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  • Chapter 11 - Being Versus Appearing: Two Sides of the Same Coin?

  • from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies
  • Edited by Ornella Corazza, University of Hertfordshire and University of Trento, Italy, Artemisa Rocha Dores, Polytechnic Institute of Porto and University of Porto, Portugal
  • Book:
    The Body in the Mind
    Published online:
    30 March 2023
    Print publication:
    06 April 2023, pp 163-170

  • Summary

    We are living in an era in which appearance and body image can become the main focus of thoughts and behaviours, resulting in physical, psychological, and social suffering, about which patients, health professionals, and organizations may or may not have insight. This chapter presents the case of a 32-year-old man with body dysmorphic disorder (BDD) who presented for a psychiatric consultation because he believed that his current psychotropic medication was preventing him from achieving his desired body shape. Exercise had become such an overwhelming preoccupation that it was having negative effects on the other areas of his life, and thus required intervention. Possible etiological and maintenance factors, in particular excessive and dysfunctional exercise behaviours (exercise addiction), were explored. Remission of symptoms only occurred after psychotherapy was included as part of the intervention, demonstrating the positive effects of a treatment plan that combines pharmacology with other therapeutic approaches.