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Body Dysmorphic Disorder

DSM IV Criteria for body dysmorphic disorder

A preoccupation with imagined defect in appearance

The preoccupation causes significant functional impairment.

Preoccupation is not caused for by

Clinical Features of Dysmorphic Disorder

Facial features, hair, and body build are the most frequently "defective" features.

 Major depressive disorder, delusional disorder and anxiety disorders frequently

Epidemiology

The disorder is most common between the ages of 15 and 20 years, with women affected as

Family history reflects a higher incidence of mood disorders and obsessive compulsive disorder (OCD).

Differential Diagnosis

Neurological "neglect" is seen in parietal lobe lesions, and it can be mistaken for

Anorexia Nervosa. Characterized by weight loss, unusual eating behaviors, and vomiting.

Gender Identity Disorder. Characterized by discomfort with the patient=s own sex and persistent identification with the opposite sex.

Treatment

SSRI antidepressants and, dismorphic, dysmorpic and