A person comes to the clinic reporting, "I wear a scarf across my lower face when I go out but because of my ugly appearance." Assessment reveals an average appearance with no actual disfigurement. Which problem is most likely?
a. Dissociative identity disorder
b. Body dysmorphic disorder
c. Pseudocyesis
d. Malingering
ANS: B
Body dysmorphic disorder involves a preoccupation with an imagined defect in appearance. Dissociative identity disorder involves the existence of two or more distinct subpersonalities, each with its own patterns of relating, perceiving, and thinking. Pseudocyesis is the false belief that one is pregnant. Malingering is intentionally producing symptoms for a personal gain.
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