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Individuals with BDD are convinced that others mock them because of their looks. In fact, approximately 80% of individuals with (BDD) report that they have experienced suicidal thoughts.
And, one in four individuals with BDD actually attempt suicide.
To differentiate BDD from more normal, non-pathological, appearance concerns, the clinician must ascertain that the .
Clinicians can probe for BDD-related distress by asking directly about distress as well as asking about resulting depressed mood or anxious mood, feelings of embarrassment or shame, or suicidal ideation.
Clinicians must also ascertain that at some point during the course of the disorder the patient , such as mirror checking, skin picking, seeking reassurance about perceived appearance flaws, comparing with others, or other behaviors described above.
Virtually all patients with BDD perform one or more of these behaviors at some point during their illness.
Preoccupations with fat or weight in a normal-appearing person that meet diagnostic criteria for an eating disorder should not be diagnosed as BDD.
A deep sense of self-loathing results in the belief that they are fundamentally unacceptable and therefore unlovable.It is important that BDD not be misdiagnosed as one of the following disorders.If it is misdiagnosed, patients may not receive appropriate care or improve with treatment that is provided.Another complicating factor is co-existing disorders including Post Traumatic Stress Disorder (PTSD), Substance Use Disorder (SUD) and anxorexia.Those with PTSD and BDD are 6 times more likely to attempt suicide compared to BDD alone.