Chapter 22.Body Dysmorphic Disorder
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Excerpt
Body dysmorphic disorder (BDD) is a common (lifetime prevalence of about 2%; Buhlmann et al. 2010) and often severe disorder whose core feature is preoccupation with one or more nonexistent or slight defects in one’s physical appearance. The preoccupation causes clinically significant distress or impairment in psychosocial functioning, and it is not better explained by concerns with body fat or weight in an individual who meets diagnostic criteria for an eating disorder (American Psychiatric Association 2013) (see Box 22-). Insight regarding the perceived flaws (e.g., “I look ugly”) is usually absent or poor; most individuals are completely or mostly convinced that their view of their perceived deformities is accurate (Phillips et al. 2012). All persons with BDD, at some point during the illness, perform compulsive behaviors aimed at checking, fixing, hiding, or obtaining reassurance about the perceived appearance defects (Phillips et al. 2005a).
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