**2. Anxiety and depression in individuals with cleft lip and/or palate**

Social anxiety is the state of anxiety that occurs when one is evaluated by others and worries about their perceptions. Physical appearance was found to be associated with social anxiety [15]. Individuals with CL/P and craniofacial anomalies are more prone to chronic social anxiety than unaffected ones [16]. Zeytinoğlu and Davey [17] reported that children born with CL/P tend to spend more time alone, have more negative interactions with their peers and participate in group games less frequently. These children with high levels of anxiety tend to exhibit more depressive behavior, especially outside the home and experience more bullying by their peers. Broder and Strauss [12] reported that 56% of individuals with cleft lip and palate, 49% of those with cleft palate and 33% of those with cleft lip need psychosocial support. It was reported that positive peer support in these individuals alleviated the negative effects of stigmatization [18].
