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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