A 25 year old female says her jawline is too long. Her husband and family members do not feel the same. She consulted many plastic surgeons but none of them advised any modification. What is she suffering from?
Ans. D. Delusional disorderMost appropriate answer is delusional disorder (somatic type, delusion of Dysmorphophobia) A close 2nd differential would be Body dysmorphic disorder (not in options)Delusional disorder with somatic delusions has been called monosymptomatic hypochondriacal psychosis. The condition differs from other conditions with hypochondriacal symptoms in the degree of reality impairment. In delusional disorder, the delusion is fixed, unarguable, and presented intensely because the patient is totally convinced of the physical nature of the disorder. In contrast, persons with hypochondriasis often admit that their fear of illness is largely groundless. The content of the somatic delusion can vary widely from case to case.The three main types are(1) Delusions of infestation (including parasitosis);(2) Delusions of Dysmorphophobia, such as of misshapenness, personal ugliness, or exaggerated size of body parts (this category seems closest to that of body dysmorphic disorder); and(3) Delusions of foul body odors or halitosis. This third category, sometimes referred to as olfactory reference syndrome,
Body Dysmorphic disorder
Hypochondriasis
Somatization disorder
Delusional disorder
Miscellaneous