Psychosocial issues and the cosmetic surgery patient

Question 1

Body dysmorphic disorder is one of the more common psychological disorders seen in people seeking cosmetic surgery.

Answer 1

T

Question 2

Cosmetic surgery is generally contraindicated in patients with body dysmorphic disorder.

Answer 2

T

Question 3

In patients seeking cosmetic surgery, women tend to suffer from a greater number of mental conditions.

Answer 3

F Men.

Question 4

Passive-aggressive patients have a decreased need for postoperative nurturing. .

Answer 4

F Increased need. Also whine and exhibit childish behaviour

Question 5

Strong and confident reassurance is needed post-operatively when dealing with hostile and angry patients.

Answer 5

T

Question 6

With obsessive compulsive patients, the doctor must maintain an authoritative presence.

Answer 6

F True for sociopathic patients.

Question 7

For body dysmorphic disorder, the patient shows a preoccupation and excessive concern with an imagined or slight defect.

Answer 7

T

Question 8

For the diagnosis of body dysmorphic disorder, there must be some hindrance to the patient in terms of normal social or occupational functioning.

Answer 8

T

Question 9

The most common complaints in patients with body dysmorphic disorder pertain to the skin, face, hair or nose.

Answer 9

T

Question 10

Body dysmorphic disorder affects around 1 in every 20 patients.

Answer 10

F 1 in 10.

Question 11

Patients with body dysmorphic disorder will perform repetitive compulsive behaviours.

Answer 11

T

Question 12

Koro syndrome is a form of body dysmorphic disorder in Chinese people.

Answer 12

T It is the delusional belief that the penis is shrinking.

Question 13

Patients with body dysmorphic disorder typically see countless doctors for the same problem.

Answer 13

T

Question 14

Patients with body dysmorphic disorder are not at increased risk of suicide.

Answer 14

F

Question 15

Body dysmorphic disorder is not associated with other psychiatric or medical illness.

Answer 15

F Anxiety/panic d/o, heart disease, diabetes, OCD, substance use, manic-depression

Question 16

Social phobias tend to develop after the onset of body dysmorphic disorder.

Answer 16

F Prior to its onset.

Question 17

Depression and substance use usually begin after the onset of body dysmorphic disorder.

Answer 17

T

Question 18

Women with body dysmorphic disorder are often reported to suffer from panic attacks, bulimia and generalised anxiety disorder.

Answer 18

T

Question 19

Men with body dysmorphic disorder are more likely to suffer from bipolar disorder.

Answer 19

T

Question 20

In most patients with body dysmorphic disorder, the rate of surgical success is exceedingly poor.

Answer 20

T

Question 21

Simple restorative cosmetic procedures, such as botox, are contraindicated in patients with body dysmorphic disorder. .

Answer 21

F Little risk of severe psychological complications

Question 22

Most patients with body dysmorphic disorder do not benefit from cosmetic surgery and suffer worsening of symptoms as treatment proceeds.

Answer 22

T

Question 23

Regarding body dysmorphic disorder, it is important not to downplay any of the patient’s concerns about their appearance as this may have a significant negative impact on their recovery.

Answer 23

T

Question 24

Regarding body dysmorphic disorder, you should try to talk patients out of picking their skin or being worried about their appearance.

Answer 24

F Attempts to end their compulsive behaviours often leads to further depression, frustration and lack of recovery.

Question 25

Regarding body dysmorphic disorder, patients should be encouraged to use make-up or camouflage.

Answer 25

F Hiding their perceived deformity interferes with recovery.

Question 26

You should be wary of the patient who cannot point out or verbalize the defect or problem they would like improved

Answer 26

T

Question 27

Be wary of the patient who requires a magnifying mirror to pick out the problematic defect

Answer 27

T

Question 28

Be wary of the patient who demands one particular treatment and is unwilling to contemplate other options suggested by the physician

Answer 28

T

Question 29

It should not be recommended that the patient gain a second opinion

Answer 29

F