Psychosocial issues and the cosmetic surgery patient Flashcards
Body dysmorphic disorder is one of the more common psychological disorders seen in people seeking cosmetic surgery.
T
Cosmetic surgery is generally contraindicated in patients with body dysmorphic disorder.
T
In patients seeking cosmetic surgery, women tend to suffer from a greater number of mental conditions.
F Men.
Passive-aggressive patients have a decreased need for postoperative nurturing. .
F Increased need. Also whine and exhibit childish behaviour
Strong and confident reassurance is needed post-operatively when dealing with hostile and angry patients.
T
With obsessive compulsive patients, the doctor must maintain an authoritative presence.
F True for sociopathic patients.
For body dysmorphic disorder, the patient shows a preoccupation and excessive concern with an imagined or slight defect.
T
For the diagnosis of body dysmorphic disorder, there must be some hindrance to the patient in terms of normal social or occupational functioning.
T
The most common complaints in patients with body dysmorphic disorder pertain to the skin, face, hair or nose.
T
Body dysmorphic disorder affects around 1 in every 20 patients.
F 1 in 10.
Patients with body dysmorphic disorder will perform repetitive compulsive behaviours.
T
Koro syndrome is a form of body dysmorphic disorder in Chinese people.
T It is the delusional belief that the penis is shrinking.
Patients with body dysmorphic disorder typically see countless doctors for the same problem.
T
Patients with body dysmorphic disorder are not at increased risk of suicide.
F
Body dysmorphic disorder is not associated with other psychiatric or medical illness.
F Anxiety/panic d/o, heart disease, diabetes, OCD, substance use, manic-depression
Social phobias tend to develop after the onset of body dysmorphic disorder.
F Prior to its onset.
Depression and substance use usually begin after the onset of body dysmorphic disorder.
T
Women with body dysmorphic disorder are often reported to suffer from panic attacks, bulimia and generalised anxiety disorder.
T
Men with body dysmorphic disorder are more likely to suffer from bipolar disorder.
T
In most patients with body dysmorphic disorder, the rate of surgical success is exceedingly poor.
T
Simple restorative cosmetic procedures, such as botox, are contraindicated in patients with body dysmorphic disorder. .
F Little risk of severe psychological complications
Most patients with body dysmorphic disorder do not benefit from cosmetic surgery and suffer worsening of symptoms as treatment proceeds.
T
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.
T
Regarding body dysmorphic disorder, you should try to talk patients out of picking their skin or being worried about their appearance.
F Attempts to end their compulsive behaviours often leads to further depression, frustration and lack of recovery.
Regarding body dysmorphic disorder, patients should be encouraged to use make-up or camouflage.
F Hiding their perceived deformity interferes with recovery.
You should be wary of the patient who cannot point out or verbalize the defect or problem they would like improved
T
Be wary of the patient who requires a magnifying mirror to pick out the problematic defect
T
Be wary of the patient who demands one particular treatment and is unwilling to contemplate other options suggested by the physician
T
It should not be recommended that the patient gain a second opinion
F
