Li Gaofei,Li Miao,Zhang Daolong,Interview and treatment of a case with body dysmorphic disorder[J].SICHUAN MENTAL HEALTH,2021,34(3):272-276
Interview and treatment of a case with body dysmorphic disorder
DOI:10.11886/scjsws20210513001
English keywords:Body dysmorphic disorder  Sertraline  Quetiapine  Bio-psycho-social intervention
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Author NameAffiliationPostcode
Li Gaofei Beijing Hospital of Integrated Traditional Chinese and Western Medicine Beijing 100039 China 100039
Li Miao Beijing Huayou Psychiatric Hospital Beijing 102200 China 102200
Zhang Daolong Beijing Huayou Psychiatric Hospital Beijing 102200 China 102200
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English 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.
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