Body Dysmorphic Disorder Definition/description An excessive preoccupation with perceived flaws or defects in appearance Diagnosis A. Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others. B. At some point during the course of the disorder, the induvial has performed repetitive behaviours in response to appearance concerns. - E.g. mirror checking, excessive grooming, skin pricking, reassurance seeking C. The preoccupation causes clinically significant distress or impairment in social, occupational or other important areas of functioning. D. The appearance preoccupation is not better explained by concerns with body fat or weight in an individual with an eating disorder • Specifiers: - If with muscle dysmorphia - Indicate degree of insight body dysmorphic disorder beliefs: ➔With good or fair insight -> knows that may not be true ➔With poor insight -> things are most likely true ➔With absent insight/delusions beliefs -> convinced that is true Treatment and Management • • • SSRIs CBT General measures: - Educate the patient about BBD and the available treatment options - Avoid making remarks (both positive and negative), challenging their beliefs or dismissing their perceived flaw as minor and/or imagined. - Consider involving family members (if appropriate) - Cosmetic interventions are not recommended in patients with BDD.