A diagnosis is made via a medical professional’s evaluation based on specific criteria.
Medical professionals diagnose social phobia when individuals have fear or anxiety that involves all of the following:
- Is intense and has been present for 6 months or longer;
- Concerns one or more social situations;
- Nearly always occurs in the same situation or situations;
- Involves fear of a negative evaluation by others;
- Leads the individual to avoid the situation or uncomfortably endure it;
- Is out of proportion to the actual danger; and
- Causes significant distress or significantly impairs functioning.
Also, medical professionals rule out other mental disorders that can cause similar symptoms, such as agoraphobia, panic disorder, or body dysmorphic disorder.