Introduction

Body dysmorphic disorder ( BDD), also known as dysmorphophobia, is an intriguing and sometimes difficult-to-treat condition that often mystifies clinicians. The disorder consists of a distressing and/or impairing preoccupation with a non-existent or slight defect in appearance, which is classified as a separate disorder in

DSM-IV and a type of hypochondriasis in ICD-10 (see Table 1). Although BDD symptoms may sound trivial, the disorder can cause severe distress and notably impaired functioning, and it can lead to suicide. BDD is typically under-recognized in clinical settings owing to patients' secrecy and clinicians' lack of familiarity with the disorder.

Table 1 DSM-IV and ICD-10 definitions of body dysmorphic disorder (dysmorphophobia)

Despite its under-recognition, BDD was first described by Morselli more than a century ago. (1) At the turn of the century it was discussed by Janet,(2) who described a young woman who worried that she would never be loved because she was 'ugly and ridiculous', and who for 5 years only rarely left her tiny apartment. BDD has since been consistently described around the world, but it has only recently been systematically studied. (3d)

Funny Wiring Autism

Funny Wiring Autism

Autism is a developmental disorder that manifests itself in early childhood and affects the functioning of the brain, primarily in the areas of social interaction and communication. Children with autism look like other children but do not play or behave like other children. They must struggle daily to cope and connect with the world around them.

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