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Comorbid Opioid Use Disorder in Body Dysmorphic Disorder

Published online by Cambridge University Press:  01 September 2022

J. Kim ,
O. Alli-Balogun ,
G. Gill ,
P. Korenis  and
S. Mitra
J. Kim*
Affiliation:
BronxCare Health System, Psychiatry, BRONX, United States of America
O. Alli-Balogun
Affiliation:
BronxCare Health System, Psychiatry, BRONX, United States of America
G. Gill
Affiliation:
Bronx Care health System, Psychiatry, Bronx, United States of America
P. Korenis
Affiliation:
Bronx Care Health System-Affiliated with the Icahn School of Medicine at Mount Sinai, Psychiatry, New York, United States of America
S. Mitra
Affiliation:
BronxCare Health System, Psychiatry, New York, United States of America
*
*Corresponding author.

Abstract

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Introduction

Body Dysmorphic Disorder (BDD) is a severe and common disorder that consists of distressing or impairing preoccupation with nonexistent or slight flaws in one’s physical appearance. People with BDD typically describe themselves as looking ugly, unattractive, deformed, or abnormal, whereas in reality they look normal or even very attractive.

Objectives

Case Study

Methods

Case Study

Results

Mr. X is a 31 year-old male with history of Opiate (heroin, oxycodone) use disorder currently on maintenance (Buprenorphine-Naloxone) treatment. On admission, urine toxicology was positive for opiates and other drugs.CIWA score was 11. He was started on Lorazepam taper, Mirtazapine, Fluoxetine, and was started on Suboxone soon after. His cravings decreased and he was admitted for Rehab. He reports that anxiety associated with his “body image” related to ears, shape of head, eyebrows since he was in high school which made him “feel uncomfortable” going to school and concentrating in his classes. His coping mechanism was covering his head with hats, shaving eyebrows, substance use, and receiving an otoplasty.

Conclusions

According to Houchins et al (2019), alcohol is the predominant substance used in BDD. It is interesting to note that only 6% of BDD patients had Opioid Use Disorder, but as this case demonstrates, can be a debilitating comorbidity that raises the risk for suicidality or hospitalization. However, little research has been done on the treatment of OUDs in patients with BDD or on the treatment of BDD in patients with an SUD, and this is an area of research that could benefit the modern population greatly.

Disclosure

No significant relationships.

Keywords

opioidOpioid Use DisorderBody Dysmorphic Disorder
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S465 - S466
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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