By Sabine Wilhelm PhD
See additionally the similar self-help advisor by way of Dr. Wilhelm, Feeling stable concerning the method You Look, a great advice for consumers with BDD or much less critical physique photograph problems.
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Additional resources for Cognitive-Behavioral Therapy for Body Dysmorphic Disorder: A Treatment Manual
This will depend in large part on the effort they make. However, most patients with BDD do get better with CBT-BDD. Special Challenges in Treating BDD Working with patients who have BDD can be challenging. Patients with milder symptoms and some insight into the fact that they have a psychiatric illness are easier to engage and keep in treatment. With many others, however, this is difficult. Some patients are so depressed that it’s hard for them to get motivated to come to sessions or do assigned homework.
Helping Patients See the “Big Picture” A major theme of this treatment is helping patients learn to see the “big picture,” which patients with BDD have a hard time doing. We’ve found that patients like this phrase and find it helpful, so we encourage you to refer to it throughout the treatment. CBT-BDD helps patients learn to see the big picture in many ways: • Cognitive restructuring helps patients to broaden their views of themselves and the world, and to consider other possibilities, rather than automatically assuming that their negative thoughts are correct.
Below are brief descriptions of each specialized module. , pimples, bumps). They may use their fingers or other implements, such as pins, needles, razor blades, staple removers, or knives. This behavior can consume hours a day and can cause visible disfigurement and tissue damage, even though the patients’ intent is not to damage their skin or harm themselves. , to make eyebrows even or to remove “excessive” hair) may also occur. , habit reversal). Weight, Shape, and Muscularity (Chapter 16) About one-quarter of patients with BDD have excessive concerns about their weight, shape, and/or muscle development.