How would you approach a patient who you suspect may have body dysmorphic disorder but is requesting multiple cosmetic procedures?

Specialty-Specific

Purpose

This question checks your ethical judgment and communication skills in a tricky situation. Interviewers want to see if you can recognize signs of Body Dysmorphic Disorder (BDD) and prioritize the patient's well-being over their surgical requests.

Tips

  • Acknowledge the signs of BDD and explain why surgery might not help.
  • Focus on the patient's mental health and express your commitment to 'do no harm'.
  • Communicate gently and empathetically, validating their feelings while discussing your concerns.

Common mistakes

  • Don't just focus on the surgery; ignore the psychological aspects.
  • Avoid being confrontational or dismissive about their desires.
  • Don't skip the referral for psychological evaluation; it's crucial for their well-being.