxiety; bipolar disorder; comorbidity; major depression; mood disorders; personality disorder; social anxiety disorder.

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Conflict of interest statement

Disclosure and potential conflicts of interest: The authors declare that they have no conflicts of interest. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors are available for download at http://www.drugsincontext.com/wp-content/uploads/2019/02/dic.212573-COI.pdf

References

    1. American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: APA; 2013.
    1. Heimberg RG, Hofmann SG, Liebowitz MR, et al. Social anxiety disorder in DSM-5. Depress Anxiety. 2014;31(6):472–479. doi: 10.1002/da.22231. - DOI - PubMed
    1. Bögels SM, Alden L, Beidel DC, et al. Social anxiety disorder: questions and answers for the DSM-V. Depress Anxiety. 2010;27(2):168–189. doi: 10.1002/da.20670. - DOI - PubMed
    1. Crome E, Grove R, Baillie AJ, et al. DSM-IV and DSM-5 social anxiety disorder in the Australian community. Aust N Z J Psychiatry. 2015;49(3):227–235. doi: 10.1177/0004867414546699. - DOI - PMC - PubMed
    1. Stein MB, Craske MG. Treating anxiety in 2017: optimizing care to improve outcomes. JAMA. 2017;318(3):235–236. doi: 10.1001/jama.2017.6996. - DOI - PubMed