Assessment of Body Dysmorphic Disorder : Screening, Diagnosis, Severity, and Insight

Author(s):  
Katharine A. Phillips

This chapter discusses assessment of body dysmorphic disorder (BDD), including diagnosis and screening as well as potential diagnostic pitfalls and how to avoid them. Measures used to screen for BDD, diagnose BDD, and assess BDD severity and BDD-related insight are reviewed, and guidelines for their use are provided. This chapter also discusses assessment of BDD in children and adolescents and assessment of patients who seek cosmetic procedures (such as surgery or dermatologic treatment) for appearance concerns. Because BDD is common, often severe, and usually missed in clinical settings, clinicians and researchers should routinely screen for BDD. Screening is especially recommended in mental health, substance abuse, dermatology, cosmetic surgery, and other cosmetic treatment settings. It is also important to screen for BDD when patients manifest clues suggesting a possible diagnosis of BDD (e.g., BDD rituals, camouflaging of disliked body areas, and social anxiety or avoidance).

2012 ◽  
Vol 37 (10) ◽  
pp. 1158-1161 ◽  
Author(s):  
Sarah W. Book ◽  
Suzanne E. Thomas ◽  
Joshua P. Smith ◽  
Peter M. Miller

Author(s):  
Sharmi Bascarane ◽  
Pooja P. Kuppili ◽  
Vikas Menon

Abstract Background Psychiatric disorders are more common among people undergoing cosmetic procedures than the general population and evaluating mental health can be cumbersome for plastic surgeons. We aim to summarize the available literature in this regard and propose an integrated approach to psychiatric assessment and management of mental health issues among this group. Methods Electronic search of MEDLINE, Google Scholar, and PsycINFO databases was done to identify relevant peer-reviewed English language articles from inception till April 2020. Generated abstracts were screened for their eligibility. Included articles were grouped according to their thematic focus under the following headings; prevalence of psychiatric morbidity among clients posted for cosmetic surgery, assessment tools, and management of psychiatric morbidity in relation to undergoing cosmetic surgery. Results A total of 120 articles were reviewed. The prevalence of psychiatric disorder in patients undergoing cosmetic surgery was 4 to 57% for body dysmorphic disorder (BDD); the corresponding figures for depression, anxiety, and personality disorder were 4.8 to 25.8, 10.8 to 22, and 0 to 53%, respectively. A range of tools have been used to assess these disorders and specific measures are also available to assess clinical outcomes following surgery. Screening for these disorders is essential to prevent unnecessary surgical procedures, as well as to ensure timely management of the psychiatric comorbidity. Conclusion Psychiatric morbidity is a common concomitant in cosmetic surgery. A structured and integrated approach to evaluation and management of psychiatric morbidity will help to optimize postsurgical outcomes.


2021 ◽  
pp. 767-794
Author(s):  
Charlotte Hanlon ◽  
Asnake Limenhe

Suicide and deliberate self-harm?, Acute behavioural disturbance?, Common mental disorders?, Severe mental disorders psychoses?, Disorders due to substance abuse?, Withdrawal states?, Adjustment disorders and bereavement?, Post-traumatic stress disorder?, Intellectual learning disability?, Disorders in children and adolescents?


1996 ◽  
Vol 26 (4) ◽  
pp. 715-725 ◽  
Author(s):  
Jonathan Prosser ◽  
Paul McArdle

SynopsisThis paper reviews the evidence for changing patterns of mental health over time in childhood and youth in Western societies. The evidence suggests that the prevalence of major depression, substance abuse and offending behaviour, as well as the incidence of suicide, is increasing in adolescent populations, particularly among males. There are also indications that problem behaviours among younger children are becoming more common. There is no evidence of a deterioration in the adjustment of the pre-school population.


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