Body Dysmorphic Disorder Rhoda Hahn, MD, Lawrence Albers, MD, and Christopher Reist, MD

Body Dysmorphic Disorder

Rhoda Hahn, MD, Lawrence Albers, MD, and Christopher Reist, MD

DSM IV Criteria for Body Dysmorphic Disorder

A preoccupation with imagined defect in appearance

The preoccupation causes significant functional impairment.

Preoccupation is not caused for by another mental disorder.

Clinical Features of Dysmorphic Disorder

Facial features, hair, and body build are the most frequently "defective" features.

Major depressive disorder, delusional disorder and anxiety disorders frequently coexist in body dysmorphic disorder.

Epidemiology of Dysmorphic Disorder

The disorder is most common between the ages of 15 and 20 years, with women affected as frequently as men.

Family history reflects a higher incidence of mood disorders and obsessive compulsive disorder (OCD).

Differential Diagnosis of Body Dysmorphic Disorder

Neurological "neglect" is seen in parietal lobe lesions, and it can be mistaken for dysmorphic disorder.

Anorexia Nervosa. Characterized by weight loss, unusual eating behaviors, and vomiting.

Gender Identity Disorder. Characterized by discomfort with the patient’s own sex and persistent identification with the opposite sex.

Treatment Body of Dysmorphic Disorder

SSRI antidepressants and clomipramine are effective. Coexisting psychiatric conditions, such as a mood disorders, should be treated.

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