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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.

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


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

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.

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.


SSRI antidepressants and dismorphic.