2021 AM Posters-Body Dysmorphic Disorder and Opioid Use Disorder.

Body Dysmorphic Disorder and Opioid Use Disorder. - 1

Pdf Summary

This case report and review of literature discusses the comorbidity of Body Dysmorphic Disorder (BDD) and Opioid Use Disorder (OUD). BDD, characterized by an obsession with one's appearance, often co-occurs with other psychiatric disorders such as depression, anxiety, social phobia, and substance abuse. The lifetime prevalence of a comorbid substance use disorder is approximately 30-50%. Studies have shown anatomical differences in patients diagnosed with BDD, including impairments in the frontostriatal and temporoparietooccipital circuits, as well as a positive correlation between BDD symptom severity and amygdala volume. These anatomical differences may be linked to serotonin levels and receptor activity, as serotonin depletion is common in psychiatric disorders. The comorbidity of BDD and OUD ranges from 2-6% in smaller studies and 25-30% in larger studies, with alcohol being the most prevalent substance used. Treatment for individuals with both BDD and an SUD may require more intensive services, although no research has been done on the treatment of comorbid SUDs in patients with BDD or on the treatment of BDD in patients with an SUD. <br /><br />The case presentation describes a 31-year-old male with a history of OUD and multiple substance use disorders, as well as BDD and various psychiatric disorders. He presented to the emergency department expressing a desire to stop using drugs. Upon admission to detox, toxicology testing revealed the presence of amphetamines, opiates, benzodiazepines, and cannabinoids. Throughout his treatment, his cravings decreased, and he was eventually discharged on a combination of medications. He reported that his anxiety symptoms were associated with his body image concerns, specifically related to his ears, the shape of his head, eyebrows, and a scar mark on his forehead. Substance use was identified as a coping mechanism for managing his anxiety and facilitating socialization. The patient had a history of multiple psychiatric hospital admissions and substance use, including a suicide attempt. He underwent otoplasty surgery in the past and expressed a desire to undergo further surgeries. <br /><br />In conclusion, this case report highlights the comorbidity of BDD and OUD and emphasizes the need for further research and treatment options for individuals with these co-occurring disorders.

Keywords

Body Dysmorphic Disorder

Opioid Use Disorder

comorbidity

psychiatric disorders

anxiety

substance abuse

amygdala volume

alcohol

treatment

otoplasty surgery

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