Book contents
- Cambridge Guide to Cognitive Behavioural Therapy (CBT)
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Cognitive Behavioural Therapy (CBT)
- Copyright page
- Contents
- Foreword
- A Note from the Series Editor
- Part I An Overview of the Model
- Part II Putting the Model of Cognitive Behavioural Therapy into Practice
- Part III Application and Adaptations for Mental Health Presentations
- Chapter 9 Adaptations of the Original Model of Cognitive Behavioural Therapy
- Chapter 10 Anxiety Disorders
- Chapter 11 Specific Phobias
- Chapter 12 Panic Disorder
- Chapter 13 Social Anxiety Disorder
- Chapter 14 Generalised Anxiety Disorder
- Chapter 15 Obsessive Compulsive or Related Disorders
- Chapter 16 Obsessive Compulsive Disorder
- Chapter 17 Body Dysmorphic Disorder
- Chapter 18 Illness Anxiety Disorder
- Chapter 19 Post-traumatic Stress Disorder (PTSD)
- Chapter 20 Depression
- Chapter 21 CBT for Psychosis and Complex Mental Health (PCMH)
- Part IV Application of Cognitive Behavioural Therapy in Different Populations and Settings
- Index
- References
Chapter 17 - Body Dysmorphic Disorder
from Part III - Application and Adaptations for Mental Health Presentations
Published online by Cambridge University Press: 18 November 2025
Foreword by
Book contents
- Cambridge Guide to Cognitive Behavioural Therapy (CBT)
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Cognitive Behavioural Therapy (CBT)
- Copyright page
- Contents
- Foreword
- A Note from the Series Editor
- Part I An Overview of the Model
- Part II Putting the Model of Cognitive Behavioural Therapy into Practice
- Part III Application and Adaptations for Mental Health Presentations
- Chapter 9 Adaptations of the Original Model of Cognitive Behavioural Therapy
- Chapter 10 Anxiety Disorders
- Chapter 11 Specific Phobias
- Chapter 12 Panic Disorder
- Chapter 13 Social Anxiety Disorder
- Chapter 14 Generalised Anxiety Disorder
- Chapter 15 Obsessive Compulsive or Related Disorders
- Chapter 16 Obsessive Compulsive Disorder
- Chapter 17 Body Dysmorphic Disorder
- Chapter 18 Illness Anxiety Disorder
- Chapter 19 Post-traumatic Stress Disorder (PTSD)
- Chapter 20 Depression
- Chapter 21 CBT for Psychosis and Complex Mental Health (PCMH)
- Part IV Application of Cognitive Behavioural Therapy in Different Populations and Settings
- Index
- References
Summary
The chapter will help you to be able to explain what BDD is and how it typically presents, including a preoccupation with either imagined or minor physical flaws, and the resultant safety behaviours to manage the feared impact of others perceiving this flaw, describe and use Veale & Neziroglu’s CBT protocol for BDD, explain the importance of using mirror retraining in treatment, develop a treatment plan for CBT for BDD, using appropriate measures, and take account of comorbidity in managing CBT for BDD, including that of depression, social anxiety and OCD.
