Calculators & Tools

Social Anxiety Disorder (Social Phobia)

DSM-5 criteria - marked fear of social situations with possible scrutiny.

1 What is the Social Anxiety Disorder (Social Phobia)?

The Social Anxiety Disorder (Social Phobia) is a psychosocial scoring tool used in paediatric practice. DSM-5 criteria - marked fear of social situations with possible scrutiny. It scores 8 criteria and interprets the total across 2 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.

2 When to use it

  • Grading severity at the bedside in psychosocial
  • Recording an objective severity band in the case notes
  • Deciding when a total crosses the threshold for escalation
  • Re-scoring to track whether a child is improving or deteriorating
  • Checking the exact criteria of a score used infrequently

3 Formula & method

The score sums 8 criteria: Marked fear/anxiety about ≥1 social situation involving possible scrutiny by others; Fears acting in a way, or showing anxiety, that will be negatively evaluated; Social situations almost always provoke fear or anxiety (children: crying, tantrums, freezing, clinging, failing to speak); Social situations are avoided or endured with intense fear; Fear is out of proportion to the actual threat posed; Persistent, typically lasting ≥6 months; Causes clinically significant distress or impairment; Occurs in peer settings, not just with adults (required in children). Totals are then banded: any score - Below threshold: not all criteria met - DSM-5 requires all of them; 8 criteria met or more - Threshold met: all criteria met - consistent with social anxiety disorder. In children the anxiety must occur in peer settings, not only during interactions with adults.
  • DSM-5 threshold: 8 or more of the 8 criteria listed.
  • A diagnosis also requires clinically significant distress or impairment, the required duration, and exclusion of substance use or another condition. Screening aid only - not a diagnosis.

4 Frequently asked questions

How many criteria does the Social Anxiety Disorder (Social Phobia) use?

8. They are Marked fear/anxiety about ≥1 social situation involving possible scrutiny by others; Fears acting in a way, or showing anxiety, that will be negatively evaluated; Social situations almost always provoke fear or anxiety (children: crying, tantrums, freezing, clinging, failing to speak); Social situations are avoided or endured with intense fear; Fear is out of proportion to the actual threat posed; Persistent, typically lasting ≥6 months; and others.

What do the bands of the Social Anxiety Disorder (Social Phobia) mean?

The total is interpreted as: any score - Below threshold: not all criteria met - DSM-5 requires all of them; 8 criteria met or more - Threshold met: all criteria met - consistent with social anxiety disorder. In children the anxiety must occur in peer settings, not only during interactions with adults.

Does the score replace clinical judgement?

No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.

Where does this score come from?

DSM-5 threshold: 8 or more of the 8 criteria listed.

Does it work offline?

Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.

For qualified clinicians. This page and the PediAid app are a clinical aid only. Calculations and reference data must be verified against the patient's clinical context, the source guideline and your local protocols before any treatment decision is made.