Treatment
Studies have found that cognitive behavior therapy (CBT) is effective in the majority of cases. In a study of 54 BDD patients who were randomly assigned to cognitive behavior therapy or no treatment, BDD symptoms decreased significantly in those patients undergoing CBT. BDD was eliminated in 82% of cases at post treatment and 77% at follow-up.
Since BDD is believed to be linked to low serotonin levels in the brain, SSRIs (selective serotonin reuptake inhibitors) and other antidepressants are commonly prescribed. 74 subjects were enrolled in a placebo-controlled study group to evaluate the efficiency of fluoxetine (Prozac); patients were enrolled in a 12-weeks, double-blind, randomized study. At the end of treatment, 53% of patients responded to the fluoxetine.
A combined approach of cognitive behavior therapy (CBT) and antidepressants is more effective than either alone. The dose of a given antidepressant is usually more effective when it exceeds the maximum recommended doses that are given for obsessive compulsive disorder (OCD) or a major depressive episode.
Read more about this topic: Body Dysmorphic Disorder
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“If the study of all these sciences, which we have enumerated, should ever bring us to their mutual association and relationship, and teach us the nature of the ties which bind them together, I believe that the diligent treatment of them will forward the objects which we have in view, and that the labor, which otherwise would be fruitless, will be well bestowed.”
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“Narcissist: psychoanalytic term for the person who loves himself more than his analyst; considered to be the manifestation of a dire mental disease whose successful treatment depends on the patient learning to love the analyst more and himself less.”
—Thomas Szasz (b. 1920)