Patient presents with symptoms consistent with a diagnosis of Social Anxiety Disorder (SAD), also known as Social Phobia.  The patient reports a persistent fear of social or performance situations where scrutiny by others is possible, triggering significant anxiety and distress.  This social anxiety manifests as a marked fear of negative evaluation, humiliation, or embarrassment in social interactions, public speaking, meeting new people, and performance situations.  The patient acknowledges that this fear is excessive or unreasonable.  Exposure to feared social situations invariably provokes anxiety, sometimes culminating in a panic attack.  The patient actively avoids these social situations or endures them with intense fear or anxiety.  The avoidance, anxious anticipation, or distress in the feared social or performance situation significantly interferes with the patient's daily routine, occupational functioning, social activities, or relationships.  The patient reports that the fear, anxiety, or avoidance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.  The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder, such as panic disorder, body dysmorphic disorder, or autism spectrum disorder.  Differential diagnosis considerations included generalized anxiety disorder and performance anxiety, but the patient's primary concern revolves around social evaluation.  Treatment plan includes cognitive behavioral therapy (CBT) focusing on exposure therapy and social skills training, along with consideration for pharmacotherapy with selective serotonin reuptake inhibitors (SSRIs) or other anxiolytics as clinically indicated.  ICD-10 code F40.10 will be used for billing and coding purposes.  Prognosis is generally favorable with appropriate treatment and ongoing monitoring.