Treatment Recommendations Body Dysmorphic Disorder (BDD)
Matthew D. Jacofsky, Psy.D., Melanie T. Santos, Psy.D., Sony Khemlani-Patel, Ph.D. & Fugen Neziroglu, Ph.D. of the Bio Behavioral Institute, edited by C. E. Zupanick, Psy.D.Although similar to treatment for obsessive-compulsive disorder, treatment for body dysmorphic disorder (BDD) requires some additional treatment considerations. People with BDD tend to have higher rates of depression and suicidal thoughts. They can also be more difficult to engage in treatment than people with obsessive-compulsive disorder. Thus, treatment for BDD may proceed at a slower pace. Nonetheless, there are several effective treatments:
- Cognitive therapy for body dysmorphic disorder
- Behavioral exposure and response prevention therapy (ERP) for body dysmorphic disorder
- Acceptance and commitment therapy for body dysmorphic disorder
Cognitive therapy may focus on strategies to reduce the characteristic hopelessness and depression, prior to jumping into exposure and response prevention (ERP). People with BDD commonly require more intensive cognitive restructuring than people with OCD (Phillips et al., 2010).
Acceptance and Commitment Therapy (ACT) has also demonstrated promising results for BDD. Therapy participants are asked to examine the enormous value they place on their personal attractiveness, to the exclusion of other values that are important to them. Having identified other important values, therapy participants commit to actively pursuing a life that models these values.
Usually psychotherapy is enhanced by the addition of several different adjunct therapies. The specific selection of additional therapies is determined by individual needs and circumstances. These additional therapies are:
- family therapy for body dysmorphic disorder;
- group therapy for body dysmorphic disorder; and,
- medication for body dysmorphic disorder.
Treatment Recommendations for Obsessive-Compulsive Disorder
Resources
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Introduction to Obsessive-Compulsive Spectrum Disorders
- Introduction to Obsessive-Compulsive Spectrum Disorders
- Marc: An Example of the Obsessive-Compulsive Spectrum Disorders
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Diagnosis of Obsessive-Compulsive Spectrum Disorders
- How Are Obsessive-Compulsive and Related Disorders (OCRDs) Diagnosed?
- Diagnosis: The Signs and Symptoms of Obsessive-Compulsive Disorder (OCD)
- Diagnosis: The Signs and Symptoms of Body Dysmorphic Disorder (BDD)
- Similarities and Differences Between OCD and BDD
- Diagnosis: The Signs and Symptoms of Hoarding Disorder
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- Diagnosis: The Signs and Symptoms of Trichotillomania (Hair-Pulling Disorder)
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- Diagnosis: The Signs and Symptoms of Excoriation (Skin-Picking) Disorder
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- Panic Attacks in Obsessive-Compulsive and Related Disorders (OCRDs)
- Diagnosis: Obsessive-Compulsive Symptoms Due to Other Factors
- Obsessive-Compulsive Disorder Versus Obsessive-Compulsive Personality Disorder
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Causes of Obsessive-Compulsive Spectrum Disorders
- What Causes Obsessive-Compulsive and Related Disorders?
- Biological Explanations of Obsessive-Compulsive and Related Disorders (OCRDs)
- Psychological Explanations of Obsessive-Compulsive and Related Disorders (OCRDs)
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- Maintenance of Obsessive-Compulsive and Related Disorders
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Treatment of Obsessive-Compulsive Spectrum Disorders
- Types of Treatment for Obsessive-Compulsive and Related Disorders
- Exposure and Response Prevention (ERP) Therapy for Obsessive-Compulsive and Related Disorders
- Cognitive Therapy for Obsessive-Compulsive and Related Disorders
- Cognitive Therapy Continued
- Acceptance and Commitment Therapy (ACT) for Obsessive-Compulsive and Related Disorders
- Family Therapy
- Group Therapy for Obsessive-Compulsive and Related Disorders
- Medications for Obsessive-Compulsive and Related Disorders
- Treatment Obstacles for Obsessive-Compulsive and Related Disorders
- Treatment Recommendations for Obsessive-Compulsive Disorder
- Treatment Recommendations Body Dysmorphic Disorder (BDD)
- Treatment Recommendations for Hoarding Disorder
- Treatment Recommendations for Trichotillomania (Hair-pulling) Disorder
- Treatment Recommendations for Excoriation (Skin-Picking) Disorder
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Obsessive-Compulsive Spectrum Disorders References
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Introduction to Obsessive-Compulsive Spectrum Disorders
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- Mirror, Mirror: Body Dysmorphic Disorder - Part 1
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