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Body dysmorphic disorder.

D Veale1

  • 1Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, University of London, London, UK. david@veal.co.uk

Postgraduate Medical Journal
|February 19, 2004
PubMed
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Body dysmorphic disorder (BDD) involves excessive preoccupation with perceived appearance flaws, leading to distress and impaired functioning. Cognitive behavior therapy and high-dose SSRIs show treatment benefits, unlike antipsychotics or other psychotherapies.

Area of Science:

  • Psychiatry
  • Psychology
  • Dermatology

Background:

  • Body dysmorphic disorder (BDD) is characterized by obsessive preoccupation with perceived appearance defects.
  • This preoccupation often leads to time-consuming rituals, social isolation, depression, and suicidal ideation.
  • BDD can be associated with childhood bullying or abuse and often results in unnecessary cosmetic procedures.

Purpose of the Study:

  • To define Body Dysmorphic Disorder (BDD) and its core features.
  • To outline the impact of BDD on patients' quality of life and mental health.
  • To review evidence-based treatment options for BDD.

Main Methods:

  • Literature review of studies on Body Dysmorphic Disorder.
  • Analysis of diagnostic criteria and associated symptoms.

Related Experiment Videos

  • Evaluation of treatment efficacy for BDD.

    • Main Results:

    • BDD patients exhibit distorted body image and engage in compulsive behaviors like mirror gazing.
    • The condition significantly impairs social functioning, increases depression risk, and elevates suicide risk.
    • Cognitive behavior therapy (CBT) and high-dose selective serotonin reuptake inhibitors (SSRIs) show efficacy.

    Conclusions:

    • BDD is a serious condition with severe psychosocial consequences.
    • Effective treatments include CBT and SSRIs, administered similarly to obsessive-compulsive disorder protocols.
    • Antipsychotic drugs and other psychotherapies have not demonstrated effectiveness for BDD.