Understanding Body Dysmorphic Disorder

316 Pages·2009·2.5 MB·English

by  Katharine A. Phillips

UNDERSTANDING
BODY DYSMORPHIC
DISORDER
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UNDERSTANDING
BODY
DYSMORPHIC
DISORDER
AN ESSENTIAL GUIDE
KATHARINE A. PHILLIPS, M.D.
Professor of Psychiatry and Human Behavior
Alpert Medical School of Brown University
Director of the Body Dysmorphic Disorder Program
Butler Hospital, Providence, RI
1
2009
3
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Copyright © 2009 by Katharine A. Phillips
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Library of Congress Cataloging-in-Publication Data
Phillips, Katharine A.
Understanding body dysmorphic disorder : an essential guide / Katharine A. Phillips.
p. cm.
Includes index.
ISBN-13: 978-0-19-537940-2 (pbk. : alk. paper)
1. Body dysmorphic disorder—Popular works. I. Title.
RC569.5.B64P483 2009
616.85’2—dc22
2008031527
9 8 7 6 5 4 3 2 1
Printed in the United States of America
on acid-free paper
For my patients and for everyone who has participated in BDD research; your
courage, trust, and generosity have immeasurably increased understanding
of BDD and have made this book possible
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Dr. Phillips is a member of the DSM-V Task Force and Chair of the DSM-V
Work Group on Anxiety, Obsessive-Compulsive Spectrum, Post-Traumatic,
and Dissociative Disorders. Information or views expressed in this book
do not necessarily represent the views of the DSM-V Task Force or Work
Group.
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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,
Camoufl aging, Dieting, and Others 67
7. How Body Dysmorphic Disorder Aff ects 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 Th erapy 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 Th eir
Relationship to Body Dysmorphic Disorder? 243
ix