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Cognitive Therapy for Body Dysmorphic Disorder

By Senior News Editor
Reviewed by John M. Grohol, Psy.D. on July 1, 2010

Cognitive Therapy for Body Dysmorphic Disorder People with body dysmorphic disorder (BDD) often resort to cosmetic surgery to address mental health problems.

For example, they might get a nose job to treat a mental health problem, or get their teeth whitened to overcome a severe anxiety disorder.

The excessive use of (and dissatisfaction with) cosmetic treatments, along with obsessive rituals and social isolation, is what scientists affiliated with the University of Montreal are hoping to fight with a novel therapy to treat BDD.

BDD is not a well-known disease. It is characterized by a significant dissatisfaction with one’s appearance, particularly with perceived flaws.

Included in the category of obsessive-compulsive disorders, this mental health problem leads to ritual behaviors and social isolation. Although any part of the body may become the subject of these obsessions, those who suffer from BDD most often focus on their skin, eyes, nose, teeth, buttocks, stomach, hair or chest.

Kieron O’Connor, director of the Obsessive-Compulsive Disorder and Tic Disorder Studies Centre at Louis-H. Lafontaine Hospital, said that people coping with BDD seek out in particular plastic surgeons, orthodontists and aesthetic professionals to alleviate their suffering.

“However, what they really need is psychological support and assistance,” said Dr. O’Connor, who is also a researcher at the University of Montreal Department of Psychiatry and the Université du Quebec en Outaouais Department of Psychology.

To help people struggling with BDD, Dr. O’Connor and Annie Taillon, a doctoral student in psychology, developed a specialized and innovative cognitive behavioral therapy in collaboration with their team at the Fernand-Seguin Research Centre of Louis-H. Lafontaine Hospital.

“Our preliminary results are very promising,” explained Ms. Taillon.

“We observed a clear decrease in appearance-related fixations among participants and a reduction by more than half in ritualized behaviours. Nearly one third of the depressive symptoms associated with these fixations also disappeared.”

The benefits of this therapy are very real; however, too few people dare to ask for help. By the nature of their illness, these patients are reluctant to go out in public, making a visit to the clinic a significant hurdle.

Kimberly is a woman who has benefited from the program.

Speaking under an assumed name, she agreed to share the scope of her daily suffering: “I was ashamed to go out in public; I avoided all social activities. When I heard about this research project, it was a great relief for me. Finally, there was an explanation for my problems and, above all, a solution. This therapy helped me break free of my fixations and go back to work. I highly recommend it. ”

Source: University of Montreal

 

APA Reference
Nauert, R. (2010). Cognitive Therapy for Body Dysmorphic Disorder. Psych Central. Retrieved on November 23, 2014, from http://psychcentral.com/news/2010/06/29/cognitive-therapy-for-body-dysmorphic-disorder/15193.html