A woman is 5'7" tall, weighs 160 pounds, and wears a size 8 shoe. She says, "My feet are huge. I've asked three orthopedists to surgically reduce my feet."
The patient tries to buy shoes to make her feet look smaller, and in social settings conceals both feet under a table or chair. Which health problem is likely?
a. Dissociative fugue
b. Prominent pain disorder
c. Body dysmorphic disorder
d. Depersonalization disorder
ANS: C
Body dysmorphic disorder refers to a preoccupation with an imagined defect in appearance in a normal-appearing person. The patient's feet are proportional to the rest of her body. Dissociative fugue is characterized by sudden, unexpected travel away from the customary locale and the inability to recall one's identity and information about some or all of the past. Prominent pain disorder involves the presence of pain not associated with a medical disorder. Depersonalization disorder involves an alteration in the perception of self, such as feeling mechanical or unreal.
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