2 Years Of Intense in Medicine / Internal Medicine — 26yo Woman | Psychiatry | SMLE Q#17815

SMLE Question #17815

Medicine / Internal Medicine Psychiatry

Objective: OBJ-253

Last updated: February 2026
A 26-year-old woman attends an outpatient mental health clinic with 2 years of intense fear in social situations, especially meeting unfamiliar people and speaking in small groups at work. She avoids these situations due to fear of embarrassment and negative evaluation, and symptoms impair her job performance. She recognizes the fear is excessive. She denies hallucinations, delusions, or manic symptoms. Mental status examination shows anxious affect and coherent, goal-directed thought. Which of the following conditions is most likely to benefit from cognitive behavioral therapy as first-line psychotherapy?

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