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Auditory Neuropathy Spectrum Disorder Masquerading as Social Anxiety
Rishikesh V Behere1, Mukund G Rao1, Shree Mishra1
1Dr. Behere is with the Department of Psychiatry, Kasturba Medical College, Manipal University, Manipal, Karnataka, India; Dr. Rao is Registrar, North West Area Mental Health Service, Coburg, Melbourne, Australia; Drs. Mishra, Varambally, and Gangadhar are with the Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, Karnataka, India; and Dr. Shivashankar is with the Department of Speech Pathology and Audiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Abstract:
The authors report a case of a 47-year-old man who presented with treatment-resistant anxiety disorder. Behavioral observation raised clinical suspicion of auditory neuropathy spectrum disorder. The presence of auditory neuropathy spectrum disorder was confirmed on audiological investigations. The patient was experiencing extreme symptoms of anxiety, which initially masked the underlying diagnosis of auditory neuropathy spectrum disorder. Challenges in diagnosis and treatment of auditory neuropathy spectrum disorder are discussed.
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