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Social Anxiety: Prefrontal Connectivity Differs but Amygdala-PFC Doesn’t

Stylized fMRI connectivity map showing prefrontal and amygdala circuits during emotion regulation in social anxiety disorder.

The textbook story of social anxiety disorder is broken amygdala-prefrontal regulation — an overactive threat system the prefrontal cortex can’t calm down. A 2026 effective-connectivity study of 102 adults found something different: amygdala-prefrontal connectivity didn’t differ between social anxiety patients and controls, but connectivity between prefrontal regions did, particularly involving the pre-supplementary motor area.1 Research …

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