BDD Flashcards
TASK
427
take hx
-discuss mx plan with examiner
HX
-be empathateic and undestanding
-aprt from your hair have you ever been concerned about anything else in your appearance?
-did it preoccupy you?did it effect your social family and work life?
-do you think aloys about it and wish you worry less about it?
-do you wish to do anything about your concerns
-mood-can cause depression>self harm>suicide/sleep/hallucination/delusion-maybe reference others talking about appearance/insight/congnition
-HEADS
-SADMA/PMHX/FMHX
comorbidities
0depression
-anxiety
-compulsive disorder
-substance abuse
mx
-saying that patients beliefs irrational maybe diffcult to convince them for meds
1.CBT
-psychoeducation
-cognitive challenge and reconstructing
-exposure and response prevention
-anxiety management
2.FAMILY SUPPORT
-with consent of patient
-discuss strategies response prevention>removing mirrors
3.PHARMACALOGICAL TX
-SSRI AND clomipramine effective
-take months to get response
-augment with antipsychotic better response
-long term treatment