Dysmorphophobie

Abstract

Dysmorphophobia, or rather Body Dysmorphic Disorder (BDD), is a psychological disorder that is probably underdiagnosed. The affected person is excessively convinced of and preoccupied with a perceived defect in his or her physical features, causing notable distress and impairment in functioning. This disorder is associated with markedly diminished quality of life. The exact prevalence is not known, but estimations range from 0,52,0%. Onset of symptoms generally occurs in adolescence and there is frequent comorbidity between BDD and other psychological disorders, although it can occur solitarily within the context of an adolescent crisis. The sufferers usually seek medical care from cosmetics dermatologists, otolaryngologists, plastic surgeons and dentists. BDD schould be considered a contraindication for surgical treatment. A psychosomatic doctor or a psychologist who practices psychotherapy should be consulted prior to a medical procedure if BDD is suspected. © Georg Thieme Verlag KG Stuttgart - New York.