Anxiety

Body Dysmorphic Disorder

search

Body Dysmorphic Disorder

  • See Also
  1. Anxiety Disorder
  2. Anxiety Secondary Cause
  3. Anxiety Symptoms
  4. Generalized Anxiety Disorder
  5. Obsessive Compulsive Disorder
  6. Panic Disorder
  7. Social Anxiety Disorder (Social Phobia)
  8. Acute Stress Disorder
  9. Post-Traumatic Stress Disorder
  10. Excessive Worry
  11. Anxiety Non-pharmacologic Management
  12. Anxiety Pharmacologic Management
  • Epidemiology
  1. Incidence
    1. General population: 1.9%
    2. Psychiatric outpatients: 12%
  2. Pursuit of surgical correction in 50% of BDD patients
  • Risk Factors
  1. Not married
  2. Living with parents
  3. Female college student
  • Associated Conditions
  1. Anorexia
  2. Atypical Depression
  3. Obsessive-Compulsive Disorder
  4. Social Anxiety
  • Signs
  1. Preoccupation with physical appearance
    1. Facial flaws are most common preoccupation
    2. Imagined defect or Slight defect
  2. Associated Compulsive Behaviors
    1. Mirror checking
    2. Excessive grooming
    3. Skin picking
  3. Disordered functioning
    1. Severe distress
    2. Impaired work or social functioning
    3. Suicidal Ideation or attempt
  • Management
  1. Treating the physical "defect" does not resolve Body Dysmorphic Disorder
    1. Crerand (2005) Psychosomatics 46(6): 549-55 [PubMed]
  2. Pharmacotherapy is similar to Obsessive Compulsive Disorder
    1. Selective Serotonin Reuptake Inhibitors (SSRIs)
      1. Requires high end of dosing range
    2. Clomipramine (Anafranil)
  • Resources
  1. Claiborn (2002) The BDD Workbook, New Harbinger Publications
    1. Paid link to Amazon.com (ISBN 1572242930)
  2. Phillips (2005) The Broken Mirror, Oxford University Press
    1. Paid link to Amazon.com (ISBN 0195167198)
  • References
  1. Hollander (1999) Arch Gen Psychiatry 56:1033-9 [PubMed]
  2. Hunt (2008) Am Fam Physician 78(2): 217-2 [PubMed]