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Body dysmorphia
preoccupation with imagined defect in appearance or disproportionate concern with a slight physical abnormality
Body dysmorphia - Prevalence
1.7%-2.7% of general population (US)
40% males; 60% females
Body dysmorphia - Main symptoms
Rituals and obsessions usually take up 3-8hrs a day
poor or absent insight (1/3 would say they are truly deformed)
Body dysmorphia - suicide
between 15%-30% attempted suicide
30-50 times higher completed suicide than the general population
Body dysmorphia - Treatment
no FDA approved drugs
SSRIs are more effective than placebo (ES 0.55)
CBT is effective compared to controls (ES 1.22)