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Social anxiety disorder — MCCQE Part 1 MCQ

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EasyAnxietySocial anxiety disorderMCCQE Part 1

A 25-year-old man has intense anxiety in social situations, avoids speaking in groups or eating in public, fears humiliation. Onset at 13. Most appropriate first-line treatment?

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Correct answer: A — SSRI (sertraline or paroxetine) plus CBT

Social anxiety disorder: SSRIs/SNRIs + CBT first-line (CANMAT). Beta-blockers only for performance anxiety (not generalised SAD). Benzodiazepines not recommended long-term.

Reference: CANMAT Anxiety Guidelines