• Body Dysmorphic Disorder (BDD)
• Introduction
• Body Dysmorphic Disorder is a condition generally found in many people and is usually characteristic of people who look at themselves in a pessimistic manner. The condition in context is about a young man in his middle adulthood referred to as Chris. Chris is a person who had a near death experience after almost committing suicide. Body Dysmorphic Disorder features in many people who lack confidence in themselves and the activities that they carry out.
• Discussion of Diagnosis
• In the case of Chris, he had very many issues concerning his physical appearance. He stated that he had a very long nose and that it made him feel unwanted in the society. It was due to this that he decided to take his own life. This was characteristic of a person who suffers from Body Dysmorphic Disorder. People suffering from the condition also fear the perception that other people have about them. As Paul was, he also got to a point of fearing going out because he thought that everybody would lay their eyes on him and start judging.
• Very many characteristics and symptoms can determine if a person is suffering from the condition. Some of the symptoms found to be evident in Chris as per the study and review of his condition. The symptoms included obsessive thoughts and fear of association, a lot of anxiety when dealing with people. Easily spotted from the fact that he asked the doctor to talk to him in a secluded place rather than an open place where the conversation could have been more flowing. Just as Chris, people with the condition do not exude confidence and rather than speaking directly about the issue, they tend to change the topic as they state that it is embarrassing. Chris was shy and found the issue shameful to discuss. After all these characteristics, it can be clear to diagnose Chris with Body Dysmorphic Disorder.
• DSM-IV or DSM-IV-TR multi-axial diagnosis and coding
•             According to Diagnostic and Statistical Manual of Mental Disorders, (1994) there are two main systems of coding, and these are the multi-axial analysis and coding. Where as the malty- axial structure of the DSM-1V is the way in which the code addresses a “the whole person, addressing the whole person requires that doctors see their patients from different perspectives before making any reasonable judgment from his own professional judgment. Any intervention in any mental case requires doctors to view the individual as a person rather than as a psychological case.
• Axis I Clinical Disorders
•             Then again, In DSM-IV, Axis is a broad term used to refer to the dominant condition that requires immediate intervention. This disorder might differ from disorders needing immediate assistance that include major depressive episode, an exacerbation of schizophrenia, just an explosion of panic disorder. However, the axis 1 disorder might make someone to face his fears.
• Axis II Personality Disorders and Mental Retardation
•             On the other hand, psychologist use Axis II, to point out the personality disorder that shapes the responses triggered by the Axis I problem. Additionally, any disorder associated to development such as mental retardations as in zombies or disabilities in earning predisposes the person to the Axis I problem. A case in point is of a paranoid individual, this person is likely to succumb to major life problems or depressive episodes. Examples include:
• 1.         Paranoid Personality
• 2.         Narcissistic Disorder;
• 3.         Personality Disorder;
• 4.         Schizoid Personality Disorder,
• 5.         Avoidant Personality Disorder;
• 6.         Schizotypal Personality disorder;
• 7.         Dependent Personality disorder;
• Axis III General Medical Conditions
•             Conversely, the third axis; Axis 111, intervenes by listing all the medical and neurological problems that may be useful in analyzing the present or past psychological problems. For instance, an asthmatic is likely to experience misdiagnosed symptoms. If not correctly diagnosed, doctors are likely to misdiagnose a case in the absence of previous records of the patient under study.
• Axis IV Psychosocial and Environmental Problems
•             Axis IV is a protocol for the major mental stressors that an individual has faced in the recent past, just like divorce, loss of job, death of a life or a business partner. Clinical psychologist can use the Axis to report any environmental problem or psychological problem that might interfere with the diagnosis and treatment of mental disorder. Examples in this case include; problems with the main support groups, educational problems, occupational problems and other main problems.
• Axis V Global Assessment of Functioning
•             Axis V codes an individuals "level of function" that he has achieved in the recent past. In most cases, it ism used to indicate he highest level or the most important achievement in the life of the individual. Doctors display the axis in the magnitude of 0-100, whereby 100 represent the state of optimal functioning. It denotes the actual diagnosis as reported by the clinician over the general level of functioning that an individual has achieved.
•             Doctors can report the final functioning of Axis V by use of Global Assessment of Functioning (GAF) scale. The sales are very important especially when the doctor need to follow the basic progress of a psychological case on global terms. However, medical professionals indicate that the GAP scale is rate ought to be in terms of the social, occupational and psychological workings.

Importance of Multiaxial Diagnostic System

            The system analysis and diagnosis both infirmities with disorders using five thorough medical levels meant to tackle the predicament adequately. This ensures that doctors depict the illness quickly with application of the required measures that entail meticulous research. Hence, making sure that the medical practitioners give and apply the best technique tackle the predicament adequately and as required. In each level, there are measures, practices and prescriptions attached to it to enable that after the initial step or level the in conquerable ailment goes to the preceding levels. The administration in each level may or may not differ much but mainly depict slight clear cuts noticeable.

            In staging effective treatment planning the multiaxial diagnostic system aids in keeping and availing the patient’s former treatment records. This is essential since it used to track the genesis of the ailment and evaluate the current state whether it is mild or chronic. Medical practitioners through evaluating the patient’s condition according to the level they have reached enable them to result with good and better strategy. At occasionally, medical practitioners may innovate some technical ways regarding the cases presented and recommend the best medicine. Consequently, putting some aliments at bay since at a certain level of the system a known disease well known and investigated.

            The levels indicate the complexity of technology advancement that makes the system more effective in dealing with diverse ailments, which might appear complicated. This application is essential and effective in tackling ailments that do not have a particular procedure and may be new to medical practitioners. Hence, shunning the trial and error in medical field should be non-existent at all costs.

Conclusion

            According to the above case, it is true to say that while using the two methods of coding, a medical profession is able to depict the Body dismorphic disorder of the client. The case study shows that the man in question suffered from the disease because he had nearly committed suicide. This disease usually affects an individual mentally and results to lack of confidence. Most of the time, people who suffer from the disease fail to receive the appreciation they deserve from the society. This usually results to depression that later leads to a person committing acts that are not acceptable in the society.

            Technology has contributed much in the health industry. With new machines, there are two main coding that doctors use to depict the Axis 1 disorder. Doctors are able to depict the disorder while using the DSM-IV. The technology that doctors apply to depict the Axis 1 disorder in a human body is DSM-IV. Meanwhile, the doctors may also be able to depict the rate of Axis 1 while using the analysis of axis II. The disease may be severe and reach to a point of affecting a person while protruding various symptoms. In such a case, doctors refer such a patient to be a paranoid individual.

            Although Body dismorphic disorder is a serious disease when it affects an individual, the essential part to note is that the disease has a cure. The disease becomes complicated when it has matured in the human body within a long period. Doctors advise patients that when the symptoms of disease appear, a person ought to visit a clinic and seek medical attention. When the doctors are able to depict the disease early, they are able to treat the patient and help in living a normal life.

• Reference
• Veale, D & Neziroglu, F. (2010). Body Dysmorphic Disorder: A Treatment Manual. New York:   John Wiley and Sons.
• Phillips, K. A. (2009).Understanding Body Dysmorphic Disorder. New York: Oxford University             Press.