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Understanding Body Dysmorphic Disorder

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In a world obsessed with appearance, it is not surprising that body dysmorphic disorder, or BDD — an emotionally painful obsession with perceived flaws in one's appearance — has manifested itself as a troubling and relatively common problem for many individuals. In The Broken Mirror, the first and most definitive book on BDD, Dr. Katharine A. Phillips provided a comprehensive manual for patients and their physicians by drawing on years of clinical practice, scientific research, and professional evaluations of over 1,000 patients. Now, in Understanding Body Dysmorphic Disorder: An Essential Guide , the world's leading authority on BDD reaches out to patients, their friends, and their families with this concise and updated handbook.

BDD causes sufferers to be obsessed by perceived flaws in their appearance and may afflict as much as two percent of the population, or nearly five million people. Many sufferers are able to function well in society, but remain secretly obsessed by their "hideous acne" or "horrible nose," sneaking constant peeks at a pocket mirror, or spending hours at a time redoing makeup. Others find their lives disintegrate because of their appearance obsessions. It is not an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns.

Using stories and interviews to show the many different behaviors and symptoms of BDD, and a quick self-assessment questionnaire, Dr. Phillips guides readers through the basics of the disorder and through the many treatment options that work and don't work. With Understanding Body Dysmorphic Disorder: An Essential Guide, sufferers will find both helpful advice and much needed reassurance in a compact, down-to-earth indispensable book.

ISBN-13: 9780195379402

Media Type: Paperback

Publisher: Oxford University Press

Publication Date: 02-20-2009

Pages: 320

Product Dimensions: 6.90(w) x 9.90(h) x 0.80(d)

Katharine A. Phillips, MD, is Director of The BDD and Body Image Program at Butler Hospital in Providence, Rhode Island, and Professor of Psychiatry at Brown Medical School.

Table of Contents

Preface xi

Acknowledgments xiii

1 Patients Speak 3

2 What Is Body Dysmorphic Disorder? 13

3 How Do I Know If I Have Body Dysmorphic Disorder? 25

4 Body Dysmorphic Disorder Comes in Many Forms 43

5 Painful Obsessions 57

6 Compulsive Behaviors: Mirror Checking, Grooming, Camouflaging, Dieting, and Others 67

7 How Body Dysmorphic Disorder Affects Lives: Social Avoidance, Problems with School and Work, Violence, Suicide, and Other Consequences 89

8 Gender and Body Dysmorphic Disorder across the Life Span 115

9 What Causes Body Dysmorphic Disorder? Clues to an Unsolved Puzzle 127

10 Getting Better: A Brief Treatment Guide 141

11 How to Successfully Treat Body Dysmorphic Disorder with Medication 155

12 Cognitive-Behavioral Therapy for Body Dysmorphic Disorder 189

13 Cosmetic Treatments: Surgery, Dermatologic, Dental, and Other Treatments 233

14 Anorexia Nervosa, Obsessive Compulsive Disorder, and Other Psychiatric Disorders-What's Their Relationship to Body Dysmorphic Disorder? 243

15 Advice for Family Members and Friends 251

16 Getting Help for Body Dysmorphic Disorder 265

Glossary 277

Index 287