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Body Dysmorphic Disorder

Michelle Magid, MBA, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

Body dysmorphic disorder (BDD) is an obsessive compulsive and related disorder in which individuals have pervasive and intrusive feelings regarding an imagined or slight flaw in thei...

DIAGNOSIS

HISTORY

  • Determine the patient’s primary concern.

  • Signs and symptoms may include the following:

    • Preoccupation that one or more physical features are unattractive, ugly, or deformed

    • Can involve an...

TREATMENT

GENERAL MEASURES

  • Cognitive-behavioral therapy (CBT) is the first-line psychosocial treatment for BDD and has been shown to be effective in multiple controlled trials (3)[A].

  • CBT for BDD typic...

ONGOING CARE

PATIENT EDUCATION

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

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstra...

CODES

ICD10

  • F45.22 Body dysmorphic disorder

SNOMED

  • 83482000 Body dysmorphic 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.

  • Patients with BDD are often hesitant to discuss their condit...

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