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A 42 yr old man who is an accountant comes to the physician because of an 8 month history of anxiety during company meetings since being promoted as an area manager. In his new position he is required to make weekly presentations to 5 other area managers of board of directors. He says he is gripped by anxiety whenever he conducts the presentations or even thinks about them. He describes feelings of dizziness, palpitation, sweatiness & general dread.He tries to avoid making presentations and is concerned that his reactions are noticeable and embarrassing. His afraid that he may faint of anxiety during presentation. Which of the following is the most likely diagnosis?

A. Generalized anxiety disorder
B. Social phobia
C. Agoraphobia
D. Down Syndrome
E. Panic Disorder
F. Major Depressive Disorder

Please explain. Many thanks!
 

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Agoraphobia is an anxiety disorder characterized by anxiety in situations where the sufferer perceives the environment as being difficult to escape or get help, such as wide-open spaces, and uncontrollable social situations like in shopping malls, airports, bridges

Answer is B
 

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^

"He tries to avoid making presentations and is concerned that his reactions are noticeable and embarrassing"..

this part of the question stem yells out Social Phobia. More specific answer.

there are some components of Panic disorder in this q but it just doesn't fit well.
 
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It is social phobia....

People with panic disorder experience a horrible anxiety attack accompanied by many physical symptoms that are originally interpreted as a physical, medical problem. Socially-anxious people experience horrible anxiety in social situations that lead them to stay away from other people because of the anxiety it causes. They see anxiety as a "fear" and do not believe it is caused by a physical, medical condition.

Panic and agoraphobic people are many times very social. In fact, the majority of panic people enjoy the company of talking and being with other people.
 
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