25 year old girl with 6 years history of feeling her nose moving and enlarging and ashamed that others may be noticing this. She is reasonably coping well with her life as a mother and wife. But distressed that why it's happening to me ,is there any serious illness and getting occasional panic.She frequently shift therapist in search of cure and never complete any regular medications. Now she is asking therapist MRI to find out the cause. on examination her Ala nasi is found frequently flaring up and down. Family history of psychosis in brother. How you will manage the case.