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Related Experiment Videos

Body dysmorphic disorder: a guide for primary care physicians.

Katharine A Phillips1, Raymond G Dufresne

  • 1Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island, USA. Katharine_Phillips@brown.edu

Primary Care
|February 22, 2002
PubMed
Summary
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Body dysmorphic disorder (BDD) involves preoccupation with slight appearance flaws, impacting quality of life and increasing suicide risk. Psychiatric treatments like SSRIs and CBT are often effective, unlike surgery.

Area of Science:

  • Psychiatry
  • Dermatology
  • Primary Care Medicine

Background:

  • Body dysmorphic disorder (BDD) is a common psychiatric condition characterized by preoccupation with perceived appearance flaws.
  • BDD significantly impairs functioning, diminishes quality of life, and is associated with a high rate of suicide attempts.
  • Patients frequently seek surgical or dermatological interventions with perceived poor outcomes.

Observation:

  • Nonpsychiatric treatments often yield unsatisfactory results for BDD patients.
  • Psychiatric interventions, including serotonin-reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT), demonstrate notable effectiveness.
  • BDD often presents to nonpsychiatric physicians, necessitating recognition and appropriate management strategies.

Findings:

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  • BDD is linked to significant functional impairment and reduced quality of life.
  • Surgical and dermatological treatments are frequently pursued but often result in perceived poor outcomes.
  • Effective psychiatric treatments for BDD include pharmacotherapy (SSRIs) and psychotherapy (CBT).

    • Implications:

    • Primary care physicians play a crucial role in recognizing and diagnosing BDD.
    • Early and accurate diagnosis can redirect patients towards effective psychiatric treatments.
    • Improved understanding and management of BDD can enhance patient outcomes and reduce suicide risk.