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Books on the topic 'Body dysmorphic disorder – Behavior therapy'

Author: Grafiati

Published: 4 June 2021

Last updated: 4 February 2022

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1

Veale, David. Overcoming body image problems including body dysmorphic disorder: A self-help guide using cognitive behavioral techniques. New York: Basic Books, 2009.

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2

Sony, Khemlani-Petal, and Santos Melanie T, eds. Overcoming body dysmorphic disorder: A cognitive behavioral approach to reclaiming your life. Oakland, CA: New Harbinger Publications, 2012.

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3

Veale, David. Body dysmorphic disorder: A treatment manual. Chichester, West Sussex, UK: Wiley-Blackwell, 2010.

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4

Publishing, American Psychiatric, ed. Trichotillomania, skin picking, and other body-focused repetitive behaviors. Washington, DC: American Psychiatric Pub., 2012.

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5

Smith, W. Lynn. The mind-body interface in somatization: When symptom becomes disease. Lanham: Jason Aronson, 2010.

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6

Smith, W. Lynn. The mind-body interface in somatization: When symptom becomes disease. Lanham: Jason Aronson, 2009.

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7

Smith, W. Lynn. The mind-body interface in somatization: When symptom becomes disease. Lanham: Jason Aronson, 2009.

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8

Elbaum, Moshe. Me-ḥadar ha-ṭipulim sheli: My treatment room. Tel Aviv: Contento De Semrik, 2013.

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9

Rasmussen, Jessica, Angelina F. Gómez, and Sabine Wilhelm. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0026.

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Cognitive-behavioral therapy (CBT) that is tailored to the unique clinical features of body dysmorphic disorder (BDD) is currently the psychosocial treatment of choice for BDD. Researchers have made great strides in understanding the cognitive-behavioral processes that contribute to the development and maintenance of BDD. CBT for BDD is based on this theoretical understanding and has been shown to be highly effective in reducing BDD symptom severity and associated symptoms. The key components of CBT include identifying and rationally disputing maladaptive appearance-related thoughts, and exposure with response prevention for feared and avoided situations. CBT for BDD also integrates educating the patient on the mental and behavioral processes involved in the BDD experience with mindfulness/perceptual retraining (e.g., techniques aimed at helping patients to view their appearance with a neutral, global, and aware perspective) to augment the therapeutic process. Advanced cognitive strategies are used to address negative core beliefs. Because BDD is typically characterized by poor or absent insight, motivational interviewing is often needed to overcome ambivalence towards treatment.

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10

Greenberg, Jennifer L., Anne Chosak, Angela Fang, and Sabine Wilhelm. Treatment of Body Dysmorphic Disorder. Edited by Gail Steketee. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195376210.013.0089.

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Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with an imagined or slight defect in one’s appearance. BDD is a severe and common disorder associated with high levels of functional impairment and high rates of suicidality. Interventions, including cognitive-behavioral therapy and pharmacotherapy, are effective for BDD. This chapter outlines the cognitive-behavioral model and therapy of BDD. The chapter reviews pharmacotherapy of BDD, and discusses the role of combination therapy. The chapter also addresses ineffective approaches for the treatment of BDD, including the role of cosmetic procedures. Early recognition and intervention are critical, and limit its chronicity and subsequent morbidity.

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11

Greenberg, Jennifer L., Katherine E. Limoncelli, and Sabine Wilhelm. Body Dysmorphic Disorder by Proxy. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0008.

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This chapter reviews the literature on body dysmorphic disorder (BDD) by proxy, outlines its clinical presentation using a case example, and describes the currently recommended treatment approach. BDD by proxy is a variant of BDD characterized by a preoccupation with perceived defects or flaws in another person’s appearance. Preoccupations commonly involve a loved one, such as a child or significant other, although any person can be the focus of concern. BDD by proxy is associated with high levels of psychosocial impairment, distress, and shame. Research on BDD by proxy and its treatment is extremely limited. Cognitive-behavioral therapy (CBT) is the gold-standard psychosocial intervention for patients with BDD; however, CBT for BDD does not focus on other persons of concern, nor does it address the interpersonal impairment specific to BDD by proxy. There is some preliminary support for the use of a modified CBT for BDD by proxy, which is described in this chapter.

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12

Greenberg, Jennifer L., Alexandra Sullivan, and Sabine Wilhelm. Treating Children and Adolescents with Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0028.

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Body dysmorphic disorder (BDD) is a common and severe disorder that typically has its onset during adolescence. Youth with BDD appear more severely ill than adults in terms of having poorer insight and a higher likelihood of having attempted suicide. Despite BDD’s severity and early onset, there is only limited research on its treatment in youth. Cognitive-behavioral therapy (CBT) and serotonin reuptake inhibitors (SRIs) are the first-line treatments for BDD in adults and appear to be effective for adolescents with BDD. This chapter provides an overview of the treatment of BDD in youth, including cognitive-behavioral and pharmacologic approaches, and an illustrative case example. The chapter also addresses cosmetic treatment for BDD in children and adolescents, which appear to be ineffective.

