1. Body Dysmorphic Disorder flaw or perceived defect. Along with eating disorders, body dysmorphic disorder (BDD) has become a growing concern for teens. http://kidshealth.org/parent/emotions/feelings/body_dysmorphic.html

KidsHealth Parents To your dismay, your daughter has started to complain more and more about the appearance of her eyelids. She grudgingly compares them to those of her classmates. You frequently catch her standing before a mirror, scrutinizing their appearance. When you try to discuss your concerns, she becomes defensive. To make matters worse, you've observed her reading materials about cosmetic surgery. How do you know if your daughter is simply experiencing a typical stage in adolescence or if she has a more complex problem? Teens seem to worry incessantly about their weight and appearance, but some may become obsessed with a specific flaw or perceived defect. Along with eating disorders , body dysmorphic disorder (BDD) has become a growing concern for young adults. The severity of this disorder varies. Some are able to function and cope with daily life, whereas others experience paralyzing symptoms of depression anxiety , and avoidance of social situations. "These adolescents have a very distorted view of how they look, and it does not match how other youth see them," says Katharine Phillips, MD, director of the Body Image Program at Butler Hospital in Providence, Rhode Island. Go to next page Printer -friendly version Email this article to a friend Send email to us Jump to another section of this article Body Dysmorphic Disorder What Is BDD?

2. Body Dysmorphic Disorder Diagnosis and treatment of body dysmorphic disorder ObsessiveCompulsive Disorder. body dysmorphic disorder. Panic. Agoraphobia. Separation Anxiety Disorder body dysmorphic disorder, (BDD) is http://www.ncpamd.com/body_dysmorphic_disorder.htm

Northern County Psychiatric Associates Psychiatric Services For Children, Adolescents, Adults and Families Baltimore, Maryland Attention Deficit Disorder Adult AD/HD Medication School Depression Adults Medication Postpartum Seasonal Depression Bipolar Disorder Family Issues Medication Anxiety Obsessive-Compulsive Disorder Body Dysmorphic Disorder Panic Agoraphobia Separation Anxiety Disorder Medication Specific Medications Free Medication Programs For Kids and Teens Depression Anxiety Family therapy Phobias Dementia Mental Health Book Reviews Bereavement Managed Care Humor Search Our Site by Key Words Enter the word or phrase to search for: Only match whole words Body Dysmorphic Disorder Carol E. Watkins, M.D. Baltimore, MD Body Dysmorphic Disorder, (BDD) is listed in the DSM-IV under somatization disorders, but clinically, it seems to have similarities to Obsessive-Compulsive Disorder (OCD). BDD is a preoccupation with an imagined physical defect in appearance or a vastly exaggerated concern about a minimal defect. The preoccupation must cause significant impairment in the individual’s life. The individual thinks about his or her defect for at least an hour per day.

3. Body Dysmorphic Disorder Characteristics and treatment of body dysmorphic disorder who answers questions about body image and body dysmorphic disorder (BDD). Athealth.com Tell the features or characteristics of body http://www.athealth.com/Consumer/disorders/BDDInterview.html

At Health, Inc. Sponsored Links From our sponsors: Consumer Disorders and Conditions advertisement Body Image and Body Dysmorphic Disorder Athealth.com is pleased to welcome J. Kevin Thompson, PhD, co-author of Exacting Beauty: Theory, Assessment, and Treatment of Body Image Disturbance , who answers questions about body image and body dysmorphic disorder (BDD). Athealth.com : Tell us about your professional background. Dr. Thompson : I am a professor of psychology in the Department of Psychology at the University of South Florida, where I have been since 1985. I received my PhD in clinical psychology from the University of Georgia in 1982. Athealth.com : How did you become interested in problems related to body image? Dr. Thompson : My early work was in the treatment of obesity and in the development of strategies to increase participation in physical fitness programs. These interests evolved into a focus on eating disorders in the early 80s at a time when bulimia nervosa was just becoming recognized as a clinical disorder. My early work in eating disorders focused on body image, with findings that body dissatisfaction was not limited to individuals with anorexia nervosa and/or bulimia nervosa, but was, in fact, present in individuals without eating disorders. Since the mid-80s, my work has consisted of a variety of studies focused on body image in diverse samples, such as in athletes, plastic surgery patients, adolescents, adults, and individuals of different ethnicity and countries.

