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Body dysmorphic disorder, dysmorphophobia or delusional disorder-somatic subtype?

V K Aravind¹, V D Krishnaram

¹Consultant Psychiatrist, Ram Psychiatry Hospital and Institute, Madurai 625020, Tamil Nadu.

Indian Journal of Psychiatry

|August 13, 2010

Summary

This case study explores body dysmorphic disorder (BDD), characterized by excessive appearance concerns. It highlights the challenges in differentiating BDD from delusional disorder, somatic type, due to overlapping symptoms and significant distress.

Keywords:

Body dysmorphic disorder change of face appearance delusional disorder somatic type

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Area of Science:

Psychiatry
Clinical Psychology
Mental Health

Background:

Body dysmorphic disorder (BDD) involves obsessive preoccupation with perceived flaws in physical appearance.
These concerns often lead to significant distress and functional impairment.
Differentiating BDD from other psychiatric conditions, such as delusional disorder, can be challenging.

Purpose of the Study:

To present a case study illustrating the complexities of diagnosing body dysmorphic disorder (BDD).
To highlight the diagnostic challenges in distinguishing BDD from delusional disorder, somatic type.
To discuss the impact of BDD symptoms on social and interpersonal functioning.

Main Methods:

Case report presentation.
Review of clinical presentation and diagnostic criteria.
Discussion of differential diagnosis between BDD and delusional disorder, somatic type.

Main Results:

The case demonstrates recurrent intrusive preoccupation with facial appearance.
Associated ritualistic behaviors significantly impaired social and interpersonal functioning.
The study underscores the difficulty in establishing a clear diagnostic boundary between BDD and delusional disorder, somatic type.

Conclusions:

Accurate diagnosis of BDD requires careful consideration of symptom presentation and severity.
The overlap between BDD and delusional disorder, somatic type, necessitates thorough differential diagnosis.
Effective management of BDD involves addressing appearance-related obsessions, compulsive behaviors, and resulting functional impairments.