He admires everything related to the United States. Other discrepancies with regard to his physical appearance also coexist he has Latin American features but his ideal of beauty is that of a Caucasian, “like Hollywood stars,” according to his own definition. He is currently in the 25th percentile, according to the BMI for his age however, he does not perceive any alterations in body image. Due to the restriction in food intake, he has a weight loss of more than 12 kg. If people tell him that he is taller or older, he becomes extremely upset and cries. Every time he notices a physical change that indicates that he is growing, he feels fear and anxiety, to the point that has considered undergoing multiple surgeries to hide it. He is greatly concerned with the development of secondary sexual characteristics. He does not eat much because according to his own research food contains nutrients needed for physical development in addition, he adopted a stooped posture to hide his height and began to distort his voice, using lower volume and higher pitch than usual, and he has also been searching the Internet to learn how not to ejaculate. The patient is a 14-year-old adolescent whose problem started two and a half years ago due to an excessive fear of growing. Children can also learn to respond with fear through direct negative experiences. Regarding environmental/social factors, it has been found that overprotective or very critical parents contribute to the development of anxiety. Psychologically, people with anxiety pay more attention to threat-related stimuli and have cognitive distortions that are consistent with anxiety. With regard to biology, children with an inhibited temperament who show apprehensive, hesitant, or distress reactions to new stimuli have a greater risk of developing clinical problems of anxiety. It is caused by interactions between biological, psychological, and social/environmental factors. It can also develop from the displacement of an emotion that arises from another environmental stressor (e.g., sexual abuse). Fear is an unpleasant emotion that occurs in response to a source of danger, whether real or imaginary, and has cognitive, behavioral, and physiological components. Gerascophobia is a fear of growing or aging.
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