P01-116 - A Critical Review of 30 Social Phobia Cases or Social Anxiety Disorder's Recorded in a Rural Indian Clinic in 2009

Abstract

Introduction

Fear or phobia is an old & basic instincts that may be as old as mankind. Fear is cenrtal feature in numerous mental disorders like Schizophrenia, delusional disorder, depression, anxiety disorders and as the only distressing symptom in phobic anxiety disorder.

Objectives

Anatomical or physiological pathways of fear transmission also involves circuit that is primitive part of brain including amylgdolia, hippocampus, rhinenochephalon & papez circuit. In social phobia persistent & distressing anticipatory fears in the scenario where there is a chance of several strangers, or an imaginatory scrutiny by others in performnance/in appearance is so intense that the person avoid such situation or dreaded in enfronting such situations.

Aims

This study is a clinical review of such cases seen very recently, & look into the patterns of their presentation.

Methods

30 cases those were diagonosed as social phobia as per diagnostic criteria of DSM-4TR & were seen in a district clinic 126k.m far from capitol town of Kolkata during the period 1st Jan-31stoct09 are taken here for consideration. 18 males & 12 females, all in the age group of 18-42 with a median average of 25 years, were recorded. There were Panic state mimcking distress to majority of patients who were present into gathering unknown to them or in some sort of performance like public delivery of speach on some subjects, or sing or even in imaginatory situation where scope of escape was not feasible.

Results

Reliefs were partialy achived in 3 weeks of pharmacotherapy using clonazepam, SSRI/Paroxitine/Sertaline/fluvoxamine or TCA's clomipramine & behavior therapy.

Conclusions

An arena of further study.