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Nonpsychiatric Medical Treatment of Body Dysmorphic Disorder

Received Sept. 3, 2004; revision received Jan. 11, 2005; accepted Feb. 4, 2005. From the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia; and the Department of Psychiatry and Human Behavior, Butler Hospital and Brown University, Providence, R.I. Address correspondence and reprint requests to Dr. Phillips, Body Image Program, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906; katharine_phillips{at}brown.edu (e-mail).

Many individuals with body dysmorphic disorder seek nonpsychiatric medical and surgical treatment to improve perceived defects in their physical appearance. However, the types of treatments sought and received, as well as the treatment outcome, have received little investigation. This study describes the frequency, types, and outcomes of treatments sought and received by 200 individuals with body dysmorphic disorder. Treatment was sought by 71.0% and received by 64.0%. Dermatological treatment was most frequently sought and received (most often, topical acne agents), followed by surgery (most often, rhinoplasty). Twelve percent of the subjects received isotretinoin. Such treatment rarely improved body dysmorphic disorder. Thus, nonpsychiatric medical treatments do not appear effective in its treatment.

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