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Patients pass through a number of identifiable stages of developmental pathways to <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> as they grow up. Patients with <jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content> have maladaptive behaviours in social settings due to the symptoms of <jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content>. These behaviours are criticized by their parents and social circle; they receive insults, humiliation and bullying. After each aversive incident, the individual feels shame and guilt. A vicious cycle emerges. The patients then develop social fears and a cognitive inhibition that occurs in social situations. The inhibition increases gradually as the fear persists and the individual becomes withdrawn. Patients start to monitor themselves and to focus on others\u2019 feedback. Finally, performative social situations become extremely stimulating for them and may trigger anxiety\/panic attacks. If this hypothesis is proven, treatment of \u2018patients with <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> secondary to <jats:styled-content style=\"fixed-case\">ADHD<\/jats:styled-content>\u2019 should focus on the primary disease.<\/jats:p>","DOI":"10.1111\/eip.12372","type":"journal-article","created":{"date-parts":[[2016,9,2]],"date-time":"2016-09-02T03:59:54Z","timestamp":1472788794000},"page":"269-272","source":"Crossref","is-referenced-by-count":21,"title":["Development of social anxiety disorder secondary to attention deficit\/hyperactivity disorder (the developmental hypothesis)"],"prefix":"10.1111","volume":"12","author":[{"given":"Ahmet","family":"Koyuncu","sequence":"first","affiliation":[{"name":"Academy Social Phobia Center  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tun\u00e7","family":"Alk\u0131n","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dokuz Eyl\u00fcl University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u015fit","family":"T\u00fckel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Istanbul University, Istanbul Medical School  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054711423623"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.1036"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054714533193"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054715617533"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511780752.012"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054713501552"},{"key":"e_1_2_5_8_1","volume-title":"Clinical Depression. 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