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Cognitive–behavioural therapy for body …

body dismorphic disorderAPT (2001), vol. 7, p. 125 Advances in Psychiatric Treatment (2001), vol. 7, pp. 125 132 The DSM IV classification of body dysmorphicdisorder (BDD) refers to an individual s preoccu-pation with an imagined defect in his or herappearance or markedly excessive concern with aslight physical anomaly (American PsychiatricAssociation, 1994). An Italian psychiatrist, Morselli,first used the term dysmorphophobia in 1886,although it is now falling into disuse, probablybecause ICD 10 (World Health Organization, 1992)has discarded it, subsuming the condition underhypochondriacal most common preoccupations are with thenose, skin, hair, eyes, eyelids, mouth, lips, jaw andchin. However, any part of the body may be involvedand the preoccupation is frequently focused onseveral body parts. Complaints typically involveperceived or slight flaws on the face, the size of bodyfeatures (too small or too big), hair thinning, acne,wrinkles, scars, vascular markings, paleness orredness of the complexion, asymmetry or lack ofproportion.

Body dismorphic disorder APT (2001), vol. 7, p. 127 Patients may also check their appearance by measuring their perceived defect, by feeling the

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