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Full Description
This volume provides a user-friendly, evidence-based guide to the diagnosis, phenomenology, etiology, and treatment of body dysmorphic disorder (BDD). New and seasoned clinicians can learn about the foundations of CBT for BDD as well as the rationale and instructions for modifying the approach to meet the differences in symptoms found in this client group. The book explores techniques for treatment engagement, including adjusting therapeutic style, appropriate utilization of behavioral and cognitive therapy, family involvement, and motivational interviewing techniques. Other issues associated with BDD are also highlighted: poor insight, comorbidity, concerning rates of suicidality, and ambivalence regarding treatment.
The authors outline step-by-step instructions for numerous novel and advanced treatment strategies, including perceptual re-training, attentional training, acceptance and commitment approaches, and ways to manage ongoing desire for cosmetic surgery. Detailed case examples are presented with corresponding treatment guidelines to highlight the variety in clinical presentation and corresponding treatment approaches. Printable tools in the appendices can be used in daily practice.
Contents
1 Description
1.1 Terminology
1.2 History
1.3 Obsessive-Compulsive and Related
Disorders
1.4 Definition
1.4.1 Specifiers
1.4.2 Insight
1.5 Normal Concerns Versus BDD
1.6 Symptomatology
1.7 Epidemiology
1.8 Gender Differences
1.9 Onset, Course, and Prognosis
1.10 Functional Impairment
1.11 Suicidality
1.12 Quality of Life
1.13 Comorbidity and Differential Diagnosis
1.13.1 Depression
1.13.2 Social Anxiety
1.13.3 Obsessive-Compulsive Disorder
1.13.4 Personality Disorders
1.13.5 Anorexia Nervosa
1.13.6 Excoriation Disorder (Skin Picking)
1.13.7 Olfactory Reference Syndrome
1.14 Teasing and Bullying
1.15 History of Abuse
1.16 Diagnostic Procedures and Documentation
1.16.1 Diagnostic Interviews
1.16.2 Symptom Severity Measures
1.16.3 Insight Measures
1.17 Summary
2 Theories and Models
2.1 Biological Theories
2.1.1 Neurochemical Theories
2.1.2 Neuroanatomical Theories
2.1.3 Neuropsychological Models
2.2 Psychological Theories
2.2.1 Evolutionary Theory
2.2.2 Learning Theory
2.2.3 Cognitive Behavior Model Based on
Social Learning
2.2.4 The Self as an Aesthetic Object
2.3 Summary
3 Diagnosis and Treatment Indications
3.1 Therapist Variables in Initial Sessions
3.2 Diagnostic Assessment
3.2.1 Connection Between Preoccupation
and Compulsive and Avoidance
Behaviors
3.2.2 Typical Day
3.3 How to Discuss and Conceptualize the
Disorder
3.4 Addressing Need for Cosmetic Surgery
3.5 Establishing Treatment Goals
3.6 Psychoeducation
3.7 Identifying the Appropriate Treatment
3.7.1 Medication for BDD
3.8 Summary
4 Treatment
4.1 Methods of Treatment
4.1.1 Assessment
4.1.2 Psychoeducation
4.1.3 Treatment Orientation and
Engagement
4.1.4 Cognitive Behavior Therapy for BDD
4.1.5 Perceptual Retraining
4.2 Mechanisms of Action
4.3 Efficacy and Prognosis
4.4 Variations and Combinations of Methods
4.4.1 Attentional Training Technique and
Task Concentration
4.4.2 Cognitive Remediation
4.4.3 Third Wave Therapies
4.4.4 Addressing Trauma and Loss
4.4.5 Addressing Skin Picking and Hair
Pulling
4.4.6 Self-Surgery
4.4.7 Addressing Poor Quality of Life
4.4.8 Maintenance and Relapse Prevention
4.5 Problems Carrying Out the Treatments
4.5.1 Addressing Desire for Cosmetic
Surgery
4.5.2 Addressing Suicidality
4.5.3 Nonadherence to Treatmen
4.5.4 Family Involvement and Accommodation
4.6 Multicultural Issues in Treatment
4.7 Summary
5 Case Vignettes
5.1 Case Vignette 1: Post Accident Preoccupation
With Nose
5.2 Case Vignette 2: Preoccupation With
Facial Shape and Muscle Dysmorphia
5.3 Case Vignette 3: Preoccupation With Skin
Accompanied by Skin Picking
6 Further Reading
7 References
8 Appendix: Tools and Resources
