What is the first line for body dysmorphic disorder?

The category of medications called serotonin reuptake inhibitors (SRIs), also known as selective serotonin reuptake inhibitors (SSRIs), is considered the first-line medication treatment for BDD.

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What is first line for body dysmorphia?

Cognitive-behavioral therapy, or CBT, is the first line of treatment for BDD. This type of treatment typically involves a technique known as exposure and response prevention (ERP). In BDD, exposure aims to decrease mirror checking, camouflaging, and other compulsive behaviors.

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What medication is best for BDD?

In terms of medication for BDD, anti-depressant medication is recommended, one which is strongly “serotonergic”. These are referred to as SSRIs or Selective Seratonin Reuptake Inhibitors. The dose may need to be in the high range and taken daily for at least 12 weeks to determine its effectiveness.

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What medication is approved by the FDA for body dysmorphic disorder?

Although there are no medications specifically approved by the U.S. Food and Drug Administration (FDA) to treat body dysmorphic disorder, medications used to treat other mental health conditions — such as depression and obsessive-compulsive disorder — can be effective. Selective serotonin reuptake inhibitors (SSRIs).

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What is the best SSRI for body dysmorphic disorder?

It is generally recommended that the FDA maximum dose not be exceeded when treating younger youth. All SRIs are probably equally effective for BDD, but I usually prefer fluoxetine, escitalopram, or sertraline. Clomipramine is a good option if several other SRIs haven't worked.

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What is Body Dysmorphic Disorder (BDD)?

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What is the best antidepressant for body image?

The most prescribed SSRI drugs for body dysmorphic disorder treatment are: Celexa (citalopram) Lexapro (escitalopram) Prozac (fluoxetine)

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What antidepressants are used for BDD?

There are a number of different SSRIs, but fluoxetine is most commonly used to treat BDD. It may take up to 12 weeks for SSRIs to have an effect on your BDD symptoms. If they work for you, you'll probably be asked to keep taking them for several months to improve your symptoms further and stop them coming back.

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What are the new treatments for body dysmorphic disorder?

Multiple studies have suggested that selective serotonin reuptake inhibitors and various cognitive behavioral therapy modalities are effective first-line treatments in decreasing BDD severity, relieving depressive symptoms, restoring insight, and increasing quality of life.

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Are there two treatments for body dysmorphic disorder?

The treatment of choice in BDD is cognitive behavioral therapy (CBT) and serotonin reuptake inhibitor (SRI) medication.

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Does Zoloft help with BDD?

For resolution of BDD, suggested dosages of SSRIs include the following ranges: fluvoxamine (Luvox), 200 to 250 mg per day; fluoxetine (Prozac), 40 to 80 mg per day; paroxetine (Paxil), 40 to 60 mg per day; or sertraline (Zoloft), 100 to 200 mg per day.

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Is BDD linked to ADHD?

A 2018 study conducted by researchers from the Karolinska Institutet in Sweden found that patients with BDD were twice as likely to be diagnosed with ADHD, and a 2019 study revealed that body dysmorphia is more prevalent with conditions of obsessive compulsive disorder, anxiety and ADHD.

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What is the root cause of BDD?

Like many other mental health conditions, body dysmorphic disorder may result from a combination of issues, such as a family history of the disorder, negative evaluations or experiences about your body or self-image, and abnormal brain function or abnormal levels of the brain chemical called serotonin.

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Is BDD a neurological disorder?

Now researchers at UCLA have determined that the brains of people with BDD have abnormalities in processing visual input, particularly when examining their own face. Further, they found that the same systems of the brain are overactive in both BDD and obsessive-compulsive disorder, suggesting a link between the two.

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Do people with body dysmorphia know how they look?

People with BDD most often are concerned with “defects” on their face and head6. They constantly check their appearance in mirrors, and often scrutinize others people's faces. They tend to focus primarily on details, usually on their face, and are not able to see the “big picture” that overall they look normal.

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Is body dysmorphia a mental illness?

Summary. Body dysmorphic disorder (BDD) is a mental illness characterised by constant worrying over a perceived or slight defect in appearance. Repetitive behaviours are performed in response to these concerns about appearance. BDD usually starts in the teenage years, when concern over physical appearance is common.

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What are the two types of body dysmorphia?

There are two subtypes of BDD: Muscle Dysmorphia and BDD by Proxy. Both of these subtypes appear to respond to the same basic treatment strategies as BDD (cognitive behavior therapy or CBT and medications). However, the CBT therapist in particular needs to adjust the treatment so that it has the right focus.

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What are the five signs & symptoms of body dysmorphic disorder?

Common Signs of Body Dysmorphic Disorder
  • Always compares appearance to how others look.
  • Excessively plucks, brushes, or shaves hair.
  • Continually reapplies makeup.
  • Constantly picks at skin.
  • Regularly seeks cosmetic procedures.
  • Repeatedly changes her clothes.
  • Frequently goes tanning.

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What is body dysmorphic disorder linked to?

It's not known exactly what causes BDD, but it might be associated with: genetics – you may be more likely to develop BDD if you have a relative with BDD, obsessive compulsive disorder (OCD) or depression. a chemical imbalance in the brain.

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What is body dysmorphic disorder most similar to?

The symptoms of both OCD and BDD have similarities; so much so, BDD is sometimes misdiagnosed as OCD. Like OCD, body dysmorphic disorder involves persistent and recurrent obsession-like thoughts that are distressing and often uncontrollable.

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Is BDD a form of OCD?

Sounds like OCD, doesn't it? Sure. But it's not. Although there are clearly many similarities between OCD and body dysmorphic disorder (BDD), the two are in fact quite different and treatment needs to reflect that.

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What is the difference between body dysmorphia and body dysphoria?

To put in simpler terms, a person with gender dysphoria is not mentally ill; they are dissatisfied with the gender assigned at their birth. A person with body dysmorphia has a disorder in which they perceive their body or face as “ugly,” “fat,” or otherwise unattractive despite medical or personal reassurances.

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What medication is used for negative thoughts?

Other medications that help in controlling intrusive thoughts are: Paroxetine (Pexeva)—prescribed only for adults. Fluoxetine (Prozac)—for children above seven years and also for adults. Sertraline (Zoloft)—for children above six years and for adults.

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Is BDD a form of depression?

BDD is an underrecognized and relatively common disorder that is associated with high rates of occupational and social impairment, hospitalization, and suicide attempts. BDD is unlikely to simply be a symptom of depression, although it often coexists with depression and may be related to depression.

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How do you calm someone with BDD?

Ways to help someone with BDD
  1. Be available to listen — and not judge.
  2. Learn more about what BDD entails.
  3. Avoid offering reassurance about their appearance.
  4. Support them in seeking professional help.
  5. Be patient.

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What is cognitive therapy in the treatment of body dysmorphic disorder?

The aim of CBT for BDD is to help you feel less anxious about your body by: Helping you change your attitude to body image and physical appearance. Exploring your worries about your perceived physical flaw(s) Reducing your need to carry out compulsive behaviours.

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