Stage 1 and 2

Scene: Doctor is professionally dressed in a white coat, shirt, and tie and has a clipboard in hand
and stethoscope draped over his neck. He is standing facing a patient, who is sitting on an
examination table in the examination room wearing a patient gown.

Doctor: good morning, how are you?

Patient: good morning, I’m fine I don’t know but.. recently I’m always thinking about my
appearance

Doctor: Oh, it’s just normal to have an appearance conscious

Patient: Yes doctor but its not normal is more than feeling insecure about your appearance. Most
of the things about my appearance i feel insecure about or wish i could change.

Doctor: I think you are experiencing Dysmorphic Disorder

Patient: what’s that?

Doctor: Body dysmorphic disorder (BDD), or body dysmorphia, is a mental health condition
where a person spends a lot of time worrying about flaws in their appearance. These flaws are
often unnoticeable to others.
Patient: Oh My… I’m a going to die? Is there’s a cure?
Doctor: Calm Down, there’s a treatment for that
Patient: thanks God!
Doctor: It's not known specifically what causes body dysmorphic disorder. Like many other
mental health conditions, body dysmorphic disorder may result from a combination of issues,
such as a family history of the disorder, abnormalities in the brain, and negative evaluations or
experiences about your body or self-image.
Patient: how was the treatment
Stage 3
Doctor: Cognitive-behavioral therapy, or CBT, is the first line of treatment for BDD. This type
of treatment typically involves a technique known as exposure and response prevention (ERP).
In BDD, exposure aims to decrease mirror checking, camouflaging, and other compulsive
behaviors. CBT is based on an ever-evolving formulation of patients' problems and an individual
conceptualization of each patient in cognitive terms
 CBT requires a sound therapeutic alliance.
 CBT emphasizes collaboration and active participation.
 CBT is goal-oriented and problem-focused.
Patient: noted

Stage 4
Doctor: I want you to focus on things what I’ve say this will help you to cope up
1. Scheduling activities that bring you enjoyment and a sense of accomplishment.
2. Recognizing how your actions influence your thoughts and emotions.
3. Making the best use of your time.
4. Breaking down daunting tasks into more manageable ones.
5. Facing your fears gradually so they diminish.
Patient: that would be help, I hope this will end immediately.
Doctor: believe in yourself, I want you to have self confidence to cope with your health problem