A 27-Year-Old Woman Comes to the Office Due to Concerns

A 27-year-old woman comes to the office due to concerns about her weight.  She is frustrated about gaining a few pounds, although she maintains a well-balanced diet and exercises for an hour 3 times a week.  The patient has been worried for years that her thighs are "huge" and "covered in cellulite."  She always wears loose-fitting pants and spends hours a day researching leg exercises and measuring the circumference of her thighs.  The patient generally stays at home and avoids social activities as she feels people tend to stare at her.  She weighs 58 kg (127.9 lb) and is 170 cm (5 ft 7 in) tall.  Physical examination is normal.  Which of the following is the most likely diagnosis?

A) Agoraphobia
B) Anorexia nervosa
C) Avoidant personality disorder
D) Body dysmorphic disorder
E) Bulimia nervosa
F) Delusional disorder
G) Obsessive-compulsive disorder
H) Social anxiety disorder

Correct Answer:

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