Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others

Presence of obsessions, compulsions or both:

• Obsessions: recurrent and persistent thoughts, urges or impulses that are intrusive and unwanted, and that typically cause marked anxiety or distress

• Compulsions: repetitive behaviours or mental acts that the individual feels driven to perform in response to an obsession or according to rules that must be rigidly applied

Recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes, and during which several accompanying symptoms occur

The individual fears that they will act in a way or show anxiety symptoms that will be negatively evaluated

Obsessions or compulsions are time consuming or cause clinically significant distress or impairment in important areas of functioning

At least one attack is followed by 1 month or more of persistent concern about additional panic attacks or their consequences, and/or a significant maladaptive change in behaviour related to the attacks (eg, avoidance of certain situations)

The social situations almost always provoke fear or anxiety

Symptoms are not better explained by another medical condition, including another mental disorder, or by a substance

Symptoms are not better explained by another medical condition, including another mental disorder, or by a substance

The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context

Symptoms must be persistent, typically lasting 6 months or more

The fear, anxiety or avoidance causes significant distress or impairment in important areas of functioning

Symptoms are not better explained by another medical condition, including another mental disorder, or by a substance