Body Dysmorphic Traynor

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    Body Dysmorphic DisordAn Overview

    Tarah L. Traynor

    Kankakee Community CollegeKankakee, IL

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    Body dysmorphic disorder, also known as BDD, is defined in the

    Merriam-Webster dictionary as a pathological preoccupation with an

    imagined or slight physical defect of one’s body to the point of

    causing significant stress or behavioral impairment in several areas(as work and personal relationships)

    Body dysmorphic disorder define

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    Patients with BDD exaggerate small flaws or imaginflaws to the point of perceived deformity

    Actual

    Example

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    Causes of body dysmorphic disorde

    • There are no known causes of body dysmorphic disorder.

    • It is believed that there are three main components to the

    development of BDD

    Cultural• Social

    • Psychological

    • Some believe an event may trigger the manifestation of BD

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    BDD generally presents in adolescence (Brewster, 2011; Grant & Odlaug, 2009) and aboth men and women (Grant & Odlaug, 2009).

    The focus of BDD can be any body part or perceived physical defect, but is most commohead or face (Brewster, 2011; Grant & Odlaug, 2009).

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    Men

    • Body part focus• Body build• Genitalia• Thinning hair

    • Behavior• Substance use disorder• Weight lifting

    Women

    • Body part focus• Breasts• Buttocks• Excessive hair• Nose• Skin• Stomach• Teeth• Thighs• Weight

    • Behavior• Camouflaging techniques

    (baggy clothes, wigs, makeup, • Eating disorder•

    Skin picking

    Gender Predominance of specific symptoms(Hunt et al., 2008)

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    Symptoms and/or signs of body dysmorphic disorder

    • Spending excessive (2-8 hrs.) in front of the mirror

    • Body rocking

    • Skin picking

    • Lack of sleep

    • Inability to focus

    • Decreased appetite

    • Lack of empathy

    • Lethargy

    • Self-assurance seeking

    • Social withdrawal

    • Aggressive outbursts

    Suicidal tendencies

    (Brewster, 2011)

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    Many patients with BDD also have other psychiatric disorde

    • 84% Depression

    • 49% Substance-use disorders

    • 40% Social phobia

    33% Obsessive-compulsive disorder• Avoidant personality disorders

    • Paranoid personality disorders

    • Suicidal tendencies(Jaffe, 2006)

    (Grant & Odlaug, 2009)

    (Grant & Odlaug, 2009)

    (Grant & Odlaug, 2009)

    (Grant & Odlaug, 2009)

    (Grant & Odlaug, 2009)

    (Grant & Odlaug, 2009)

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    Physical effects of body dysmorphic disorder

    • Obsessive skin picking

    • Infection

    • Skin grafts

    (Grant & Odlaug, 2009)

    • Eating disorders

    • Anorexia nervosa

    • Bulimia nervosa

    (News RX, 2006)

    • Cosmetic surgery

    • Habit forming

    • Unnecessary

    (Nugent, 2009)

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    Social effects of body dysmorphic disorder

    • Feeling isolated, depressed, alone and unwanted (Jaffe, 2006)

    • Feelings of shame, guilt, and embarrassment (Brewster, 2011)

    • Trouble engaging and interacting with peers (Brewster, 2011)

    • Trouble developing and maintaining friendships and relationships (Brewster, 2011)

    • Avoid school, work, or other social situations (Hunt et al., 2008)

    • Perform poorly at school or work and excessive lateness (Hunt et al., 2008)

    • Fear of bodily persecution (Brewster, 2011)

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    Treatments of body dysmorphic disord

    Many people with BDD don’t admit anything is wrong. The disooften goes unrecognized (Brewster, 2011). It is commonlymisdiagnosed in most medical settings (Hunt et al., 2008).

    • Selective serotonin reuptake inhibitors (SSRIs)

    • Cognitive behavioral therapy

    • A combination of SSRIs and cognitive behavioral ther

    (Brewster, 2011; Hunt et al., 2008)

    (Brewster, 2011; Hunt et al., 20

    (Curran, 2006)

    There is no cure

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    References

    Brewster, K. (2011). Body dysmorphic disorder in adolescence: Imagined ugliness. The School Psychologist . Retrieved

    http://www.apadivisions.org/division-16/publications/newsletters/school-psychologist/2011/07/adolescent-dys

    disorder.aspx

    Curran, J. (2006). Treating body dysmorphic disorder. Mental Health Practice, 9.6, 31. Retrieved from: Expanded Acade

    database.

    Grant, J. E. & Odlaug, B. L. (2009). Obsessive-compulsive spectrum and disorders of the skin. Expert Review of Dermat

    Expanded Academic ASAP. Web Database. doi: http://dx.doi.org.proxy01.kcc.edu/10.1586/edm.09.40

    Hunt, T. J., Thienhaus, O., & Ellwood, A. (2008). The mirror lies: Body dysmorphic disorder. American Family Physician,

    Retrieved from: http://www.aaf p.org/afp/2008/0715/p217.html

    Jaffe, E. (2006). Deadly disorder: Imagined-ugliness illness yields high suicide rate. Science News, 170.4, 52. Retrieved

    http://www.questia.com/library/1G1-149612487/deadly-disorder-imagined-ugliness-illness-yields 

    News RX. (2006). Eating disorders are common in individuals with body dysmorphic disorder. Science Letter , 592. Ret

    http://www.newsrx.com/newsletters/Drug-Week/2006-03-24/032420063333187W.html 

    Nugent, K. (2009). Cosmetic surgery on patients with body dysmorphic disorder: cutting the tie that binds. Developm

    Health Law , 28.2, 77. Retrieved from: http://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-pa

    body-dysmorphic

    All images are property of Tarah Traynor or are Microsoft clipart

    http://www.apadivisions.org/division-16/publications/newsletters/school-psychologist/2011/07/adolescent-dysmorphic-disorder.aspxhttp://www.apadivisions.org/division-16/publications/newsletters/school-psychologist/2011/07/adolescent-dysmorphic-disorder.aspxhttp://www.apadivisions.org/division-16/publications/newsletters/school-psychologist/2011/07/adolescent-dysmorphic-disorder.aspxhttp://www.aafp.org/afp/2008/0715/p217.htmlhttp://www.aafp.org/afp/2008/0715/p217.htmlhttp://www.questia.com/library/1G1-149612487/deadly-disorder-imagined-ugliness-illness-yieldshttp://www.newsrx.com/newsletters/Drug-Week/2006-03-24/032420063333187W.htmlhttp://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-patients-with-body-dysmorphichttp://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-patients-with-body-dysmorphichttp://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-patients-with-body-dysmorphichttp://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-patients-with-body-dysmorphichttp://www.questia.com/library/1G1-269921866/cosmetic-surgery-on-patients-with-body-dysmorphichttp://www.newsrx.com/newsletters/Drug-Week/2006-03-24/032420063333187W.htmlhttp://www.questia.com/library/1G1-149612487/deadly-disorder-imagined-ugliness-illness-yieldshttp://www.aafp.org/afp/2008/0715/p217.htmlhttp://www.apadivisions.org/division-16/publications/newsletters/school-psychologist/2011/07/adolescent-dysmorphic-disorder.aspx