Interview and treatment of a case with body dysmorphic disorder
10.11886/scjsws20210513001
- VernacularTitle:躯体变形障碍的临床访谈与治疗
- Author:
Gaofei LI
1
;
Miao LI
2
;
Daolong ZHANG
2
Author Information
1. Beijing Hospital of Integrated Traditional Chinese and Western Medicine， Beijing 100039， China
2. Beijing Huayou Psychiatric Hospital， Beijing 102200， China
- Publication Type:Journal Article
- Keywords:
Body dysmorphic disorder;
Sertraline;
Quetiapine;
Bio-psycho-social intervention
- From:
Sichuan Mental Health
2021;34(3):272-276
- CountryChina
- Language:Chinese
-
Abstract:
This paper reported a case of patient with body dysmorphic disorder in order to improve the clinical interview skills， diagnosis and treatment of clinicians in psychiatric department. The client was a 17-year-old unmarried male， came for psychological consultation because he was not satisfied with his appearance and had low self-esteem. After the changing of learning environment， the client showed excessive attention to his appearance along with low mood. The client was diagnosed with body dysmorphic disorder， and a biological-psychosocial comprehensive intervention was recommended. Sertraline combined with quetiapine was given as biotherapy to improve his mood and cognition. The psychotherapy included mindfulness-based stress reduction and cognitive behavioral therapy. These therapies helped the client learn to relax and correct cognitive biases. In terms of social resources， family members were encouraged to pay more attention to the client’s advantages， and schoolwork management on campus was strengthen. These methods promoted the development of client’s self-confidence.
