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12yr girl is brought to the doc by her mom because she is concerned about her daughter™s difficulty making friends and socializing.Her development and adjustment had been normal until 6mnths ago when she began to refuse to use restrooms at school or eat in the cafeteria.Her mom describes her as a quiet ,serious child who does not readily interact with other people.Her teachers report that her concentration varies;at times,she appears to be daydreaming.On exam,she is reserved but pleasant and appears to be of normal intelligence.Her speech is normal in rate and rhythm.She says that she is concerned that her voice will fail her if she has to read aloud in class.Which of the following is the most likely diagnosis?
. ADHD,inattentive type
.Autistic disorder
.Expressive Language disorder
.Oppositional defiant disorder
.Selective Mutism
.Social Phobia
.Age-appropriate behavior
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can someone explain this one please
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The correct answer is F( Social Phobia).
• Specific social phobia
• Mental health professionals often distinguish between generalized social phobia and specific social phobia. ] People with generalized social phobia have great distress in a wide range of social situations. Those with specific social phobia may experience anxiety only in a few situations. The term "specific social phobia" may also refer to specific forms of non-clinical social anxiety.
• The most common symptoms of specific social phobia are glossophobia, the fear of public speaking and the fear of performance, known as stage fright. Other examples of specific social phobia include fears of writing or eating in public, using public restrooms (paruresis), attending social gatherings, and dealing with authorities.
• Specific social phobia may be classified into performance fears and
interaction fears, i.e., fears of acting in social setting and interacting with other people, respectively
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Hey thanks for the reply, it was pretty helpful!
Could you also tell me how you differentiated from Selective Mutism in this case? And do her bizarre ideas (not wanting to eat at school cafe, etc) have anything to do with the diagnosis here, or should it be considered a distractor? Also, the thing about day dreaming?
