Body Dysmorphic Disorder

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Symptoms of body dysmorphic disorder are generally more responsive to SSRIs and clomipramine, with a potential role for augmentation with antipsychotics. The most recent research evidence suggests that SSRIs and CBT are the best treatment approaches.[1] A trial of medication may require up to 12-16 weeks. The 2017 evidence review notes that “while dose finding studies have not been conducted in BDD, available data and clinical experience indicate that BDD often requires SSRI doses that are higher than those required to treat depression and similar to those report to treat OCD.” Of note, clinical experts in the field have suggested that dose is required to treat BDD often exceed the regulatory limit“. There is a very small case–report literature on the use of electroconvulsive therapy in body dysmorphic disorder, typically in the context of comorbid depression.

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