4. OCD CENTER OF LOS ANGELES - Body Dysmorphic Disorder (BDD) Specializing in the treatment of ObsessiveCompulsive Disorder (OCD), OC Spectrum Disorders, phobias, and related anxiety disorders. 310) 335-5443. body dysmorphic disorder (BDD) The primary distinguishing feature of body dysmorphic disorder (BDD) is an obsessive http://www.ocdla.com/bodydysmorphicdisorder.html

Contact Us: click here to email us BODY DYSMORPHIC DISORDER (BDD) The primary distinguishing feature of Body Dysmorphic Disorder (BDD) is an obsessive preoccupation with a perceived defect in one's physical appearance. BDD obsessions may manifest as excessive, disproportionate concerns about a minor flaw, or as recurrent, anxiety-provoking thoughts about an entirely imagined defect. The obsessions are most frequently focused on the head and face, but may involve any body part. BDD goes beyond normal concern with one's appearance, and may significantly impair academic and professional functioning, as well as interpersonal relationships. In extreme cases, an individual may completely shun any contact with people in an effort to avoid having the defect being observed by others. Common BDD obsessions involve: Moles and freckles being too large or noticeable Acne Minor scars or skin aberrations Too much facial or body hair Too little hair on head Size and/or shape of genitalia Breast size Muscles being too small Overall size, shape and/or symmetry of the face or another body part

5. Body Dysmorphic Disorder ( BDD ) Offers an abstract examining clinical aspects and treatment strategies. http://www.biopsychiatry.com/bdd.html

Body dysmorphic disorder: clinical aspects and treatment strategies by Phillips KA Body Dysmorphic Disorder Program, Butler Hospital, Providence, RI 02906, USA. Bull Menninger Clin 1998 Fall;62(4 Suppl A):A33-48 ABSTRACT B OCD SSRIs Serotonin Self-mutilation ... The Good Drug Guide The Responsible Parent's Guide To Healthy Mood Boosters For All The Family

6. Body Dysmorphic Disorder At Beauty Worlds Essay focusing on how changes in American views of beauty are related to BDD symptoms. Includes clinical description of the condition. http://www.beautyworlds.com/bodydd.htm

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7. About Body Dysmorphic Disorder, BDD, Eating Disorders What is body dysmorphic disorder, BDD? About BDD diagnosis, treatment for body dysmorphic disorder, eating disorders. about.body.dysmorphic.disorder. http://www.healthyplace.com/Communities/Eating_Disorders/peacelovehope/bdd.html

Peace, Love, and Hope Home About Me Anorexia Bulimia ... to a friend body.dysmorphic.disorder: when.the.mirror.lies No matter how much weight is lost, or no matter how much food is thrown up, the person with anorexia or bulimia will constantly see the same overweight, vile, failure in the mirror. This typically leads to very destructive and even deadly methods of weight loss in a desperate attempt to lose the distorted perception - in this case, fat (failure). It is very hard, though, for anyone that does not have an eating disorder to be able to understand just how someone could do this to themselves - go through hospitilizations and near death experiences even - but continually see themselves so distorted. Even though Body Dysmorphic disorder isn't just shown in cases of eating disorders (someone afflicted with BDD can obsess not about weight, but instead about their hair, nose, chest, etc.), it still hurts and ruins the lives of whoever is afflicted with it. about.body.dysmorphic.disorder At one time or another we all worry about our appearance, but when you wake up degrading your nose, hair, chest, WEIGHT, etc. and then continuing to have these thoughts all day, that's when there is a problem. Closely linked to other disorders and psychiatric conditions, Body Dysmorphic Disorder (termed shortly BDD) is a serious disorder that is growing fast. People that suffer from BDD not only dislike some aspect of how they look, they're preoccupied severely with it. Most get to the point where it is very hard to go outside or sit down comfortably, or go to work and talk to others, without thinking the self-degrading thoughts about their flaws. The thoughts soon over take the person's mind and it is all he/she can think about.

8. Ethan Frome Answers to common questions about the nature and treatment of this condition. Written by British psychiatrist Dr. David Veale. http://www.btinternet.com/~david.veale/bddinfo.html

Body Dysmorphic Disorder - FAQ Dr David Veale The Priory Hospital, North London The aim of this site is to answer common questions about the nature and treatment of Body Dysmorphic Disorder. It is designed for the lay public. Body Dysmorphic Disorder (BDD) is a mental disorder defined as a preoccupation with a perceived defect in one's appearance. If a slight defect is present, which others hardly notice, then the concern is regarded as markedly excessive. In order to receive the diagnosis, the preoccupation must cause significant distress or impairment in one's occupational or social functioning. An Italian doctor, Morselli, first coined the term dysmorphophobia in 1886 from "dysmorph" a Greek word meaning misshapen. It was subsequently renamed Body Dysmorphic Disorder by the American psychiatric classification. Freud described a patient whom he called the "Wolf man" who had classical symptoms of BDD. The patient believed that his nose was so ugly that he avoided all public life and work. The media sometimes refer to BDD as "Imagined Ugliness Syndrome". This probably isn't particularly helpful, as the ugliness is very real to the individual concerned. The degree of handicap varies so that some people will acknowledge that they may be blowing things out of all proportion. Others are so firmly convinced about their defect that they are regarded as having a delusion. Whatever the degree of insight into their condition, sufferers often realise that others think their appearance to be "normal" and have been told so many times. They usually distort these comments to fit in with their views (for example, "They only say I'm normal to be nice to me" or "They say it to stop me being upset"). Alternatively they may firmly remember one critical comment about their appearance and dismiss 100 other comments that are neutral or complimentary.

