| The purpose of this paper was to report a case of patient with the body dysmorphic disorder in order to improve the clinical interview, diagnosis, and treatment in the Department of Psychiatry. The client, a seventeen-year-old unmarried man, came because he was not satisfied with his appearance and had low self-esteem. After changing environment, he appeared to pay excessive attention to his appearance. He always felt he had obvious facial defects, and couldn’t help repeatedly touching himself, gnawing his fingers, and scratching his skin. The client was diagnosed with the body dysmorphic disorder. It is suggested that biological-psychological-social integrated intervention should be adopted. Biotherapy was used with sertraline combined with quetiapine to improve anxiety, depression, sleep quality, and the preoccupied idea of the defects about his body. Psychological therapy utilized mindfulness-based stress reduction with cognitive behavioral therapy to help the client shift attention, correct cognitive biases, manage unreasonable beliefs, and build a confidence system, along with auxiliary movement and music therapy. In terms of social resources, family members should be actively taught how to encourage and pay attention to the client’s advantages as opposed downsides. He is also advised to strengthen management of schoolwork on campus, build a platform together with teachers, and promote self-awareness, and to enhance his ability to adapt and continue to complete his studies. |