Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

Tim's perception of having wrinkles when he does not actually have any aligns with body dysmorphic disorder (BDD). This mental health condition is characterized by a preoccupation with perceived flaws or defects in physical appearance that are either minor or nonexistent. Individuals with BDD often engage in compulsive behaviors related to their appearance, such as excessive grooming or seeking reassurance, which can significantly impair their daily functioning and quality of life.

In Tim's case, this misperception of his appearance reflects a distorted self-image that is central to BDD. The disorder can lead to emotional distress and can affect an individual's self-esteem and mental well-being.

The other conditions mentioned do not fit Tim's experience as closely. Paranoid schizophrenia involves distorted thinking and perceptions that are typically more severe and include symptoms such as delusions and hallucinations. Panic disorder is characterized by recurrent and unexpected panic attacks, which are not indicated by Tim's concern about his appearance. Specific phobia refers to an intense and irrational fear of a specific object or situation, which is also not applicable here as Tim's concern is focused on his physical appearance, not a phobic reaction.