Objective: To review the research pertaining to body
image disorders in dermatological practice, and to provide
tips for screening in such settings.
Content: Some degree of concern with appearance is
normal. However, for some people, the concern becomes
extreme and causes subjective distress and impairment in
social and other life roles. In such extreme cases, individuals are considered to have body dysmorphic disorder (BDD). BDD can be very distressing and disabling, but is treatable using a combination of psychological and pharmacological interventions. BDD patients see their ‘problem’ as cosmetic rather than psychiatric so tend to seek interventions from cosmetic specialists. This talk concentrates on BDD in dermatological settings and provides pointers to screening in such settings.