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Chapter 14 - Money Honey

An Interview with an ‘Informed’ Patient

from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies

Published online by Cambridge University Press:  30 March 2023

Ornella Corazza
Affiliation:
University of Hertfordshire and University of Trento, Italy
Artemisa Rocha Dores
Affiliation:
Polytechnic Institute of Porto and University of Porto, Portugal
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Summary

This chapter presents the transcript of an interview with a patient with narcissistic personality disorder, alcohol use disorder, and bipolar disorder, who completed a rehabilitation program (individual and group psychotherapy as well as psychopharmacological treatment). He revealed extensive use of many image- and performance-enhancing drugs (IPEDs) and fitness supplements to boost his physical performance in gym training routines. The interviewer specifically asked about the effects of these compounds on the patient’s mental state, and the ‘information’ that he gave to his clients in his capacity as personal trainer in his gyms. He had no specific expertise in the field, and the various products and combinations of supplements that he recommended were not used under medical supervision. The chapter highlights the problem of supplement and IPED consumption among gym users, the need to provide reliable information about these compounds in order to prevent psychopathological problems, and the importance of medical supervision.

Type
Chapter
Information
The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
, pp. 185 - 192
Publisher: Cambridge University Press
Print publication year: 2023

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References

Corazza, O, Simonato, P, Demetrovics, Z et al. The emergence of Exercise Addiction, Body Dysmorphic Disorder, and other image-related psychopathological correlates in fitness settings: a cross sectional study. PLoS ONE 2019; 14: e0213060.Google Scholar
Dores, AR, Carvalho, IP, Burkauskas, J et al. Exercise and use of enhancement drugs at the time of the COVID-19 pandemic: a multicultural study on coping strategies during self-isolation and related risks. Front Psychiatry 2021; 12: 648501.Google Scholar
McVeigh, J, Evans-Brown, M, Bellis, MA. Human enhancement drugs and the pursuit of perfection. Adicciones 2012; 24: 185–90.Google Scholar
Rowe, R, Berger, I, Copeland, J. “No pain, no gainz”? Performance and image-enhancing drugs, health effects and information seeking. Drugs (Abingdon Engl) 2016; 24: 400–8.Google Scholar
Schifano, F, Orsolini, L, Duccio Papanti, G, Corkery, JM. Novel psychoactive substances of interest for psychiatry. World Psychiatry 2015; 14: 1526.CrossRefGoogle ScholarPubMed
Strakowski, SM, DelBello, MP, Fleck, DE, Arndt, S. The impact of substance abuse on the course of bipolar disorder. Biol Psychiatry 2000; 48: 477–85.CrossRefGoogle ScholarPubMed

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