Body dysmorphic disorder vs delusional disorder somatic type (delusional infestation.)

Having a hard time making the diagnosis clinically between these two. the delusion of bugs has caused enough impairment to cause the patient to change their day to day habits, give up on life, caused isolation despite multiple fumigations and derm visits. I can be more detailed if needed but i'll keep things like this for now. Per DSM V delusional disorder: " Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired, and behavior is not obviously... Body dysmorphic disorder vs delusional disorder somatic type (delusional infestation.)
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums