14th February 2025

A 55-year-old supermarket cashier has never enjoyed interacting with his colleagues or the customers and feels very anxious when eating his lunch in the staff room.

A 55-year-old supermarket cashier has never enjoyed interacting with his colleagues or the customers and feels very anxious when eating his lunch in the staff room. He fears that he blushes and others judge him for this. As such, he waits until late in the afternoon when the staff room is empty. He grew up with four siblings and has smoked heavily since the age of 15. His symptoms have led to significant social isolation and lack of enjoyment in his daily life.

His medical background is essential hypertension, type 2 diabetes, adhesive capsulitis and vitamin D deficiency. He takes ramipril, metformin, gliclazide and colecalciferol.

Which of the following is a first-line management option for the underlying disorder?

Select the SINGLE most appropriate option from the list below. Select ONE option only.