Dismorphophobia: fear of being ugly
Dismorphophobia or Body dysmorphic disorder (BDD) is an obsessive preoccupation with a perceived defect in one’s physical appearance which the individual persistently seeks medical attention to correct surgically.
Any body part can be the focus of concern (most often, the skin, hair, and nose), and most patients engage in compulsive behaviors, such as mirror checking, excessive grooming, or excessive skin make up.
Approximately half are delusional, and a majority experience ideas or delusions of reference. Nearly all patients suffer some impairment in functioning as a result of their symptoms, some to a debilitating degree. Psychiatric hospitalization, and suicide attempts can occur. BDD often goes unrecognized and undiagnosed, due to patients’ reluctance to divulge their symptoms because of secrecy and shame.
Much remains to be learned about BDD, it is important that doctors screen patients for this disorder and accurately diagnose it. There is need for interdisciplinary interactions between the dermatologist and the psychologist. Referral to a psychiatric to clarify the diagnosis.
Best wishes from Brazil!
Dr. Érica Monteiro - Cosmetic dermatologist
www.dermatologia.com.br
Tags: dismorphophobia
