History A 26-year-old woman presents saying she needs a referral to a plastic surgeon as her nose is too large. She feels that people constantly comment on her nose, behind her back. She feels her facial disfigurement has prevented her from developing positive relationships as she lacks confidence and never believes friends when they try to reassure her that her nose is fine. She rarely goes out as she is convinced that everyone stares at her and talks about her. She recently gave up her job as she was constantly late because it took her so long to apply her makeup to hide the disfigurement.
She was also reluctant to move from the office to a receptionist role as she did not want to have to see people. Mental state examination Her appearance is healthy and there is no discernible abnormality with her nose. It is neither extreme in shape nor size. The woman presents as affable and…
