Body Dysmorphic Disorder

A body dysmorphic disorder will be perceived only slightly by dealing with ? 1 wahrgenommenenm lack in appearance, which are not obvious, or from other people. Dealing with the appearance must cause clinically significant distress or impairment in social, professional, academic or otherwise functioning. And eventually patients must repeatedly and excessively ? 1 behavior (z. B. mirror control, comparing their appearance to that of other people) to carry out in response to the preoccupation with appearance. The diagnosis is made on the basis of medical history. Treatment includes medication (special, SSRIs or clomipramine), psychotherapy (specific, cognitive behavioral therapy).

The body dysmorphic disorder usually begins in adolescence and seems to occur more frequently in women. At any one time about 2% of people have this disorder.

A body dysmorphic disorder will be perceived only slightly by dealing with ? 1 wahrgenommenenm lack in appearance, which are not obvious, or from other people. Dealing with the appearance must cause clinically significant distress or impairment in social, professional, academic or otherwise functioning. And eventually patients must repeatedly and excessively ? 1 behavior (z. B. mirror control, comparing their appearance to that of other people) to carry out in response to the preoccupation with appearance. The diagnosis is made on the basis of medical history. Treatment includes medication (special, SSRIs or clomipramine), psychotherapy (specific, cognitive behavioral therapy). The body dysmorphic disorder usually begins in adolescence and seems to occur more frequently in women. At any one time about 2% of people have this disorder. Symptoms and signs The symptoms can develop gradually or suddenly. Although the intensity may vary, it is believed that the disorder is usually chronic, if patients are not adequately treated. The concern is usually governed to the face or head, but it can affect or any other part of the body switch from one body part to another. Patients can such. For example, be concerned about thinning hair, acne, wrinkles, scars, vascular times, the color of her complexion or excessive facial or body hair. Or they can focus on the shape or size of the nose, eyes, ears, mouth, breasts, buttocks, legs or other body parts. In males (and rare in women), the disorder can show as so-called muscle dysmorphia. It is all about the idea, her body was not lean and muscular enough. Patients can use the body parts as they do not like, described as ugly, unattractive, deformed, hideous or monstrous. Spend patients usually many hours a day thinking about their perceived shortcomings and often mistakenly believe that other people perceive this particular or are ridiculed because of these shortcomings. Most examine themselves constantly in the mirror, others avoid any look in the mirror and still others alternate between the two behaviors. Other common compulsive behaviors include excessive body care (to remove perceived skin defects or fix) Dermatillomanie, searching of confirmation (about the perceived defects) and frequent changing. Most try to camouflage-for example, their perceived flaws by overlapping said with a beard scars or her slightly thin nascent hair hidden under a hat. Many undergo dermatological dental, surgical or other cosmetic treatments to correct the perceived stigma; Such interventions, however, are crowned usually not successful and can reinforce employment with the stigma. Men with muscle dysmorphia may resort to androgen Suppelementen, which can be dangerous. Because people are caught with a body dysmorphic disorder because of their appearance, it may be that they avoid going out in public. For most of the social, professional, academic and otherwise functioning because of their concerns about their appearance is impaired-east substantially. Some leave their homes only at night, others not at all. Social isolation, depression, repeated hospitalizations and suicidal behavior are common. The degree of insight varies, but it is bad or not generally available. Ie., That the patient really believe that the non-liked part of the body likely (poor insight) or permanently (non-existent insight) looks abnormal, ugly or unattractive. Diagnosis Clinical criteria Since many patients are too ashamed and embarrassed to show their symptoms open, the fault can remain undiagnosed for years. It differs from normal concern about the appearance because the preoccupation with it takes a long time to complete and results in a considerable load and / or limit the functionality. The diagnosis is made on the basis of medical history. If the patient is only concerned about figure and weight, an eating disorder could be the more correct diagnosis (anorexia nervosa); the main concern is the appearance of sexual characteristics, the diagnosis of gender identity disorder may be considered (Genderdysphorie and transsexuality). The criteria include preoccupation with one or more perceived defects in appearance that are not obvious or are perceived by others just as low. Occurrence of repetitive behaviors (z. B. mirror examination, excessive care) in response to the appearance. Employment caused considerable burdens or impair the functioning in social, occupational and other fields. Treatment SSRIs and clomipramine Cognitive behavioral therapy, certain antidepressants including SSRIs (Drug treatment of depression: Selective serotonin reuptake inhibitors (SSRIs)) and clomipramine (a tricyclic antidepressant with potent serotonergic effects) are often very effective. Patients often need higher doses than typically used for depression and most anxiety disorders are needed. Cognitive behavioral therapy that is tailored to the symptoms of body dysmorphic disorder, is currently the psychotherapy of choice. Cognitive approaches as well as exposure and prevention of rituals are essential elements of therapy. Doctors put patients to situations that they fear, or otherwise avoid, while omitting the practice of rituals. Since most patients have little or no insight or even, is often a motivational interviewing needed to increase their willingness to participate and to remain in therapy. Many experts believe that the combination of exposure and prevention of rituals is best with a drug therapy in severe cases. Key points Patients with ? 1 perceived lack busy in their appearance, which is not obvious, others appear only slightly. In response to her appearance guide patients through repetitive behaviors (eg. As mirror testing, excessive care) and / or take action to disguise these defects or remove. Patients usually have little or no insight, and truly believe that the non-liked body area looks abnormal or unattractive. Treatment is carried out by means of cognitive-behavioral therapy with cognitive approaches and ritual prevention and by medical therapy with an SSRI or clomipramine.

Health Life Media Team

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