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Body dysmorphic disorder

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Body dysmorphic disorder

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High Yield Notes
3 pages
Flashcards

Body dysmorphic disorder

8 flashcards
Questions

USMLE® Step 1 style questions USMLE

4 questions

USMLE® Step 2 style questions USMLE

1 questions
Preview

A 20-year-old woman comes to the physician to discuss the possibility of undergoing rhinoplasty. The patient tells the physician her nose looks “twisted” and “not symmetrical,” and she would like to have surgery to correct it. When in public, she explains that she frequently tries to cover her nose with a scarf because she feels “embarrassed by the way it looks.” Additionally, she also thinks her “skin tone is not even,” and she feels that her friends’ skin is much better than hers. She adds that although she was told by her friends and family that there are no issues with her nose or her skin, she feels ashamed of her appearance. She reports checking the mirror every hour, which she says “consumes a lot of time” in her day. The patient is not reassured by the physician’s comments that her nose and skin appear healthy and symmetric, and she insists that she looks “ugly.” She has not experienced suicidal ideation or attempts of self-harm. Physical examination reveals skin picking in multiple areas of the patient’s body. Which of the following is the most likely diagnosis in this patient?

External References
Summary
Body dysmorphic disorder is a mental disorder characterized by an obsessive preoccupation that some aspect of one's own appearance is severely flawed and warrants exceptional measures to hide or fix it. In BDD's delusional variant, the flaw is imagined. If the flaw is actual, its importance is severely exaggerated. Either way, one's thoughts about it are pervasive and intrusive, occupying up to several hours a day. The DSM-5 categorizes BDD in the obsessive–compulsive spectrum, and distinguishes it from anorexia nervosa.