Body dysmorphic disorder: A complex and polymorphic affection

Case report

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Authors: Patrizia Fiori, Luigi Maria Giannetti

Published Date September 2009 Volume 2009:5 Pages 477 - 481

DOI: http://dx.doi.org/10.2147/NDT.S6744

Patrizia Fiori^1,2, Luigi Maria Giannetti^1,3

¹II University of Naples, ²Neurologist, ³Director of Infantile Neuropsychiatry, Civil Hospital of Ariano Irpino, ASL AV, II University of Naples, Naples, Italy; ³La Crisalide, Aesthetical Medical Center, Naples, Italy

Background: Body dysmorphic disorder (BDD) is defined as a syndrome characterized by an excessive preoccupation because of a presumed or minimal physical flaw in appearance that polarizes the energies of the subject. So far, its specular aspect, represented by the presence of an evident physical defect that is not recognized or is even denied and neglected, has been disregarded. The aim of our study was to examine the individual and relational meaning of BDD and to evaluate the efficacy of cognitive-behavioral and medical–aesthetical treatments.

Methods and results: We describe two subjects with BDD, diagnosed by clinical interviews and test. Both patients were compliant to cognitive-behavioral approach. One out of two subjects underwent aesthetical treatments.

Conclusions: Cognitive-behavioral therapy stimulates self-consciousness, rebuilds the body image, promotes health care, and improves relational capacity. Moreover, it ensures the success of any medical and/or surgical procedures by preventing unrealistic expectations. Lastly, it contributes to the definition of worldwide shared behavioral models.

Keywords: diagnostic criteria, body image, cognition, aesthetical treatments

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