Episode 7 hosts Dr Shab Mireskandari (Psychologist from Sydney, Australia)
Shab has a special interest intreating patients suffering from Body Dysmorphic Disorder (BDD). We explore what happens when people obsess over how they look or a particular feature of their body - particularly when no-one else can see the issue.
This is a growing concern in the cosmetic industry and yet medical practitioners aren't usually trained to recognise the symptoms of BDD. When should cosmetic doctors say no to treating someone and what happens next?
0:00 Introduction
1:03 Meet Dr Shab Mireskandari
3:19 Psychology Background and Research Journey
5:16 Difference Between Psychologist and Psychiatrist
9:44 Training Path and Clinical Experience
11:56 Research in Cancer and Health Psychology
14:01 Entering Plastic Surgery Psychology
16:30 Understanding Body Dysmorphic Disorder
18:16 Diagnostic Criteria and Common Misconceptions
23:53 Spectrum of Body Image Concerns
27:02 Causes of Body Image Distress
30:22 Identifying Suitable Surgery Candidates
33:44 Recognizing Severe Psychological Distress
37:39 Referral Process to Psychologists
41:39 Patient Reactions to Being Declined Surgery
45:36 When Patients Seek Surgery Elsewhere
48:05 Long Term Therapy for BDD
51:43 Just Because You Can Doesn't Mean You Should
57:32 Psychological Risk Factors Before Surgery
1:01:04 Role of Trauma and Personal History
1:03:30 Detecting Hidden Motivations for Surgery
1:07:48 Importance of Consultation Skills
1:12:19 Business Pressures and Ethical Decisions
1:16:00 Benefits of Psychological Screening
1:19:56 Real Cases of Unsuitable Surgery Outcomes
1:22:22 Confidentiality and Doctor Communication
1:25:07 Social Media and Body Image Pressure
1:27:43 Selfies and Modern Appearance Anxiety
1:30:37 Cosmetic Procedures as Self Care
1:33:59 When Treatments Become Unhealthy
1:36:53 Cultural and Social Influences on Surgery
1:39:25 Personal Story About Rhinoplasty Decision
1:42:10 Age, Maturity and Surgical Decisions
1:44:30 Influence of Social Media on Young Patients
1:48:40 Recommended Age Considerations for Surgery
1:53:30 Psychological Preparation Before Surgery
1:55:45 Supporting Patients During Recovery
2:00:30 Importance of Realistic Expectations
2:03:05 Psychological Support for Major Body Changes
2:05:40 Screening Questions for Surgical Patients
2:10:55 Red Flags in Non Surgical Treatments
2:13:30 Managing Patient Expectations in Injectables
2:18:00 Educating Consumers and Seeking Second Opinions
2:20:15 Revision Surgery and Psychological Impact
2:23:40 Industry Improvements and Future Recommendations
2:26:10 Contact Details and Final Wrap Up
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