Is 'Among Us' a recognized medical condition associated with symptoms of social isolation, paranoia, or anxiety?

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"Among Us" Is Not a Recognized Medical Condition

"Among Us" is not a recognized medical diagnosis in any psychiatric or medical classification system. The term refers to a popular video game and has no clinical validity as a medical or psychiatric condition.

What You May Actually Be Asking About

If you're inquiring about symptoms that might be colloquially associated with the game's themes—such as social isolation, paranoia, or anxiety—these are legitimate psychiatric symptoms that belong to established diagnostic categories:

Social Isolation and Anxiety

  • Social isolation is a well-documented phenomenon in social anxiety disorder, with pooled scores of 38.1 on the Loneliness and Social Dissatisfaction Questionnaire and 33.1 on the Liebowitz Social Anxiety Scale avoidance subscale 1
  • Social isolation is common in social anxiety disorder but is assessed through heterogeneous measures rather than being a distinct diagnosis itself 1
  • Greater social isolation correlates with increased anxiety in individuals with cognitive impairment (coefficient = 0.7242, p = 0.015) 2

Paranoia in Anxiety Disorders

  • Paranoid thoughts occur significantly more frequently in adolescents with social anxiety disorder compared to healthy controls (t = 4.16, p < 0.001) 3
  • The level of paranoid thoughts is significantly predicted by the degree of social phobia, even after adjusting for sex and other anxiety disorders 3
  • Patients with psychotic disorders experience greater paranoia when alone versus in company (b = 0.11, p = 0.016), and being with familiar people limits paranoia 4

Recognized Diagnostic Categories

If someone presents with symptoms of social isolation, paranoia, or anxiety, consider these established diagnoses:

Social Anxiety Disorder

  • The American Academy of Child and Adolescent Psychiatry recognizes social anxiety disorder as characterized by persistent fear of social situations where negative evaluation may occur 5
  • Physical symptoms during performance situations include heart palpitations, shortness of breath, shakiness, and sweating 5
  • Median age of onset is 13 years, with 75% of cases occurring between ages 8-15 5

Differential Diagnoses to Consider

  • Generalized Anxiety Disorder if worry extends beyond social situations to multiple domains 5
  • Panic Disorder given panic-like symptoms such as palpitations and shortness of breath 5
  • Medical conditions that mimic anxiety including hyperthyroidism, hypoglycemia, and cardiac arrhythmias 5
  • Other psychiatric conditions including Selective Mutism, Specific Phobia, and Autism Spectrum Disorder 5

Clinical Pitfall to Avoid

Do not dismiss legitimate psychiatric symptoms by attributing them to video game exposure or internet culture terminology. A lack of awareness about the association between social anxiety disorder and paranoia may lead to incorrect diagnoses or misdiagnosis of psychotic disorders, negatively influencing the therapeutic process and patient outcomes 3.

If a patient presents using colloquial terms like "Among Us" to describe their symptoms, translate this into proper clinical assessment of social isolation, paranoia, and anxiety using validated instruments and DSM-5 criteria 6.

References

Research

Paranoid Thoughts in Adolescents with Social Anxiety Disorder.

Child psychiatry and human development, 2016

Research

Social isolation and psychosis: an investigation of social interactions and paranoia in daily life.

European archives of psychiatry and clinical neuroscience, 2022

Guideline

Differential Diagnoses for Social Anxiety Symptoms

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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