TY - JOUR KW - Adult KW - Cognitive Therapy KW - Female KW - Humans KW - Patient Education as Topic/methods KW - Primary Health Care/methods KW - Referral and Consultation KW - Serotonin Uptake Inhibitors/therapeutic use KW - Somatoform Disorders/diagnosis/therapy AU - K. A. Phillips AU - R. G. Dufresne Jr A1 - AB - Body dysmorphic disorder (BDD), a preoccupation with an imagined or slight defect in appearance, is a relatively common psychiatric disorder that often presents to nonpsychiatric physicians. Body dysmorphic disorder is associated with marked impairment in functioning, notably poor quality of life, and a high suicide attempt rate. Most patients seek and receive surgery or nonpsychiatric medical or dermatologic treatment, often with a perceived poor outcome despite an objectively acceptable result. In contrast, psychiatric treatment, serotonin-reuptake inhibitors and cognitive-behavioral therapy, often are effective. This clinically focused review describes the clinical features and prevalence of BDD, the disorder's treatment response, how to recognize and diagnose BDD, and practical suggestions for primary care physicians who encounter these often difficult-to-treat patients. BT - Primary care C5 - Medically Unexplained Symptoms CP - 1 CY - United States IS - 1 JF - Primary care N2 - Body dysmorphic disorder (BDD), a preoccupation with an imagined or slight defect in appearance, is a relatively common psychiatric disorder that often presents to nonpsychiatric physicians. Body dysmorphic disorder is associated with marked impairment in functioning, notably poor quality of life, and a high suicide attempt rate. Most patients seek and receive surgery or nonpsychiatric medical or dermatologic treatment, often with a perceived poor outcome despite an objectively acceptable result. In contrast, psychiatric treatment, serotonin-reuptake inhibitors and cognitive-behavioral therapy, often are effective. This clinically focused review describes the clinical features and prevalence of BDD, the disorder's treatment response, how to recognize and diagnose BDD, and practical suggestions for primary care physicians who encounter these often difficult-to-treat patients. PP - United States PY - 2002 SN - 0095-4543; 0095-4543 EP - 111 EP - vii EP - 99+ T1 - Body dysmorphic disorder: a guide for primary care physicians T2 - Primary care TI - Body dysmorphic disorder: a guide for primary care physicians U1 - Medically Unexplained Symptoms U2 - 11856661 VL - 29 VO - 0095-4543; 0095-4543 Y1 - 2002 ER -