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Sydney Was a Popular 17-Year-Old Who Attended a Suburban High

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Sydney was a popular 17-year-old who attended a suburban high school near Washington, DC. During the spring of her senior year, Sydney became preoccupied with her appearance and began to look constantly for her own image in windows and mirrors. In particular, Sydney began to notice that her nose was abnormally shaped. Her friends all told her that she was crazy when she expressed her concern, so she stopped talking about it to them. She began to apply makeup in an attempt to offset what she believed to be the contemptible contour of her nose. She started wearing her hair loosely, holding her head down much of the time so that her face was partially obscured, and brushing her hair excessively to encourage it to fall forward around her face. Her distress grew and she repeatedly begged her parents to let her have surgery to correct the shape of her nose, which by now she regarded as hideous. Her pleas turned to volatile arguments when her parents told her that her nose was fine and that they would not agree to surgery. Sydney started finding excuses not to go out with her friends and refused to date because she could not stand the thought of anyone looking at her up close. She stayed home in her room, staring for hours in the mirror. She refused to attend her senior prom or graduation ceremony. After high school, Sydney got a job as a night security guard, so that she could isolate herself as much as possible and not been seen by others. During the next seven years, she had five surgeries to correct the shape of her nose. Each time, she became even more dissatisfied and obsessed with her appearance. Although everyone who knew Sydney thought she looked fine, she remained obsessed and tormented by her "defect". According to your text, what diagnosis should Sidney receive? Code the diagnosis on the correct axis and provide a brief overview of the disorder. How would a cognitive-behavioural therapist treat this disorder?

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