Citation

Koenig ZA, Callaham S, Waltz B, Bosley J, Mogallapu R, Ang-Rabanes M. Case Rep. Psychiatry 2021; 2021.

Copyright

(Copyright © 2021, Hindawi Publishing)

DOI

10.1155/2021/6636124

PMID

unavailable

Abstract

Body dysmorphic disorder is a chronic disorder involving imagined or partial appearance defects that lead to significant impairment in everyday life. It is quite prevalent but remains a clinically underdiagnosed psychiatric condition especially in the inpatient psychiatric setting. Onset of body dysmorphic disorder typically begins in adolescence with subclinical symptoms. Over time, symptoms progress to patients meeting the full Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria. Severe cases of the body dysmorphic disorder are often camouflaged by concurrent diseases like major depressive disorder, obsessive-compulsive disorder, substance use disorder, and social anxiety disorder. Further, compounding the complexity of body dysmorphic disorder is a treatment of patients who present with coinciding suicidal ideations. Here, we present a unique case of a 40-year-old female admitted to an inpatient psychiatric unit for treatment of ongoing depression and suicidal symptoms. Early on in her inpatient course, she had symptoms of obsessive-compulsive disorder, social anxiety disorder, and alcohol use disorder. The constellation of symptoms prompted evaluation for body dysmorphic disorder and subsequent targeted treatment. This case report highlights the complexities associated with diagnosing body dysmorphic disorder, the importance of considering it a branch point for other psychiatric conditions, and the treatment for patients who present with coinciding suicidal behavior. © 2021 Zachary A. Koenig et al.

Language: en

Keywords

adult; human; female; alcoholism; case report; psychotherapy; cannabis; suicidal ideation; depression; suicidal behavior; hospitalization; comorbidity; drug overdose; intoxication; hopelessness; psychoeducation; alcohol consumption; fatigue; prescription; mental health care; distress syndrome; clinical article; hospital admission; amfebutamone; sertraline; self report; psychiatric department; behavior therapy; physical examination; sleep disorder; coping behavior; gastrointestinal symptom; emergency ward; thyrotropin; malpractice; trazodone; ambient air; social phobia; drug withdrawal; disease exacerbation; urinalysis; outpatient care; escitalopram; compulsion; group therapy; body dysmorphic disorder; obsessive compulsive disorder; painting; anhedonia; smoking cessation; blood pressure; increased appetite; tobacco dependence; body mass; oxygen saturation; libido disorder; Article; prazosin; medical history; drug substitution; rubber; goiter; bedtime dosage; prescription drug; habit; Yale Brown Obsessive Compulsive Scale; Columbia Suicide Severity Rating Scale; cognitive behavioral therapy; cannabis use; behavior disorder assessment; exposure therapy; rubber band technique