Social anxiety disorder(SAD), commonly known as social phobia, is a psychiatric condition that can significantly effect individual’s work, social life and family life. Despite its impact Social anxiety disorder is one of the most underdiagnosed conditions.
Several factors may contribute to this underdiagnosis, including cultural norms and stigma surrounding mental health problems. In women, social anxiety symptoms may sometimes be mistaken as “shyness” or attributed to traditional gender expectations, potentially delaying recognition and treatment.
Despite many individuals are struggling with this condition there is limited epidemiological research in India. Nationally representative epidemiological study of social anxiety disorder from India – First article to explore associated factors and prevalence of social anxiety disorder in India.
- According to this study approximately 58% with social anxiety disorder had at least one co-morbid conditions, with agoraphobia being the most common one followed by depression and alcohol use disorder.
- The study also found that the 18-29 age group has highest prevalence of social anxiety disorders. We can think of many reasons why its more common at this age, some of them are childhood trauma, academic stress and career-related transitions that may increase psychological stress.
- Social anxiety can also affect far more than mental health. Individuals with this condition often experience difficulties in work place interaction, social relationships and family life, ultimately impacting their overall quality of life.
- Another notable finding was that social anxiety disorder was more prevalent among individuals urban areas than among those residing in rural settings. The study also reported a higher prevalence among males compared to females.
- Many individuals also have co-morbid mental health conditions which lead to increase in burden with individuals diagnosed with SAD and their caregivers.
- The article also highlighted that individuals need to travel approximately 10 kilometers to access healthcare, which can increase indirect treatment cost through transportation expenses, loss of wages and time away from work or education, potentially effecting long-term treatment adherence and outcome.
Although awareness regarding prioritizing mental health has improved in recent years, a significant gap still exists between experiencing symptoms and receiving appropriate diagnosis or treatment. Factors such as high treatment cost, affordability, accessibility of mental health services, stigma and lack of awareness may contribute this gap. Gender and cultural norms may further influence whether individuals seek help or receive an accurate diagnosis.
Social anxiety often remains hidden behind label such as “introversion”, “shyness” or “personality”. Improving awareness, reducing stigma and making treatment more affordable are essential steps towards reducing its burden on individuals, families and society.
What do you think? How do cultural and gender norms affects the diagnosis of mental health conditions in India? What steps can be taken to make healthcare more affordable and reduce financial burden on individuals and families?
MBH/DB