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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