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13

Phillips, Katharine A. Insight and Delusional Beliefs in Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0009.

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This chapter discusses insight (“delusionality”) in body dysmorphic disorder (BDD). BDD beliefs span a broad range of insight, from good to absent insight (i.e., delusional beliefs). About 70% of patients have poor or absent insight. Early emerging clues suggest possible neurobiologic bases of poorer insight in BDD. BDD’s delusional form (characterized by the absence of insight) appears to be the same disorder as its nondelusional form rather than a separate psychotic disorder. Consistent with this, serotonin-reuptake inhibitor (SRI) monotherapy is efficacious for delusional BDD as well as nondelusional BDD. Neuroleptic (antipsychotic) monotherapy is not currently recommended for delusional BDD. Cognitive-behavioral therapy (CBT) appears efficacious for both delusional and nondelusional BDD, but research is needed to determine whether a somewhat modified approach may be helpful for delusional beliefs. Insight often improves with SRIs and CBT.

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14

Zakhary, Lisa, Hilary Weingarden, Alexandra Sullivan, and Sabine Wilhelm. Clinical Features, Assessment, and Treatment of Body Dysmorphic Disorder. Edited by Christopher Pittenger. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190228163.003.0049.

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This chapter describes the clinical features of BDD and provides tools for effective assessment and diagnosis; in addition, it reviews treatments for BDD, with focus on medication and cognitive behavioral therapy. Body dysmorphic disorder (BDD) is a common and disabling disorder characterized by a preoccupation with an imagined or slight defect in appearance. Its symptomatology and treatment resemble those of OCD in some respects and it is classified in DSM-5 as an OCD-related disorder, but BDD is distinct in a number of key ways. It can lead to significant psychosocial dysfunction, poor quality of life, and suicidality. Although much is known about its clinical presentation and demographic characteristics, large gaps in treatment knowledge remain. Hopefully, research will provide answers to guide more effective treatment of this disabling illness.

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15

Dixon, Louise, and Luana Marques. Cultural, Racial, and Ethnic Aspects of Body Dysmorphic Disorder and Treatment Implications. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0016.

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Research suggests that body image is significantly influenced by sociocultural variables such as beauty ideals and/or ethnicity. As such, elucidating sociocultural variables such as race and ethnicity in relation to body dysmorphic disorder (BDD) is important to understanding and treating this condition. This chapter reviews perceptions of body image in BDD, body areas of concern in BDD, BDD-related behaviors, and barriers to care as they relate to race and ethnicity in individuals with BDD. Relationships between identity variables and BDD are illustrated using a case example. Modifications for cognitive-behavioral therapy for BDD are suggested when working with diverse populations. Areas for future research are outlined.

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16

Phillips, Katharine A., and Rachel A. Simmons. Treating a Patient with Body Dysmorphic Disorder Using Medication and Cognitive-Behavioral Therapy: An Illustrative Case Example. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0027.

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This chapter illustrates how the authors treated a representative patient with body dysmorphic disorder (BDD) using both medication and cognitive-behavioral therapy (CBT). The case example illustrates engagement strategies, treatment selection, implementation of recommended treatment strategies, approaches to some commonly encountered decision points, and possible solutions to frequently encountered treatment challenges. Following the case example, the authors comment on these issues. The chapter discusses approaches to patients who desire cosmetic treatment rather than mental health treatment. Factors involved in the decision to use CBT, pharmacotherapy, or both treatment modalities for BDD are also covered.

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17

van Noppen, Barbara, and Sean Sassano-Higgins. The Family and Body Dysmorphic Disorder : Impact, Responses, and a Suggested Family-Based Treatment Approach. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0029.

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This chapter focuses on the impact of body dysmorphic disorder (BDD) on the family; possible responses by the family (Expressed Emotion and Family Accommodation); and family-based treatment that may be helpful for BDD, as well as approaches to challenges that therapists may encounter. Although research on BDD and families has not been done, the disorder often has a devastating impact on families. This impact may include the financial costs of caring for the patient with BDD, paying for cosmetic procedures, and psychological costs in the unfortunate event of patient suicide. Although family treatment of BDD has not yet been developed or tested, the authors of this chapter make recommendations, based on clinical experience, for clinicians who are attempting to implement family-based treatment for BDD. This includes a discussion of behavioral contracting and other cognitive-behavioral therapy techniques. Several cases that illustrate these concepts are presented.

