The other related symptom is those often suffer from functional impairment, such as avoiding social activities, work, and school. They may become sheltered in their home and suicidal. For example, a 24-year-old married female, named Susie, does not like the shape of her nose. She says to her mother-in-law that after she came back home from a psych ward with a diagnosis of schizophrenia, she heard some nurses were laughing at her nose. Susie also exclaims that she wants to have surgery done on her nose and that she will pay her back. Her mother-in-law told her that she thinks her nose look beautiful and there is nothing wrong with her nose size. Suddenly, she becomes mute and withdraws herself from her in laws and friends during social events by staying in her room, during the whole month.
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