body dysmorphic disorder

Introduction

Introduction The body intention is a kind of memory image of the size, shape and form of the body. It is not the actual appearance, but how it looks like inside vision. It is a feeling for what we think, what we see and what others look like when others see us. Body intentions are greatly influenced by social factors, such as background culture, media, fashion trends, and even with family members, colleagues or classmates in schools or schools. In the past few years, the society paid more attention to the landscaping, and many people spent a lot of time and energy on it. We dress properly, go to the gym, buy styles that are popular and pleasing, spend a lot of time doing hairdressing, and even do plastic surgery all in order to make you more attractive. Living in such a world, if we still can't understand what a man or woman looks like, it will make us feel more or less uneasy. It is not surprising that some people want to achieve a perfect preemptive concept that makes some people's body intentions somewhat distorted. At the same time, are we really worried about our appearance? Maybe there is a little obesity, there are spots on the skin, or we dont like our nose. It all stimulates us, but it does not affect our lives. . However, some of us do not like a certain aspect or part of our body, so that we reach a preconceived degree. We can't help but think that this may be worse and look uncomfortable than it seems, so that I feel a little anxious when talking to others. This is very distressing and affects our ability to live, socialize, work or learn. This extreme dissatisfaction with a certain part of the body is the physical deformity disorder (BDD), which is called terrible horror.

Cause

Cause

Many BDD patients are associated with depression for a certain period of time, and family members who develop BDD patients also have high depression. BDD and depression are characterized by low self-esteem, feeling rejected, too sensitive, and sometimes feeling like nothing. BDD patients have considered suicide even without depression.

BDD is also comorbid with other diseases. Obsessive-compulsive disorder (OCD), eating disorders, anxiety disorders, and plucking tendons are common concomitant diseases in BDD patients. Some BDD patients also have drug or alcohol abuse.

Examine

an examination

Related inspection

X-ray lipiodol angiography palpation

Patients with BDD may not realize that they are suffering from serious but treatable psychological problems. In other people's eyes, the problem they are worried about is usually vanity and seeking attention, because the body parts they are worried about seem to be no problem. Many patients feel that their problems are unrealistic, but there is anxiety about telling others, not being taken seriously, and being ignored. Still others are worried about whether someone is talking about their appearance, which will make them pay more attention to these so-called problems. Friends and family don't even care about this. They don't realize that these extreme distortions can't be forgotten or overcome themselves. BDD has not yet been recognized, and many health care workers are not familiar with it, leading to misdiagnosis. The diagnosis of BDD is easily overlooked unless deliberately asked. The problem is that the patient feels that they have not been misdiagnosed and did not get the correct treatment choice information.

A common problem in discussing BDD is how to distinguish it from normal physical concerns. The difference between normal attention and BDD is:

The severity of preemption under cognitive deficits; the amount of adverse stress resulting from it; the severity of life.

The following questions often cover up the condition:

I often feel embarrassed or difficult to talk to my family/doctor/friend; it is often difficult to get the right help. Have you ever paid attention to a certain part of the body? Have you ever thought that you are deformed or deformed in one aspect? (eg nose, hair, skin, genitals, overall physique) You used to think that some part of your body is not functional. Is it normal? (eg severe odor, flatulence, or excessive sweating) Have you ever consulted or felt necessary to consult a plastic surgeon, dermatologist or physician? Have you ever told someone else? Or is the doctor himself normal, although you are convinced that your appearance or physical function has a problem. Have you ever spent a lot of time worrying about your appearance or physical defects? Have you ever spent a lot of time trying to cover up your appearance or physical defects?

Diagnosis

Differential diagnosis

It should be differentiated from the suspected symptoms: the characteristics of the suspected illness are special attention to their own health, and the physical deformity disorder is concerned with the deformity of their own body. These two aspects are also the content of forced thinking in patients with obsessive-compulsive disorder. The best way to distinguish obsessive-compulsive disorder from them is from the two aspects of content. Most of the symptoms and physical deformities are only a concern. Moreover, patients with obsessive-compulsive disorder are afraid of contracting the disease in the future, and suspected illnesses and physical deformity disorders are usually concerned with some existing problems, such as suspected illnesses that are already ill.

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