Overview

This volume provides a user-friendly, evidence-based guide to the diagnosis, phenomenology, etiology, and treatment of body dysmorphic disorder (BDD). New and seasoned clinicians can learn about the foundations of CBT for BDD as well as the rationale and instructions for modifying the approach to meet the differences in symptoms found in this client group. The book explores techniques for treatment engagement, including adjusting therapeutic style, appropriate utilization of behavioral and cognitive therapy, family involvement, and motivational interviewing techniques. Other issues associated with BDD are also highlighted: poor insight, comorbidity, concerning rates of suicidality, and ambivalence regarding treatment. The authors outline step-by-step instructions for numerous novel and advanced treatment strategies, including perceptual re-training, attentional training, acceptance and commitment approaches, and ways to manage ongoing desire for cosmetic surgery. Detailed case examples are presented with corresponding treatment guidelines to highlight the variety in clinical presentation and corresponding treatment approaches. Printable tools in the appendices can be used in daily practice.

Full Product Details

Author:   Sony Khemlani-Patel ,  Fugen Neziroglu
Publisher:   Hogrefe Publishing
Imprint:   Hogrefe Publishing
Volume:   44
Dimensions:   Width: 17.70cm , Height: 0.80cm , Length: 25.40cm
ISBN:  

9780889375000

ISBN 10:   0889375003
Pages:   110
Publication Date:   29 April 2022
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print  
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Table of Contents

1 Description 1.1 Terminology 1.2 History 1.3 Obsessive-Compulsive and Related Disorders 1.4 Definition 1.4.1 Specifiers 1.4.2 Insight 1.5 Normal Concerns Versus BDD 1.6 Symptomatology 1.7 Epidemiology 1.8 Gender Differences 1.9 Onset, Course, and Prognosis 1.10 Functional Impairment 1.11 Suicidality 1.12 Quality of Life 1.13 Comorbidity and Differential Diagnosis 1.13.1 Depression 1.13.2 Social Anxiety 1.13.3 Obsessive-Compulsive Disorder 1.13.4 Personality Disorders 1.13.5 Anorexia Nervosa 1.13.6 Excoriation Disorder (Skin Picking) 1.13.7 Olfactory Reference Syndrome 1.14 Teasing and Bullying 1.15 History of Abuse 1.16 Diagnostic Procedures and Documentation 1.16.1 Diagnostic Interviews 1.16.2 Symptom Severity Measures 1.16.3 Insight Measures 1.17 Summary 2 Theories and Models 2.1 Biological Theories 2.1.1 Neurochemical Theories 2.1.2 Neuroanatomical Theories 2.1.3 Neuropsychological Models 2.2 Psychological Theories 2.2.1 Evolutionary Theory 2.2.2 Learning Theory 2.2.3 Cognitive Behavior Model Based on Social Learning 2.2.4 The Self as an Aesthetic Object 2.3 Summary 3 Diagnosis and Treatment Indications 3.1 Therapist Variables in Initial Sessions 3.2 Diagnostic Assessment 3.2.1 Connection Between Preoccupation and Compulsive and Avoidance Behaviors 3.2.2 Typical Day 3.3 How to Discuss and Conceptualize the Disorder 3.4 Addressing Need for Cosmetic Surgery 3.5 Establishing Treatment Goals 3.6 Psychoeducation 3.7 Identifying the Appropriate Treatment 3.7.1 Medication for BDD 3.8 Summary 4 Treatment 4.1 Methods of Treatment 4.1.1 Assessment 4.1.2 Psychoeducation 4.1.3 Treatment Orientation and Engagement 4.1.4 Cognitive Behavior Therapy for BDD 4.1.5 Perceptual Retraining 4.2 Mechanisms of Action 4.3 Efficacy and Prognosis 4.4 Variations and Combinations of Methods 4.4.1 Attentional Training Technique and Task Concentration 4.4.2 Cognitive Remediation 4.4.3 Third Wave Therapies 4.4.4 Addressing Trauma and Loss 4.4.5 Addressing Skin Picking and Hair Pulling 4.4.6 Self-Surgery 4.4.7 Addressing Poor Quality of Life 4.4.8 Maintenance and Relapse Prevention 4.5 Problems Carrying Out the Treatments 4.5.1 Addressing Desire for Cosmetic Surgery 4.5.2 Addressing Suicidality 4.5.3 Nonadherence to Treatmen 4.5.4 Family Involvement and Accommodation 4.6 Multicultural Issues in Treatment 4.7 Summary 5 Case Vignettes 5.1 Case Vignette 1: Post Accident Preoccupation With Nose 5.2 Case Vignette 2: Preoccupation With Facial Shape and Muscle Dysmorphia 5.3 Case Vignette 3: Preoccupation With Skin Accompanied by Skin Picking 6 Further Reading 7 References 8 Appendix: Tools and Resources

Reviews

Clear, comprehensive, reliable, and practical help on treating body dysmorphic disorder from an authoritative source.-by David Veale, Consultant Psychiatrist, South London and Maudsley NHS Trust and Professor in Cognitive Behavioural Psychotherapies, King's College London, UK. ; A heartfelt thank-you to the authors for a thorough review of body dysmorphic disorder that is filled with diagnostic and assessment criteria, treatment recommendations, and case examples. This book is a one-stop-shop for all that you need to know about working with individuals with BDD, and is a must-have on the shelf for supervisors and professors as they offer their students and trainees the best resources available for this condition.-by Patrick B. McGrath, PhD, Chief Clinical Officer at NOCD; Fellow at ABCT; Scientific and Clinical Advisory Board Member at the International OCD Foundation.; Written for both practicing clinicians and students, this book offers the reader a thoughtful, in-depth conceptualization of this complex and often misunderstood psychiatric illness. Steeped in evidence-based theory and treatment, the authors highlight utilization of a multimodal psychotherapeutic approach with particular attention given to cognitive-behavioral therapy, widely recognized as the gold standard for body dysmorphic disorder..-by Scott Granet, LCSW, Author of Body Dysmorphic Disorder, Mine and Yours: A Personal and Clinical Perspective

Author Information

Sony Khemlani-Patel, PhD, is a licensed psychologist with over 20 years of experience in the treatment of obsessive-compulsive related disorders. She is clinical director of the Bio-Behavioral Institute in Great Neck, NY, and on the scientific and clinical advisory board of the International Obsessive Compulsive Disorder Foundation. She has presented and published extensively in the areas of body dysmorphic and obsessive-compulsive related disorders and has coauthored two self-help books. Fugen Neziroglu, PhD, ABPP, ABBP, is a board-certified behavior and cognitive psychologist and leading researcher in obsessive-compulsive related disorders. She is the cofounder and executive director of the Bio Behavioral Institute in Great Neck, NY, as well as adjunct professor, Department of Psychology, Hofstra University and Hofstra Medical School. She is on the scientific and clinical advisory board of the International Obsessive Compulsive Disorder Foundation and the Anxiety and Depression Association of America, and president of OCD New York.

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