Keywords
Information
- Type
- Chapter
- Information
- Cambridge Guide to Cognitive Behavioural Therapy (CBT) , pp. 193 - 203Publisher: Cambridge University PressPrint publication year: 2025
References
Further Reading
Veale, D, Neziroglu, FA. Body Dysmorphic Disorder: A Treatment Manual. Chichester: Wiley-Blackwell; 2010.10.1002/9780470684610CrossRefGoogle Scholar
Phillips, KA, Menard, W, Fay, C, Weisberg, R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics. 2005;46(4):317–325.10.1176/appi.psy.46.4.317CrossRefGoogle ScholarPubMed
References
Morselli, E. La dismorfofobia e la tafefobia nei loro rapporti con le forme consimili di pazzia del dubbio (paranoia rudimentaria). Naples: Tipografia della riforma medica; 1891.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) Washington, DC: 1987.Google Scholar
Phillipou, A, Rossell, SL, Wilding, HE, Castle, DJ. Randomised controlled trials of psychological & pharmacological treatments for body dysmorphic disorder: A systematic review. Psychiatry Res. 2016;245:179–185.10.1016/j.psychres.2016.05.062CrossRefGoogle ScholarPubMed
Grant, JE, Kim, SW, Eckert, ED. Body dysmorphic disorder in patients with anorexia nervosa: Prevalence, clinical features, and delusionality of body image. Int J Eat Disord. 2002;32(3):291–300.10.1002/eat.10091CrossRefGoogle ScholarPubMed
Singh, AR, Veale, D. Understanding and treating body dysmorphic disorder. Indian J Psychiatry. 2019;61(Suppl 1):S131–5.Google ScholarPubMed
American Psychiatric Association, editor. Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. 5th ed., text revision. Washington, DC: American Psychiatric Association Publishing; 2022.Google Scholar
Veale, D, Gledhill, LJ, Christodoulou, P, Hodsoll, J. Body dysmorphic disorder in different settings: A systematic review and estimated weighted prevalence. Body Image. 2016;18:168–186.CrossRefGoogle ScholarPubMed
Phillips, KA, Menard, W, Fay, C, Weisberg, R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics. 2005;46(4):317–325.10.1176/appi.psy.46.4.317CrossRefGoogle ScholarPubMed
Koran, LM, Abujaoude, E, Large, MD, Serpe, RT. The prevalence of body dysmorphic disorder in the United States adult population. CNS Spectr. 2008;13(4):316–322.10.1017/S1092852900016436CrossRefGoogle ScholarPubMed
Rief, W, Buhlmann, U, Wilhelm, S, Borkenhagen, A, Brähler, E. The prevalence of body dysmorphic disorder: A population-based survey. Psychol Med. 2006;36(6):877–885.CrossRefGoogle ScholarPubMed
Didie, ER, Menard, W, Stern, AP, Phillips, KA. Occupational functioning and impairment in adults with body dysmorphic disorder. Compr Psychiatry. 2008;49(6):561–569.10.1016/j.comppsych.2008.04.003CrossRefGoogle ScholarPubMed
Conroy, M, Menard, W, Fleming-Ives, K, Modha, P, Cerullo, H, Phillips, KA. Prevalence and clinical characteristics of body dysmorphic disorder in an adult inpatient setting. Gen Hosp Psychiatry. 2008;30(1):67–72.10.1016/j.genhosppsych.2007.09.004CrossRefGoogle Scholar
Phillips, K. Diagnostic instruments for body dysmorphic disorder. New research programs and abstracts. American Psychiatric Association 148th Annual Meeting, Miami. American Psychiatric Press; Washington, DC: 1995.Google Scholar
Veale, D, Neziroglu, FA. Body Dysmorphic Disorder: A Treatment Manual. Chichester: Wiley-Blackwell; 2010.10.1002/9780470684610CrossRefGoogle Scholar
Jansen, A, Smeets, T, Martijn, C, Nederkoorn, C. I see what you see: The lack of a self-serving body-image bias in eating disorders. Br J Clin Psychol. 2006;45(1):123–135.10.1348/014466505X50167CrossRefGoogle ScholarPubMed
Gunstad, J, Phillips, KA. Axis I comorbidity in body dysmorphic disorder. Compr Psychiatry. 2003;44(4):270–276.10.1016/S0010-440X(03)00088-9CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. Obsessive-compulsive disorder and body dysmorphic disorder: Treatment. Clinical Guidance [Internet]. NICE; 2005 Nov. Report No.: CG31. www.nice.org.uk/guidance/cg31.Google Scholar
Cooper, M, Osman, S. Metacognition in body dysmorphic disorder: A preliminary exploration. J Cogn Psychother. 2007;21(2):148–155.10.1891/088983907780851568CrossRefGoogle Scholar
Clark, DM. Cognitive perspective on social phobia. In: Crozier, WR, Alden, LE (Eds.), International Handbook of Social Anxiety: Concepts, Research, and Interventions Relating to the Self and Shyness (pp. 405–430). New York: Wiley; 2001.Google Scholar
Dugas, MR, Koerner, N, Michel, J. Cognitive Behavioral Treatment for Generalized Anxiety Disorder: From Science to Practice. 2nd ed. New York: Routledge; 2019.Google Scholar
Padesky, CA. A more effective treatment focus for social phobia? Int Cogn Ther Newsl. 1997;11(1):1–3.Google Scholar
Leigh, E, Clark, DM. Cognitive Therapy for Social Anxiety Disorder in Adolescents [Internet]. 2018. Available from: https://oxcadatresources.com/wp-content/uploads/2018/11/CT-SAD-A-MANUAL.pdfGoogle Scholar
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