psychiatric disorders
Body Dysmorphic Disorder
Key Points
Patients are preoccupied with≥1 perceived defects in their physical appearance that are not apparent or appear only slight to other people. At some point during the disorder, patients respond to their appearance concerns by performing repetitive behaviors (eg, mirror checking, excessive grooming). Most patients take measures to camouflage or remove the perceived defect. Patients typically have poor or absent insight. Treat using cognitive-behavioral therapy that is tailored specifically to body dysmorphic disorder and/or pharmacotherapy with an SSRI orclomipramine, often at relatively high doses. Cosmetic treatment, which is almost always ineffective, is to be avoided. 