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Body Dysmorphic Disorder

Michelle B. Taylor, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

Body dysmorphic disorder (BDD) is a somatoform disorder in which patients have pervasive subjective feelings of ugliness about one or more aspects of their appearance despite a norma...

DIAGNOSIS

HISTORY

  • Determine the patient's concern.

  • Determine the severity of the disorder.

  • Signs and symptoms may include the following:

    • Preoccupation that one or more features are unattractive, ugly, or ...

TREATMENT

GENERAL MEASURES

  • In any patient with a coexisting mental disorder, such as a depressive or anxiety disorder, the coexisting disorder should be treated with the appropriate psychotherapy or ph...

ONGOING CARE

PATIENT EDUCATION

  • Phillips KA. Broken Mirror: Understanding and Treating Body Dysmorphic Disorder. Rev and expanded ed. New York, NY: Oxford University Press; 2005.

  • Body Dysmorphic Disorder...

REFERENCES

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
Ipser JC, Sander C, Stein DJ. Pharma...

CODES

ICD10

F45.22 Body dysmorphic disorder 

ICD9

300.7 Hypochondriasis 

SNOMED

83482000 body dysmorphic disorder (disorder) 

CLINICAL PEARLS

  • BDD is characterized by the patient's preoccupation with a perceived defect in appearance of at least one body part or area.

  • At some point during the course of the disorder, the individ...

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