Cognitive Behavioral Therapy for Body Dysmorphic Disorder

2016 ◽  
pp. 141-153
Author(s):  
Jennifer L. Greenberg ◽  
Aaron J. Blashill ◽  
Jennifer Ragan ◽  
Angela Fang
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Mechanisms of Change in Cognitive Behavioral Therapy for Body Dysmorphic Disorder

2020 ◽  
Vol 44 (3) ◽  
pp. 596-610
Author(s):  
Angela Fang ◽  
Gail Steketee ◽  
Aparna Keshaviah ◽  
Elizabeth Didie ◽  
Katharine A. Phillips ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mechanisms Of Change

scholarly journals Culturally Adapted Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Examples

2011 ◽  
Vol 4 (4) ◽  
pp. 381-396 ◽  
Author(s):  
Hilary Weingarden ◽  
Luana Marques ◽  
Angela Fang ◽  
Nicole LeBlanc ◽  
Ulrike Buhlmann ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Case Examples ◽  
Culturally Adapted

Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder

2010 ◽  
Vol 17 (3) ◽  
pp. 248-258 ◽  
Author(s):  
Jennifer L. Greenberg ◽  
Sarah Markowitz ◽  
Michael R. Petronko ◽  
Caitlin E. Taylor ◽  
Sabine Wilhelm ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Treating a Patient with Body Dysmorphic Disorder Using Medication and Cognitive-Behavioral Therapy: An Illustrative Case Example

2017 ◽  
Author(s):  
Katharine A. Phillips ◽  
Rachel A. Simmons
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Mental Health Treatment ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Treatment Strategies ◽  
Cognitive Behavioral ◽  
Treatment Modalities ◽  
Illustrative Case ◽  
Recommended Treatment ◽  
Decision Points

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.

scholarly journals When Adolescents Feel Ugly: Cognitive Behavioral Therapy for Body Dysmorphic Disorder in Youth

2017 ◽  
Vol 31 (4) ◽  
pp. 242-254 ◽  
Author(s):  
Cynthia Turner ◽  
Jacinda Cadman
Keyword(s):  
Young People ◽  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Critical Time ◽  
Population Group ◽  
Psychological Therapy ◽  
Cognitive Behavioral ◽  
Complex Population ◽  
Significant Impairment

Adolescence is a critical time for physical development and maturation, and with these important physiological changes comes greater awareness of body image and appearance, which, for a proportion of young people can become excessive, signaling the onset of body dysmorphic disorder (BDD). BDD in adolescence is associated with significant impairment and suicidality, is poorly understood, and currently there is limited evidence for the effectiveness of psychological therapy. Cognitive behavioral therapy (CBT) is currently the most promising and best available psychological therapy for BDD in youth. The aim of this article is to provide clinicians with information on CBT treatment for BDD in young people and to provide guidance based on clinical experience of working with this complex population group. The article will include discussion of strategies including maximizing psychoeducation with parental involvement, the use of cognitive therapy techniques, exposure with response prevention, and perceptual visual training techniques, including attention training and mirror retraining.

scholarly journals Optimizing Smartphone-Delivered Cognitive Behavioral Therapy for Body Dysmorphic Disorder Using Passive Smartphone Data: Initial Insights From an Open Pilot Trial

10.2196/16350 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e16350
Author(s):  
Hilary Weingarden ◽  
Aleksandar Matic ◽  
Roger Garriga Calleja ◽  
Jennifer L Greenberg ◽  
Oliver Harrison ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Symptom Severity ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Pilot Trial ◽  
Cognitive Behavioral ◽  
Sensor Data ◽  
Mobility Patterns ◽  
Insight Into ◽  
Open Pilot

Background Smartphone-delivered cognitive behavioral therapy (CBT) is becoming more common, but research on the topic remains in its infancy. Little is known about how people typically engage with smartphone CBT or which engagement and mobility patterns may optimize treatment. Passive smartphone data offer a unique opportunity to gain insight into these knowledge gaps. Objective This study aimed to examine passive smartphone data across a pilot course of smartphone CBT for body dysmorphic disorder (BDD), a psychiatric illness characterized by a preoccupation with a perceived defect in physical appearance, to inform hypothesis generation and the design of subsequent, larger trials. Methods A total of 10 adults with primary diagnoses of BDD were recruited nationally and completed telehealth clinician assessments with a reliable evaluator. In a 12-week open pilot trial of smartphone CBT, we initially characterized natural patterns of engagement with the treatment and tested how engagement and mobility patterns across treatment corresponded with treatment response. Results Most participants interacted briefly and frequently with smartphone-delivered treatment. More frequent app usage (r=–0.57), as opposed to greater usage duration (r=–0.084), correlated strongly with response. GPS-detected time at home, a potential digital marker of avoidance, decreased across treatment and correlated moderately with BDD severity (r=0.49). Conclusions The sample was small in this pilot study; thus, results should be used to inform the hypotheses and design of subsequent trials. The results provide initial evidence that frequent (even if brief) practice of CBT skills may optimize response to smartphone CBT and that mobility patterns may serve as useful passive markers of symptom severity. This is one of the first studies to examine the value that passively collected sensor data may contribute to understanding and optimizing users’ response to smartphone CBT. With further validation, the results can inform how to enhance smartphone CBT design.

Cognitive-Behavioral Therapy for Body Dysmorphic Disorder

2017 ◽  
Author(s):  
Jessica Rasmussen ◽  
Angelina F. Gómez ◽  
Sabine Wilhelm
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Body Dysmorphic Disorder ◽  
Behavioral Therapy ◽  
Therapeutic Process ◽  
Cognitive Strategies ◽  
Psychosocial Treatment ◽  
Cognitive Behavioral ◽  
Core Beliefs ◽  
Theoretical Understanding ◽  
Associated Symptoms

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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