This landmark book is the first comprehensive edited volume on body dysmorphic disorder (BDD), a common, severe, and underrecognized disorder. Its contributors are leading researchers and clinicians in the field. This book fills a major gap in the literature by providing clinicians and researchers with cutting-edge, indispensable information on all aspects of BDD and its treatment.

Katharine A. Phillips, M.D., is internationally renowned for her pioneering medical research and clinical expertise on body dysmorphic disorder (BDD). She has more than 300 scientific publications, has treated thousands of patients with BDD, and has received numerous honors and awards for her research and clinical work on this severe and common condition. Dr. Phillips has done hundreds of media interviews on BDD, including for the New York Times, the London Times, the Los Angeles Times, the Washington Post, the Boston Globe, Time Magazine, and National Public Radio, and she has appeared on the Oprah Winfrey Show, 20/20, Dateline NBC, the Today Show, and Good Morning America.

• Contributors


• Preface


• Part I: Patients, History, and Classification of BDD


• 1. Introduction


• Katharine A. Phillips


• 2. Three Patients with Body Dysmorphic Disorder: Cases and Commentary


• Katharine A. Phillips, Rachel Simmons, and Joseph Donahue


• 3. Body Dysmorphic Disorder Over the Past Century


• Laurence Jerome


• 4. Classification of Body Dysmorphic Disorder and Relevance for Patient Care


• Katharine A. Phillips


• 5. Prevalence and Underrecognition of Body Dysmorphic Disorder


• Andrea S. Heartmann and Ulrike Buhlmann


• Part II: Phenomenology and Epidemiology of BDD


• 6. Core Clinical Features of Body Dysmorphic Disorder: Appearance Preoccupations, Negative emotions, Core Beliefs, and Repetitive and Avoidance Behaviors


• Rachel A. Simmons and Katharine A. Phillips


• 7. Muscle Dysmorphia


• Nina Sreshta, Harrison G. Pope, Jr., James I. Hudson, and Gen Kanayama


• 8. Body Dysmorphic Disorder by Proxy


• Jennifer L. Greenberg, Katherine E. Limoncelli, and Sabine Wilhelm


• 9. Insight and Delusional Beliefs in Body Dysmorphic Disorder


• Katharine A. Phillips


• 10. Age at Onset and Clinical Course of Body Dysmorphic Disorder


• Andri S. Bjornsson


• 11. Comorbidity and Personality in Body Dysmorphic Disorder


• Ashley S. Hart and Martha A. Niemiec


• 12. Psychosocial Functioning and Quality of Life in Body Dysmorphic Disorder


• Megan M. Kelly, Megan E. Brault, and Elizabeth R. Didie


• 13. Suicidality and Aggressive Behavior in Body Dysmorphic Disorder


• Katharine A. Phillips


• 14. Body Dysmorphic Disorder in Children and Adolescents


• Katharine A. Phillips


• 15. Gender and Body Dysmorphic Disorder


• Denise Gazzarrini and Giulio Perugi


• 16. Cultural, Racial, and Ethnic Aspects of Body Dysmorphic Disorder and Treatment Implications


• Louise Dixson and Luana Marques


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


• Katharine A. Phillips


• 18. Differentiating BDD from Normal Appearance Concerns and Other Mental Disorders


• Katharine A. Phillips


• 19. Evolutionary Psychiatry and Body Dysmorphic Disorder


• Dan J. Stein


• 20. Neurobiology of Body Dysmorphic Disorder: Heritability/Genetics, Brain Circuitry, and Visual Processing


• Danyale McCurdy-McKinnon and Jamie D. Feusner


• 21. Environmental Factors in Body Dysmorphic Disorder


• Fugen Neziroglu and Nicole Barile


• 22. Cognitive and Emotional Processing in Body Dysmorphic Disorder


• Ulrike Buhlmann and Andrea S. Hartmann


• 23. The Self as an Aesthetic Object: Body Image, Believes about the Self, and Shame in a Cognitive-Behavioral Model of Body Dysmorphic Disorder


• Emma Baldock and David Veale


• 24. Challenges in Assessing and Treating Patients with Body Dysmorphic Disorder and Recommended Approaches


• David Veale, Katharine A. Phillips, and Fugen Neziroglu


• 25. Pharmacotherapy and Other Somatic Treatments for Body Dysmorphic Disorder


• Katharine A. Phillips


• 26. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder


• Jessica Rasmussen, Angelina F. Gómez, and Sabine Wilhelm


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


• Katharine A. Phillips and Rachel A. Simmons


• 28. Treating Children and Adolescents with Body Dysmorphic Disorder


• Jennifer L. Greenberg, Alexandra Sullivan, and Sabine Wilhelm


• 29. The Family and Body Dysmorphic Disorder: Impact, Responses, and a Suggested Family-Based Treatment Approach


• Barbara van Noppen and Sean Sassano-Higgins


• 30. Cosmetic Medical and Surgical Treatments and Body Dysmorphic Disorder


• Canice E. Crerand, David B. Sarwer, and Margaret Ryan


• 31. Evaluation of Body Dysmorphic Disorder in Patients Seeking Cosmetic Surgery and Minimally Invasive Treatments


• David B. Sarwer and Canide E. Crerand


• 32. A Dermatologist's Perspective on Body Dysmorphic Disorder and Recommendations for Dermatologists


• Caroline S. Koblenzer


• 33. A Surgeon's Perspective on Body Dysmorphic Disorder and Recommendations for Surgeons and Mental Health Clinicians


• Farhad B. Naini


• 34. The Relationship of Body Dysmorphic Disorder to Obsessive-Compulsive Disorder and the Concept of the Obsessive-Compulsive Spectrum


• Jessica Simberlund and Eric Holander


• 35. The Relationship Between Body Dysmorphic Disorder and Social Anxiety Disorder


• Megan M. Kelly and Mark Kent


• 36. The Relationship Between Body Dysmorphic Disorder and Eating Disorders


• Jon E. Grant, Eric W. Leppink, and Sarah A. Redden