9. Body Dysmorphic Disorder Clinic Information on research and treatment for this disorder. Treatment includes CognitiveBehavioral Therapy and/or medication. Located at Massachusetts General Hospital in Boston, and affiliated with Harvard University. http://www.mgh.harvard.edu/psychneuro/bdd.htm

The Body Dysmorphic Disorder (BDD) Clinic and Research Unit at MGH/Harvard Medical School was founded in 1998 by Sabine Wilhelm, Ph.D. It is one of the few clinics in the United States specializing in Body Dysmorphic Disorder (BDD). The BDD Clinic consists of a treatment program and a research unit. Patients are treated with cognitive behavioral treatment and/or medication. The research unit currently focuses on studies regarding information processing, perception and interpretation, neuropsychology, prevalence, and treatment of BDD. Besides active clinical and research services, the clinic serves an educational purpose with research fellows and graduate students currently involved in clinical and research activities. WHAT IS BDD? Individuals with Body Dysmorphic Disorder (BDD) are very concerned about their physical appearance, most commonly about their skin, hair, nose, or ears. Some, for example, report about having red scars, long noses, or small eyes, even if others reassure them that they look fine or that the flaw is not noticeable. Individuals with BDD frequently think about their appearance, at least for an hour per day. They often have problems controlling negative thoughts about their appearance.

10. Behavioral Treatment Of Body Dysmorphic Disorder Article on behavioral therapy for this condition. Written by Dr. Fred Penzel of Western Suffolk Psychological Services in Long Island, New York. http://www.homestead.com/westsuffolkpsych/BDD.html

Behavioral Treatment of Body Dysmorphic Disorder By Frederick Penzel, Ph.D. The two major modes of treatment which I normally recommend for BDD are the same as those for OCD medication and behavioral therapy. The fact that medication can help seems to point to a biological basis for BDD. As in OCD, success with medication varies from person to person and the same drugs that seem to help with OCD Anafranil, Prozac, and others, seem to help completely. For instance, it can reduce the thoughts of deformity, but not always completely eliminate them. Also, a lot of the checking and questioning habits can remain, even when thoughts are reduced. Our second aim is to prevent the behaviors just mentioned, that sufferers use to reassure themselves and terminate the anxiety. Homework for the response prevention part of the treatment can typically include such things as not inspecting body parts by eye or in mirrors, refraining from questioning others or seeking reassurance, wearing previously avoided clothes that remind the person of the deformity or accentuate what they imagine it is, not consulting physicians or surgeons, not running away from or avoiding situations where they imagine they are being scrutinized by others, etc. A good example of a treatment situation was the case of a man who believed he had numerous spots, or marks on his face. Others could not see them. He did convince a reluctant dermatologist to try different therapies on him, including several laser treatments. This treatment never produced satisfactory resultsthe spots never seemed to go away. He finally sought therapy. His behavioral treatment involved listening to tapes telling him how ugly the marks made him, how because they would never go away, and that he would be deformed for life. Additionally, he was instructed to cease visiting the dermatologist, to stop spending hours stating at his face in the mirror and to not question friends or relatives about his appearance. He felt quite anxious and nervous at the start of treatment, but the above instructions, combined with antidepressant therapy, resulted in recovery over a three-month period.

