Vigorexia Es un trastorno caracterizado por la presencia de una preocupación obsesiva por el físico. Vigorexia y dismorfofobia. La psicología clínica: La función del psicólogo clínico consiste en prevención, diagnóstico y tratamiento de todo tipo de trastornos del comportamiento que. Dismorfofobia – Personas obsesionados con sus defectos físicos TRATAMIENTO HIPNOCOGNITIVO DEL TRASTORNO DISMÓRFICO CORPORAL.

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The above findings are very promising, but more rigorously controlled studies are needed. Body dysmorphic disorder in a Ghanaian male: Phillips KA, Najar F. Only two controlled pharmacotherapy studies have been done; additional controlled studies are needed.

Two-year follow-up of behavioral treatment and maintenance for body dysmorphic disorder. No cross-cultural studies have compared BDD’s clinical features in community or clinical samples. National Center for Biotechnology InformationU. For example, case series from Japan suggest that BDD’s clinical features in that country are generally similar to those in other countries; however, concern with the eyelids and with causing others displeasure by appearing unattractive may be more common than in Western cultures.

Dysmorphophobic avoidance with disturbed bodily perception: It is not known whether behavioral treatment ERP alone is usually effective or whether cognitive restructuring and behavioral experiments are a necessary treatment component because of the poor insight and depression so often characteristic of BDD.

In one study of atypical depression, BDD was more than twice as common as OCD 31and in another 32 it was more common than many other disorders, including OCD, social phobia, simple phobia, generalized anxiety disorder, bulimia nervosa, and substance abuse or dependence. Some patients respond only to doses higher than the maximum recommended dose e. A majority of patients with BDD seek and receive surgery or trattamiento medical e.


Zimmerman M, Mattia JI. BDD is a severe and relatively common psychiatric disorder that occurs around the world.

Body dysmorphic disorder: recognizing and treating imagined ugliness

BDD may be difficult to diagnose because many patients are too ashamed to reveal their symptoms, fearing that their concerns will be trivialized or considered vain 9. Most patients also have impaired academic, occupational, or role functioning. BDD should dismoroffobia inquired about when patients have referential thinking, are housebound, have unnecessary surgery or dermatologic treatment, or present with social anxiety, depression or suicidal ideation.

It is therefore recommended that patients receive an SRI for at least 12 weeks before switching to another SRI, and that the highest SRI dose recommended by the manufacturer if tolerated be reached if lower doses are ineffective.


A comparison of delusional and nondelusional body dysmorphic disorder in cases. Diagnostic and statistical manual of mental disorders.

DSM-IV classifies BDD as a somatoform disorder, but classifies its delusional variant as a psychotic disorder a type of delusional disorder, somatic type. Early tratamientp reports indicated a successful outcome with exposure therapy 44 and cognitive plus behavioral techniques These behaviors typically occur for many hours a day and are difficult to resist or control.


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Adding an antipsychotic to an SRI is worth considering for delusional patients, although this strategy has received limited investigation. Although dose-finding studies are lacking, BDD appears to often require higher doses than typically used for depression.

Not diagnosing BDD is problematic because treatment may be unsuccessful, and the patient may feel misunderstood and inadequately informed about the diagnosis and treatment options.

BDD is commonly misdiagnosed as OCD because both disorders are characterized by obsessions and compulsive behaviors and may also be misdiagnosed as trichotillomania in patients who cut or pluck their hair to improve their appearance.

Revised and expanded edition, in press. Bull Yamaguchi Med School. World Health Organization; Available data indicate that SRIs, but not other medications or electroconvulsive therapy, are often efficacious for BDD, even for delusional patients The syndrome of dysmorphomania dysmorphophobia and the development of psychopathic personality. Research on insight-oriented and supportive psychotherapy is extremely limited but suggests that BDD symptoms – especially severe symptoms – are unlikely to diwmorfofobia improve with these treatments alone 2.

Journal List World Psychiatry v.

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