Diagnostic clarity: Re-evaluating a clinical case for social anxiety disorder diagnosis in comorbid presentations

Jesse Omoregie; Parvaneh Sara Pakshir; Etinosa Steven Omoregie

doi:10.64074/pspwa225

Authors

Jesse Omoregie Department of Psychology, University of Greater Manchester, Bolton, Greater Manchester, United Kingdom. Author https://orcid.org/0000-0003-0749-419X
Parvaneh Sara Pakshir Oxford Brookes University, GBS Manchester, United kingdom Author
Etinosa Steven Omoregie Nottingham Trent University Author

DOI:

https://doi.org/10.64074/pspwa225

Keywords:

Social anxiety disorder , Generalised anxiety disorder , Diagnostic clarity , Comorbid anxiety

Abstract

Diagnostic clarity plays a vital role in the effective treatment and recovery of individuals with anxiety disorders. Social Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD) frequently co-occur, yet SAD often remains undiagnosed in individuals who are primarily identified with GAD. This oversight can exacerbate the symptoms of both disorders, thus complicating treatment and hindering recovery. This paper explores the impact of missed comorbid diagnoses through a case study of "Rex", an individual initially diagnosed with GAD. Using a qualitative method, this paper draws on personal narratives to examine Rex’s experiences. Findings reveal that Rex’s symptoms align closely with the diagnostic criteria for SAD as outlined in the DSM-5-TR, despite the absence of a formal SAD diagnosis. The analysis highlights how the unrecognised presence of SAD contributed to persistent social avoidance, and the heightening of the symptoms of both disorders, causing functional impairment and poorer treatment outcomes. This paper highlights the importance of comprehensive diagnostic assessments in anxiety disorders, particularly when symptoms of GAD and SAD overlap. It advocates for the implementation of treatment strategies that target social fears in SAD. Furthermore, it was recommended that periodical reassessments become an integral part of care plans to be sure that no evolving or missed symptoms are left uncaptured. By emphasising the significance of diagnostic precision and personalised care, this paper contributes to a more nuanced understanding of anxiety comorbidity and its implications for mental health practice.

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