Neziroglu BDD Presentation Part 2

Jun 10, 2015 | Author: Bio Behavioral Institute


16. Function of Repetitive Behaviors

·        These behaviors reduce negative feelings of anxiety, shame and disgust

·        Neziroglu et al., 2008


17. Psychopathology of Mirror Gazing

·        Motivation for Mirror Gazing:

·        Hope that I will look different

·        Need to camouflage self

·        Need to know exactly how I look

·        Compare with ideal or how I used to look

·        Mental cosmetic surgery

·        Feel worse if I resist 


18. Mirror Behaviors

·        Both BDD and healthy controls

o         Use make up

o         Comb/ style their hair

o         Pick spots, shave

·        Only BDD patients

o        Try to see something different

o        Compare reflection with an ideal image 

o        Practice best position or pull face

o        May use specific order of mirrors 


19. Is mirror gazing similar to compulsive checking of OCD? 

         OCD patients aim to terminate compulsion when feel “comfortable” or “absolutely sure” (Richards & Salkovskis,1999 & Neziroglu, 1998)

         Most BDD patients never feel comfortable – usually feel worse & finish mirror gazing when they have to.


20. CBT Working Model 

21. Inappropriate Treatments for BDD

·        Cosmetic Surgery

·        D.I.Y - Do it Yourself Surgery

·        Psychodynamic Therapy


22. Top 5 Surgical Procedures

·        Liposuction

·        Mammoplasty augmentation

·        Rhytidectomy (facelift)

·        Rhinoplasty (nose reconstruction)

·        Mammoplasty reduction


23. Do It Yourself (D.I.Y)

·        Pinch and stapling skin(for rhytidectomy)

·        Filing down teeth to alter jawline

·        Superglue ears (for pinnaplasty)

·        Sandpaper to skin (dermabrasion)

·        Ex-sanguination to look paler

·        Cutting self to release fat (for liposuction)

·        (Veale, 2002)

24. Surgery Outcome

·        Retrospective reports from 58 individuals with BDD

·        82.6% BDD symptoms same or worse after cosmetic surgery

·        24.3% BDD symptoms worsened after cosmetic surgery

·        34.5% decrease in concern with body part

·        Phillips et al., 2001

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