Click here to view next page of this article
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
Epidemiology
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.
Treatment
SSRI antidepressants and dismorphic.