Rosh Psychiatry Board Practice Exam

What is a common trait of social anxiety disorder?

1. Clarity in social settings

2. Sudden bursts of anger in social environments

3. Fear of being scrutinized in social situations

4. Compulsive solitude

The correct answer is: Fear of being scrutinized in social situations

A common trait of social anxiety disorder is the intense fear of being scrutinized in social situations. Individuals with this disorder often experience overwhelming anxiety when faced with social interactions, stemming from worries about being judged, embarrassed, or rejected. This fear can become so pervasive that it leads to avoidance of social events and significant impairment in daily functioning. The essence of the disorder lies in the excessive concern over how one is perceived by others, which can manifest in avoidance behaviors and physical symptoms, such as blushing, sweating, or trembling, when they are in social settings. This distinguishes social anxiety from other conditions like generalized anxiety disorder, where the anxiety is more diffuse and not specifically tied to social situations. Other choices present characteristics that do not align with social anxiety disorder. For instance, clarity in social settings indicates comfort and ease, which is contrary to the experience of those with social anxiety. Sudden bursts of anger may suggest other mood or personality disorders, rather than the central features of social anxiety disorder. Lastly, while individuals may feel compelled to isolate themselves due to their fears, this is not a defining trait of the disorder; instead, it is a potential consequence of their anxiety.