Persons with mental illness experience discrimination due to the stigmatizing attitudes of the society. Desired social distance was greater for the person depicted in the psychosis, and the main predictor of greater social distance was perceiving the person as dangerous. In India men with schizophrenia reported being unmarried, hid their illness in job applications and from others, and experienced ridicule and shame. They reported that their experience of stigma was most acute at their places of employment. Women reported experiences of stigma in relation to marriage, pregnancy, and childbirth. The current paper narrates a step model community-based intervention programme that was attempted to reduce stigma prevailed in the community towards persons affected with mental illness and their family. Four members affected with mental illness from a family were reported to the psychiatric hospital with the help of a voluntary organization. Four of them were suffering from chronic schizophrenia and malnutrition. Psychiatric social work team made use of Home Visit, Family Burden Schedule and Stigma Questionnaire to assess the family condition. The assessments revealed that the family was facing serious discrimination in the village; neighbours were not coming home, children threw stones to the home and people considered the family was under the attack of evil spirits. All the family members were deprived of their basic needs like food, water and social living. Other than giving hospital-based treatment for the family members affected with mental illness, availing disability benefits, and rehabilitating the persons, the psychiatric social work team organized one day community-based intervention programme targeting knowledge and attitude of community members towards mental illness. The key elements of community-based intervention were home visits, one to one interaction, collaborative work with local governing bodies, street play, experience sharing by a person affected with mental illness, display and distribution of IEC material, interactive sessions and oath taking. The community-based intervention could bring changes in the stigma, reduced discrimination and increased social acceptance and social support of the family members.
Body dysmorphic disorder is an under-recognised chronic problem, which is established as independent diagnostic entity. Its clinical features, co-morbidity, course, and prognosis have been studied in detail. But the issue of its psychotic and non-psychotic variants and the question of dimensional or categorical method of classifying this disorder still poses a diagnostic dilemma. This case report tries to highlight on this issue.
Body dysmorphic disorder is an under-recognized chronic problem that has been established as an independent diagnostic entity. Its clinical features, comorbidity, course, and prognosis have been studied in detail. But, the issue of its psychotic and non-psychotic variants and the question of dimensional or categorical method of classifying this disorder still pose a diagnostic dilemma. This case report tries to highlight this issue.
Body dysmorphic disorder (BDD) is a relatively common disorder that consists of a distressing or impairing preoccupation with imagined or slight defects in appearance. It is important to recognize and appropriately treat BDD, as this disorder is associated with marked impairment in psychosocial functioning, notably poor quality of life and high suicidality rates. Herewith, we present a case of 44-year-old single unmarried male with chronic duration of preoccupation with imagined bodily defect with significant sociooccupational functioning. The patient was treated with multiple psychotropics, cognitive behavioral therapy, and a trial of electroconvulsive therapy (ECT). The response to treatment was almost negligible. The focus of discussion would be the presentation and treatment protocol followed in this resistant case.
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