Flashcards in Psychosocial issues and the cosmetic surgery patient Deck (29):
Body dysmorphic disorder is one of the more common psychological disorders seen in people seeking cosmetic surgery.
Cosmetic surgery is generally contraindicated in patients with body dysmorphic disorder.
In patients seeking cosmetic surgery, women tend to suffer from a greater number of mental conditions.
Passive-aggressive patients have a decreased need for postoperative nurturing. .
F Increased need. Also whine and exhibit childish behaviour
Strong and confident reassurance is needed post-operatively when dealing with hostile and angry patients.
With obsessive compulsive patients, the doctor must maintain an authoritative presence.
F True for sociopathic patients.
For body dysmorphic disorder, the patient shows a preoccupation and excessive concern with an imagined or slight defect.
For the diagnosis of body dysmorphic disorder, there must be some hindrance to the patient in terms of normal social or occupational functioning.
The most common complaints in patients with body dysmorphic disorder pertain to the skin, face, hair or nose.
Body dysmorphic disorder affects around 1 in every 20 patients.
F 1 in 10.
Patients with body dysmorphic disorder will perform repetitive compulsive behaviours.
Koro syndrome is a form of body dysmorphic disorder in Chinese people.
T It is the delusional belief that the penis is shrinking.
Patients with body dysmorphic disorder typically see countless doctors for the same problem.
Patients with body dysmorphic disorder are not at increased risk of suicide.
Body dysmorphic disorder is not associated with other psychiatric or medical illness.
F Anxiety/panic d/o, heart disease, diabetes, OCD, substance use, manic-depression
Social phobias tend to develop after the onset of body dysmorphic disorder.
F Prior to its onset.
Depression and substance use usually begin after the onset of body dysmorphic disorder.
Women with body dysmorphic disorder are often reported to suffer from panic attacks, bulimia and generalised anxiety disorder.
Men with body dysmorphic disorder are more likely to suffer from bipolar disorder.
In most patients with body dysmorphic disorder, the rate of surgical success is exceedingly poor.
Simple restorative cosmetic procedures, such as botox, are contraindicated in patients with body dysmorphic disorder. .
F Little risk of severe psychological complications
Most patients with body dysmorphic disorder do not benefit from cosmetic surgery and suffer worsening of symptoms as treatment proceeds.
Regarding body dysmorphic disorder, it is important not to downplay any of the patient’s concerns about their appearance as this may have a significant negative impact on their recovery.
Regarding body dysmorphic disorder, you should try to talk patients out of picking their skin or being worried about their appearance.
F Attempts to end their compulsive behaviours often leads to further depression, frustration and lack of recovery.
Regarding body dysmorphic disorder, patients should be encouraged to use make-up or camouflage.
F Hiding their perceived deformity interferes with recovery.
You should be wary of the patient who cannot point out or verbalize the defect or problem they would like improved
Be wary of the patient who requires a magnifying mirror to pick out the problematic defect
Be wary of the patient who demands one particular treatment and is unwilling to contemplate other options suggested by the physician