Audra has a lot of trouble looking at herself in the mirror to put on her make-up. She thinks her nose is too big and that it makes her look like a witch. Which of the following would be a likely diagnosis?

Question

Quizplus · Accepted Answer

Audra's preoccupation with her nose and belief that she looks like a witch suggests body dysmorphic disorder (BDD), which is characterized by a persistent preoccupation with perceived flaws or defects in one's appearance that are not noticeable to others. BDD often leads to significant distress and functional impairment, and may be associated with ritualistic behaviors such as excessive grooming or checking of one's appearance. Trichotillomania involves recurrent pulling out of one's hair, while excoriation involves recurrent skin picking. Delusional disorder involves fixed, false beliefs that are not based in reality. None of these diagnoses seem to fit Audra's symptoms as well as BDD.

Audra Has a Lot of Trouble Looking at Herself in the Mirror