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Surgical and Nonpsychiatric Medical Treatment of Patients With Body Dysmorphic Disorder

Received May 18, 2001; accepted July 25, 2001. From Butler Hospital and the Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, RI. Address correspondence and reprint requests to Dr. Phillips, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906. E-mail: Katharine_Phillips{at}brown.edu

It appears that many individuals with body dysmorphic disorder (BDD) receive nonpsychiatric medical treatment and surgery; however, this topic has had little systematic investigation. This study assessed the nonpsychiatric treatment sought and received by 289 individuals (250 adults and 39 children/adolescents) with DSM-IV BDD. Such treatment was sought by 76.4% and received by 66.0% of adults. Dermatologic treatment was most often received (by 45.2% of adults), followed by surgery (by 23.2%). These treatments rarely improved BDD symptoms. Results were similar in children/adolescents. These findings indicate that a majority of patients with BDD receive nonpsychiatric treatment but tend to respond poorly.

Key Words: Body Dysmorphic Disorder • Somatoform Disorder • Dysmorphophobia

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