Matt Wilcock just renewed his gym membership for the coming year and feels this is one of his best investments. You see, he works out regularly because he wants to look more muscular. Despite the reality that his friends tell him he looks great, Matt believes he looks skinny and that his friends are making fun of him behind his back. He continues to exercise excessively in order to increase his muscle mass and recently started taking anabolic steroids. Matt does not think any of this is working and he remains dissatisfied with his appearance. When his friends try to reassure him that he looks fine, Matt believes, "I just need to work harder at pumping up." What is the most likely diagnosis for Matt?

Question

Quizplus · Accepted Answer

Matt's behaviors and thoughts align with Obsessive-Compulsive Disorder (OCD), particularly with a subtype focused on body image, often referred to as Body Dysmorphic Disorder (BDD). His excessive concern over his appearance, despite reassurance from friends, and his compulsive behaviors (excessive exercise, steroid use) to try to fix perceived flaws are characteristic of OCD/BDD.

Matt Wilcock Just Renewed His Gym Membership for the Coming