Although social phobia is a common disorder seen in every culture, it remains under-diagnosed and thus under-treated. Patients appear to be reluctant to seek treatment unless complicated with comorbidity and the medical profession also seems relatively unfamiliar with the concept of social phobia. The disorder leads to considerable impairment in the quality of life, especially if complicated with comorbidity. Much of the impairment and distress could be avoided if the condition were diagnosed earlier and treated effectively. In recent years advances in recognition and treatment have taken place that offer hope for this disabling-chronic disorder. This paper aims to be a detailed guide in recognition, diagnosis and effective treatment of social phobia.