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Body Disorders

Body Dysmorphic Disorders

  • A preoccupation with some imagined defect in appearance

  • Actual defect, if present, appears slight to others

  • Comorbid with OCD 10%

  • Course lifelong

  • Onset – early adolescence through 20s

  • Two treatments

    • SSRIs

    • Exposure and response prevention

  • Diagnostic Criteria

    • Preoccupation with one or more defects or flaws in physical appearance that are small or not observable to others

    • Repetitive behaviors

    • Significant distress

    • Preoccupation with body not better explained

  • Plastic Surgery

    • Fully 76.4% had sought this type of treatment and 66% were receiving it

    • 8% to 25% of all patients who request plastic surgery may have BDD

Trichotillomania and Excoriation

  • Trichotillomania: The urge to pull out one’s own hair from anywhere on the body

    • Leads to noticeable hair loss on scalp, eyebrows, arms, pubic region, etc.

    • Also called hair pulling disorder

  • Excoriation (skin picking disorder) is characterized by repetitive and compulsive picking of the skin, leading to tissue damage

    • 1 to 5% prevalence rate

    • Behavioral habit reversal treatment is most effective treatment

    • Face is common target for picking

Body Disorders

Body Dysmorphic Disorders

  • A preoccupation with some imagined defect in appearance

  • Actual defect, if present, appears slight to others

  • Comorbid with OCD 10%

  • Course lifelong

  • Onset – early adolescence through 20s

  • Two treatments

    • SSRIs

    • Exposure and response prevention

  • Diagnostic Criteria

    • Preoccupation with one or more defects or flaws in physical appearance that are small or not observable to others

    • Repetitive behaviors

    • Significant distress

    • Preoccupation with body not better explained

  • Plastic Surgery

    • Fully 76.4% had sought this type of treatment and 66% were receiving it

    • 8% to 25% of all patients who request plastic surgery may have BDD

Trichotillomania and Excoriation

  • Trichotillomania: The urge to pull out one’s own hair from anywhere on the body

    • Leads to noticeable hair loss on scalp, eyebrows, arms, pubic region, etc.

    • Also called hair pulling disorder

  • Excoriation (skin picking disorder) is characterized by repetitive and compulsive picking of the skin, leading to tissue damage

    • 1 to 5% prevalence rate

    • Behavioral habit reversal treatment is most effective treatment

    • Face is common target for picking

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