11. BehaveNet® Clinical Capsule™: Body Dysmorphic Disorder DSMIV body dysmorphic disorder. Preoccupation with a real or imagined defect in body appearance may lead to diagnosis of this Somatoform Disorder. Diagnostic criteria for 300.7 body dysmorphic disorder ( cautionary statement) A. http://www.behavenet.com/capsules/disorders/bodydysdis.htm

BehaveNet DSM-IV: Body Dysmorphic Disorder Preoccupation with a real or imagined defect in body appearance may lead to diagnosis of this Somatoform Disorder Diagnostic criteria for 300.7 Body Dysmorphic Disorder cautionary statement A. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive. B. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition American Psychiatric Association Also: dysmorphophobia Books and Other Media: Follow the hypertext link to purchase items online. Katharine Phillips The Broken Mirror - Understanding and Treating Body Dysmorphic Disorder Hardcover Paperback http://www.behavenet.com/capsules Request New Term ... BehaveNet®

12. Body Dysmorphic Disorder: The “Ugly” Disease Information for teens regarding symptoms of this condition. From Nutricise.com. http://www.efit.com/servlet/article/teens/789.html

CHANNELS Cardio Fitness Cycling Fit Style Golf and Tennis ... Strength Training HEALTHY LIVING TOOLS Activity Calorie Calculator Body Mass Index Fitness Calculators Food Nutrition Search GROUP SUPPORT Share Weight Loss Tips Buddy Board Exercise and Fitness Food and Mood ... More... SEARCH BASICS Cardio Basics Cycling Basics Hips, Abs and Thighs Basics Kids Basics ... Tennis Basics ABOUT US About Us Contact Us Affiliate Program Job Openings ... Permission Information you are here: home Teens' Health Body Dysmorphic Disorder: The “Ugly” Disease Everybody feels less than model-perfect some days, but this illness is far beyond what's normal How you look, or rather, how you think you look, can affect the way you feel about yourself. There's probably a reasonable connection between the two for most people. For example, you may not feel so confident about doing an oral presentation if you feel that you're having a bad hair day, or maybe you get bummed out when you've got a couple of blemishes. On the flip side, if you find yourself constantly being concerned that everyone is gawking at your hair because it's unflattering in some way, or if you're worried people's attention is focused on your less-than-perfect complexion or your weight that you cancel school-related activities and dates with friends, you're in dangerous psychological territory. Body dysmorphic disorder (BDD), often called imagined ugliness, is a preoccupation with a defect in one's appearance (weight, complexion, hair, face and legs are the most common fixations)—often an imperfection that exists only in the person's mind. As many as 5 million people in the United States may have BDD, and while the disorder strikes both men and women of any age, adolescence may be the most common time of onset—news that may not be all that surprising considering that high school is often the first time in a person's life when attractiveness equals popularity and acceptance.

13. Body Dysmorphic Disorder Professor leads way in recognizing, treating body dysmorphic disorder. By Kristen Lans Phillips, director of the body dysmorphic disorder and Body Image Program at Butler Hospital http://www.brown.edu/Administration/George_Street_Journal/v22/v22n5/dysmorph.htm

When minor flaws loom large in the mirror Professor leads way in recognizing, treating body dysmorphic disorder By Kristen Lans W ith her long strawberry-blond hair, large green eyes and beautiful complexion, 22-year-old Jennifer would be considered attractive by any standards. She reminded Katharine A. Phillips of the captain of a high school cheerleading squad, but there had been no crisp fall afternoons on the sidelines of the football field for Jennifer: She had dropped out of high school, and was steadily dropping out of public life. "I'm too scared to go out - everyone will see how ugly I am," Jennifer told Phillips, the assistant professor of psychiatry who diagnosed the young woman with body dysmorphic disorder (BDD). Phillips, director of the Body Dysmorphic Disorder and Body Image Program at Butler Hospital, is one of the nation's foremost experts of BDD, in which sufferers are obsessed with perceived flaws in their appearance to the extent that it disrupts their life, and at its extreme can lead to thoughts of suicide. Jennifer purchased clothes through catalogs, went to the food store during the middle of the night, and rarely ventured out of her parents' home during the day because she believed her skin was pimpled and scarred, Phillips wrote in her book on the disorder, "The Broken Mirror."

14. BDD Referral Listings List of psychotherapists across the world who specialize in treatment of body dysmorphic disorder (BDD). (From Butler University BDD Program.) http://www.butler.org/body.cfm?id=130

15. Body Image Program Information on research and treatment for body dysmorphic disorder (BDD). Located at Butler University in Rhode Island, and directed by Katherine Phillips, author of The Broken Mirror Understanding body dysmorphic disorder . http://www.butler.org/body.cfm?id=123

16. Body Image Problems This kind of obsession with a particular body part is called body dysmorphic disorder (BDD). Read this article just for teens to understand more about BDD. http://kidshealth.org/teen/your_mind/body_image/body_image_problem_p2.html

