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Body dysmorphic disorder treated with venlafaxine, olanzapine and cognitive behavioural therapy

Published online by Cambridge University Press:  13 June 2014

Stephen McWillliams ,
Marie Whitty ,
Donal Lydon  and
Mary Clarke
Mary Clarke
Affiliation:
St John of God Hospital, Stillorgan, Co Dublin, Ireland
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Abstract

Body dysmorphic disorder (BDD, previously called dysmorphophobia) is an excessive preoccupation with trivial or non-existent physical abnormalities, perceived to be deformities. BDD causes significant distress or functional impairment and is both time-consuming and difficult to control. Feelings of low self-esteem, shame, embarrassment and unworthiness are common, as is fear of rejection. This report presents a case of BDD in a young male who sought surgery abroad in an effort to ameliorate his perceived deformity. His suicidal ideation, low mood and anxiety symptoms responded well to venlafaxine, olanzapine and cognitive behavioural therapy; however his overvalued ideas with regard to his physical appearance were slow to improve.

Keywords

Body dysmorphic disorderDysmorphophobiaDelusional disorderSomatoform disorder
Type
Case Reports
Information
Irish Journal of Psychological Medicine , Volume 22 , Issue 4 , December 2005 , pp. 143 - 146
Copyright
Copyright © Cambridge University Press 2005

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