A person has poor performance in front of his seniors in public place, has tachycardia when he has to deliver a lecture, avoids going to paies. The diagnosis is
First, social anxiety disorder (SAD) comes to mind. It's characterized by fear of social situations where one might be judged. The symptoms include physiological responses like tachycardia and avoidance behavior. The question mentions public speaking and being in front of seniors, which are classic scenarios for SAD.
Now, looking at the options. The correct answer should be social anxiety disorder. Let's check the other options. Generalized anxiety disorder (GAD) involves excessive worry about various aspects of life, not specifically social situations. Panic disorder has panic attacks with symptoms like palpitations but not necessarily linked to social situations. Avoidant personality disorder is more about pervasive social inhibition and hypersensitivity to criticism, but it's a personality disorder, not an anxiety disorder. Agoraphobia is fear of places where escape might be difficult, often leading to avoidance of open spaces or crowded places, which doesn't fit the lecture scenario here.
The clinical pearl here is that social anxiety disorder specifically involves fear of being observed or evaluated in social interactions. Remembering the key scenarios like public speaking helps differentiate it from other anxiety disorders. The correct answer is B, assuming the options list B as Social Anxiety Disorder.
**Core Concept**
This question assesses the ability to differentiate **social anxiety disorder (SAD)** from other anxiety disorders based on clinical presentation. Key features include performance-based fear, physiological arousal (e.g., tachycardia), and avoidance of social situations involving scrutiny.
**Why the Correct Answer is Right**
Social anxiety disorder is defined by **persistent fear of social situations** where the individual may be exposed to possible scrutiny. The patient’s tachycardia during public speaking, avoidance of parties, and performance anxiety align with SAD. The autonomic symptoms (e.g., tachycardia) result from activation of the **sympathetic nervous system** during perceived threat, and avoidance behaviors reinforce the disorder.
**Why Each Wrong Option is Incorrect**
**Option A:** *Generalized anxiety disorder* involves chronic, excessive worry about multiple domains (e.g., work, health), not specifically social situations.
**Option C:** *Panic disorder* features recurrent panic attacks with symptoms like chest pain and fear of losing control, often without a specific trigger like social interaction.
**Option D:** *Agoraphobia* centers on fear of being trapped in situations where escape is difficult (e.g., crowds, open spaces), not performance-based anxiety.
**Clinical Pearl / High-Yield Fact**
Social anxiety disorder is often **underdiagnosed** because patients may present with physical symptoms (e.g., tachycardia) rather than overt anxiety. Remember the **"4P" mnemonic**: **P**ublic speaking, **P**erformance situations, **P**eer interactions, **P**arty avoidance.
**Correct Answer: B. Social Anxiety Disorder**