KidsHealth Teens Your Mind Body Image Defining Body Dysmorphic Disorder "Thirty to 40% of the population has some kind of dissatisfaction with their bodies," says Carol Watkins, MD, of the Northern County Psychiatric Associates in Baltimore, Maryland. This is especially true for teens whose bodies are changing rapidly. "But BDD occurs when a person gets really preoccupied that there's something wrong with a particular part of the body." BDD occurs in only a small percentage of those teens who experience "normal" dissatisfaction. Teens with BDD obsess about an imagined or slight defect in appearance. Most often, they focus on what they perceive as a facial flaw, but they can also worry about other body parts, such as short legs or breast size or body shape. Just as teens with eating disorders obsess about their weight , teens with BDD worry about an aspect of their appearance. "[Teens with BDD worry] their hair is thinning, their face is terribly scarred - when in fact they look perfectly fine. And they worry they will be considered superficial or vain if they tell people about their concerns," Dr. Phillips says. Because few people with BDD are willing to talk about their concerns or seek help, it's hard to know exactly how common BDD is. Dr. Phillips believes that as many as one in 50 people, mainly women in their 30s, may have the disorder. Other researchers believe the number of people with BDD is even less. And BDD also affects teens - about 70% of cases begin before age 18.

17. Institute Of Psychiatry - Eating Disorders Unit s of less common eating disorders including body dysmorphic disorder (BDD), Pica, Night Eating Syndrome and Sleep Eating Disorder (SEDNOS. From the Institute of Psychiatry, Kings College, University of London....... http://www.iop.kcl.ac.uk/IoP/Departments/PsychMed/EDU/OtherED.shtml

This site will look better with a newer browser search ( advanced text: Aa Aa Aa Aa You are in: KCL IoP Information for Prospective students Current students Staff Media Information about Courses and teaching Departments Events Mental health ... The IoP Quick links Home Contact us Library Vacancies ... South London and Maudsley NHS Trust The Eating Disorders Unit: Other ED's Other and/or related eating disorders Compulsive (over)eating People with this eating disorder eat according to emotional cues rather than the physiological cues of hunger and satiation. While everyone might 'comfort eat' from time to time, compulsive over-eaters do this consistently, as a way of filling a void they feel inside, 'stuffing' down emotional problems, and coping with daily stresses. They tend to be (but are not always) overweight, and feel terrible shame not only about their behaviour, but also about the effect (real or imagined) that it has on their weight. Compulsive exercising This involves episodes of repeatedly exercising beyond the requirements of what is considered safe, with the main goal being to burn calories so as 'purge' after eating, or to give the individual permission to eat. Those with compulsive exercise behaviours feel tremendously guilty when they cannot exercise and almost never do it for fun.

18. Body Dysmorphic Disorder - Symptoms And Treatment someone becomes intensely preoccupied with what they believe to be a defect in their appearance, then they may be suffering from body dysmorphic disorder, BDD. http://www.healthyplace.com/radio/articles/bdd.htm

Home About Our Hosts Show FAQs Archived Shows ... HealthyPlace.com top Listen to the HealthyPlace.com Radio Show on Body Dysmorphic Disorder and find out first-hand how BDD develops and impacts the people who live with it. Our psychiatrist, Kristeen Spratley, M.D. discusses how to treat Body Dysmorphic Disorder (show date 6-29-02). Body Dysmorphic Disorder Symptoms and Treatment Dissatisfaction with appearance is very prevalent in our society. Over the past three decades the popular magazine Psychology Today has conducted several surveys on how people feel about the appearance of their bodies. The changing results make for interesting reading. The dramatic changes in American culture have significantly altered peoples' perceptions of themselves. In 1972, twenty-three percent of American women were dissatisfied with their appearance but by 1997 that figure had risen to fifty-six percent. In 1972, fifteen percent of men were dissatisfied with their appearance but by 1997 that figure had risen to forty-three percent. Thirty-eight percent of men are now dissatisfied with the size of their chests compared to the thirty-four percent of women dissatisfied with their breasts. Men are getting pectoral and calf implants. Millions of women have had surgery to change the shape of their breasts or increase their size. Dissatisfaction with how you look is practically the norm. However, when someone becomes intensely preoccupied with what they believe to be a defect in their appearance, then they may be suffering from a mental health condition called Body Dysmorphic Disorder (BDD). While there may be a real basis for the concern, as for example, where acne is present, the sufferer's preoccupation is intense and excessive. Other times the perceived imperfections may not be obvious to anyone other than the person. They feel intensely tormented and tortured by what they feel makes them ugly to themselves and to those around them. It used to be called dysmorphobia and was first described by an Italian psychiatrist, Enrique Morselli, over a hundred years ago. He was aware of the intense suffering caused by the preoccupation with the imagined defect.

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20. Body Dysmorphic Disorder Slide 7 of 12 http://campus.houghton.edu/orgs/psychology/abn7a/sld007.htm

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