Acceso usuarios
Santiago de Compostela, España
No presente traballo exponse o caso clínico dun paciente cun diagnóstico de Trastorno Dismórfico Corporal e de Trastorno da Personalidade por Evitación. O paciente presenta unha intensa preocupación por un defecto físico, a cal lle xera un malestar significativo e un elevado grao de interferencia no seu funcionamento diario. Leva a tratamento psicolóxico e psiquiátrico dez anos por devandito motivo cunha evolución desfavorable; aínda que previamente, durante o período infanto-xuvenil, xa precisara tratamento en saúde mental pola súa inhibición social e rexeitamento escolar. O tratamento psicolóxico utilizado neste paciente segue un enfoque cognitivo condutual cun formato tanto individual como grupal. Recentemente, tras un longo período a tratamento psicolóxico individual sen visos de mellora, inclúese o paciente nun Programa grupal de Adestramento en Habilidades Sociais, conseguindo con esta experiencia unha notable melloría.
In the present work, the clinical case of a patient with a diagnosis of Body Dysmorphic Disorder and Personality Disorder by Avoidance is presented. The patient presents an intense concern for a physical defect, which generates significant discomfort and a high degree of interference in their daily functioning. It leads to psychological and psychiatric treatment ten years for that reason with an unfavorable evolution; although previously, during the infant-juvenile period, he had already required treatment in mental health due to his social inhibition and school refusal. The psychological treatment used in this patient follows a cognitive behavioral approach whose format has been both individual and group. Recently, after a long period of individual psychological treatment without any signs of improvement, the patient is included in a group program of Social Skills Training, achieving with this experience a remarkable improvement.
