This paper presents a treatment plan for a 38-year-old adult patient diagnosed with Body Dysmorphic Disorder (BDD), an obsessive-compulsive disorder marked by recurring preoccupation with perceived physical flaws. Drawing on the patient's history of body shaming beginning in high school, the paper outlines psychopharmacologic interventions — specifically selective serotonin reuptake inhibitors (SSRIs) — alongside Cognitive Behavioral Therapy delivered through individual, family, and group modalities. The paper also addresses primary care medical management needs, relevant community support resources such as the BDD Foundation and the Anxiety and Depression Association of America, and a collaborative follow-up plan involving monthly clinical assessments.
Obsessive-compulsive disorder (OCD) is a term that refers to a class of anxiety disorders characterized by uncontrollable obsessions and compulsions. The condition is a chronic, long-lasting disorder in which the individual experiences recurring thoughts and behaviors. Obsessive and compulsive symptoms can affect all aspects of a person's life, including personal relationships, school, and work. There are various kinds of obsessive-compulsive disorders, each with different signs, symptoms, and treatment approaches. This paper discusses treatment recommendations for an adult patient suffering from Body Dysmorphic Disorder, including analysis of medical management, community resources, and a follow-up plan for the patient's condition.
The patient is a 38-year-old individual diagnosed with Body Dysmorphic Disorder (BDD), an obsessive-compulsive disorder characterized by recurring thoughts regarding perceived flaws or defects in appearance (Mayo Clinic Staff, 2016). The patient developed this condition following a history of body shaming by schoolmates and colleagues at work. Since her high school years, she has viewed herself as ugly and subsequently developed this obsessive-compulsive disorder.
She is obsessed with the appearance of her face, hair, and skin, which she considers to have defects and flaws that contributed to her experience of body shaming. She not only compares herself to others on a constant basis but has also performed repetitive grooming behaviors in an effort to improve her appearance. Her symptoms include behaviors focused on fixing perceived defects or flaws, frequent comparison with others, perfectionist tendencies, preoccupation with perceived defects, and attempts to hide the perceived flaws.
The treatment of obsessive-compulsive disorders like Body Dysmorphic Disorder involves different treatment approaches, including pharmacologic interventions, cognitive-behavioral therapy, and other psychosocial interventions (Ahmed et al., 2019). Psychopharmacologic treatments for this condition entail a combination of medication and psychotherapy. For this patient, the recommended medication is selective serotonin reuptake inhibitors (SSRIs) — such as fluoxetine, citalopram, escitalopram, and fluvoxamine. These psychopharmacologic treatments are appropriate for the patient because they represent the drug treatment recommended by the U.S. Food and Drug Administration for BDD.
"CBT modalities for behavioral modification"
"Primary care needs and community agency resources"
"Monthly collaborative follow-up and treatment summary"
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