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Body Dysmorphic Disorder

Tyler J. Willenbrink, MD and Michelle Magid, MD, MBA Reviewed 06/2019
 


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 his ...

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 ...

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 typica...

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. [View Abstract on Ovi...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Kuhn ...

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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