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18

Body Dysmorphic Disorder. John Wiley and Sons Ltd, 2006.

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19

Body Dysmorphic Disorder. John Wiley and Sons Ltd, 2006.

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20

Farrell, Lara J., Sharna L. Mathieu, and Cassie Lavell. Obsessive–Compulsive and Related Disorders. Edited by Thomas H. Ollendick, Susan W. White, and Bradley A. White. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780190634841.013.21.

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Obsessive compulsive and related disorders (OCRDs) in children and adolescents represent a cluster of conditions that significantly interfere in the lives of sufferers and their families. These disorders involve repetitive behaviors and often a preoccupation with distressing, obsessional thoughts. OCRDs include obsessive–compulsive disorder (OCD), body dysmorphic disorder (BDD), hoarding disorder, trichotillomania, and excoriation disorder. The severity, functional impairment, and associated health conditions of these disorders call for timely evidence-based assessment and treatment. Evidence-based assessments include structured and semistructured interviews. Interviews allow for the assessment of symptoms, comorbid conditions, and differential diagnoses. Evidence-based psychological treatment for OCD and BDD in youth involves cognitive behavioral therapy with exposure and response prevention; research is required to determine evidence-based assessment and treatments for less studied OCRDs; identify factors that predict poorer response to evidence-based treatment; develop approaches to augment evidence-based treatments for nonresponders; and further the reach of empirically supported treatment.

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21

Overcoming Body Image Problems Including Body Dysmorphic Disorder. Little, Brown Book Group Limited, 2009.

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22

Neziroglu, Fugen, and David Veale. Body Dysmorphic Disorder: A Treatment Manual. Wiley & Sons, Incorporated, John, 2010.

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23

Neziroglu, Fugen, and David Veale. Body Dysmorphic Disorder: A Treatment Manual. Wiley & Sons, Incorporated, John, 2013.

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24

Phillips, Katharine A. Suicidality and Aggressive Behavior in Body Dysmorphic Disorder. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0013.

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This chapter reviews suicidality and aggressive/violent behavior in body dysmorphic disorder (BDD) and presents clinical cases, which reflect the extreme suffering that BDD often causes. Suicidal ideation and suicide attempts are common in BDD. This has been found in both clinical and epidemiologic samples and in adults as well as youth. More severe BDD symptoms are independently associated with an increased risk of suicidal ideation and suicide attempts. Suicidality appears more common in BDD than in obsessive-compulsive disorder and other clinical samples with which BDD has been directly compared. Although data are limited, the rate of completed suicide appears markedly elevated; indeed, individuals with BDD have many risk factors for completed suicide. Physical aggression and violence are less well studied but appear to commonly occur as a consequence of BDD. Surgeons, dermatologists, and other clinicians who provide cosmetic treatment may be at particular risk. Additional studies designed to investigate these topics are urgently needed.

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25

Cognitivebehavioral Therapy For Body Dysmorphic Disorder A Treatment Manual. Guilford Publications, 2013.

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26

Phillips, Katharine A. Body Dysmorphic Disorder in Children and Adolescents. Edited by Katharine A. Phillips. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190254131.003.0014.

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Body dysmorphic disorder (BDD) usually has its onset during childhood or adolescence. Prevalence studies indicate that BDD is common in adolescents. BDD symptoms in children and adolescents appear largely similar to those in adults, although BDD may be somewhat more severe in youth. Youth with BDD typically have poor psychosocial functioning and mental health–related quality of life. BDD often causes academic underachievement, social avoidance, and other types of psychosocial impairment; it may lead to school refusal and dropping out of school. Suicidal ideation and attempts, physical aggression behavior that is attributable to BDD symptoms, and substance use disorders are common risk behaviors in youth with BDD. BDD can derail the developmental trajectory, which makes appropriate treatment especially important during childhood and adolescence. Youth in mental health settings and cosmetic treatment settings, as well as youth who express suicidal ideation or have attempted suicide, should be screened for BDD.

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27

Grant, Jon E., Sarah A. Redden, and Eric W. Leppink. Trichotillomania and Skin Picking Disorder. Edited by Christopher Pittenger. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190228163.003.0051.

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This chapter summarizes the clinical characteristics and treatment of trichotillomania and skin picking disorder (excoriation), collectively known as body focused repetitive behavior disorders. These two conditions are found in the new chapter on OCD and related disorders in DSM-5; skin picking disorder is a new DSM diagnosis. They are conceptualized as related to OCD due to the repetitive nature of the symptomatology, but they also differ in important ways. The neural underpinnings of these disorder are only beginning to come into focus, and much work is needed. The best-proven psychotherapy for these conditions is a form of CBT known as habit reversal therapy. Principles of pharmacotherapy are not clearly established, though there have been promising early studies of a number of agents.

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