Questionnaire/history: Screening questions: ‘Do you find yourself avoiding social situations or activities?’ ‘Are you tearful or embarrassed in social situations?’ Feared and avoided social situations? What afraid of (eg looking anxious, blushing, sweating, trembling or appearing boring)? Anxiety symptoms? View of self? Content of self-image? Safety-seeking behaviours? Focus of attention in social situations? Anticipatory and post-event processing? Occupational, educational, financial and social circumstances? Past medical history (eg avoidant personality disorder, alcohol misuse, substance misuse, mood disorder, psychosis, autism)? Current medication? Drug allergies: Alcohol use? Recreational drug use? Social history? - Occupation? - Educational? - Financial circumstances? - Social circumstances? Examination: 3-item Mini-Social Phobia Inventory (Mini-SPIN) score 6 or more? Liebowitz Social Anxiety Scale (LSAS)? Management: Cognitive behavioural therapy (CBT) (based on the Clark and Wells model or the Heimberg mode, 14 sessions of 90 min over about 4/12) Group CBT CBT-based supported self-help Pharmacological intervention (eg escitalopram or sertraline) Reference(s): NICE Clinical Guideline [CG159]: Social anxiety disorder: recognition, assessment and treatment Information for patient/carer(s): NHS Health A to Z: Social anxiety (social phobia) Patient UK: Social Anxiety Disorder