P01-116 - A CRITICAL REVIEW OF 30 SOCIAL PHOBIA CASES OR SOCIAL ANXIETY DISORDER´S

RECORDED IN A RURAL INDIAN CLINIC IN 2009

A. Acharya
Psychiatry, Calcutta Pavlov Hospital, Kolkata, India
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 performnace 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 orTCA´s clomipramine &behavior therapy..

Conclusions: An arena of further study.