Pharmacotherapy for Body Dysmorphic Disorder

By Katharine A. Phillips, MD

Serotonin-reuptake inhibitors (SRIs or SSRIs) and cognitive behavioral therapy (CBT) are currently considered the first-line treatments for body dysmorphic disorder (BDD). A practice guideline and a Cochrane review that recommend these treatments have been published, although treatment research on BDD is still quite limited. The publication of these landmark documents underscores how important it is for clinicians to be knowledgeable about current treatment recommendations for BDD, which is a relatively common and often disabling disorder that is associated with high morbidity and mortality (see Didie et al., page 310).

ABOUT THE AUTHORS

Katharine A. Phillips, MD, is with Rhode Island Hospital and the Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Address correspondence to: Katharine A. Phillips, MD, Rhode Island Hospital, Coro Center West, 1 Hoppin Street, Providence, RI 02903; fax: 401-444-1645; e-mail: [email protected].

Dr. Phillips has disclosed the following relevant financial relationships: American Foundation for Suicide Prevention; Food and Drug Administration; Forest Laboratories, National Institute of Mental Health (NIMH): Research grant recipient; and Oxford University Press; Royalties.

EDUCATIONAL OBJECTIVES

1. Discuss the published literature on pharmacotherapy for body dysmorphic disorder (BDD).

2. Explain pharmacologic approaches for the treatment of BDD.

3. Describe groundwork for successful pharmacotherapy of BDD.

This CME activity is primarily targeted to patient-caring physicians specializing in psychiatry. Physicians can receive AMA PRA Category 1 Credits™ by reading the CME articles in Psychiatric Annals and successfully completing the quiz at the end of the articles. Complete instructions are given subsequently. Educational objectives are found at the beginning of each CME article.

CME ACCREDITATION

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Vindico Medical Education and Psychiatric Annals. Vindico Medical Education is accredited by the ACCME to provide continuing medical education for physicians.

Vindico Medical Education designates this educational activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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UNLABELED AND INVESTIGATIONAL USAGE

The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage.

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Copyright © 2009 by SLACK Incorporated. All rights reserved. No part of this publication may be reproduced without prior written consent of the publisher.

INSTRUCTIONS

1. Review the stated learning objectives of the CME articles and determine if these objectives match your individual learning needs. You must read each of the CME articles in this issue carefully in order to take the quiz. Do not neglect the tables and other illustrative materials as they have been selected to enhance your knowledge and understanding.
2. The cost of taking the CME quiz is $25; you must pay this fee prior to completing the quiz online.
3. The quiz questions have been designed to provide a useful link between the CME articles in the issue and your everyday practice. Read each question and choose the correct answer by checking the box next to your desired answer.
4. After you answer all questions, your quiz is graded. A score of at least 80% is required to pass
5. If you passed the quiz, you will receive by mail a CME certificate of within 4 to 6 weeks. If you failed the quiz, you may retake the quiz at another time by returning to the CME articles and then registering again for the quiz.

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Body Dysmorphic Disorder

The Case for Better Diagnosis and More Frequent Treatment of BDD
Jan Fawcett, MD

Body Dysmorphic Disorder
Katharine A. Phillips, MD

 Clinical Features of Body Dysmorphic Disorder
Elizabeth R. Didie, PhD; Megan M. Kelly, PhD; Katharine A. Phillips, MD

 Assessment and Differential Diagnosis of Body Dysmorphic Disorder
Katharine A. Phillips, MD; Jamie Feusner, MD

 Cognitive Behavioral Therapy for Body Dysmorphic Disorder
David Veale, FRCPsych

Cosmetic Treatments and Body Dysmorphic Disorder
Canice E. Crerand, PhD; David B. Sarwer, PhD

What Causes BDD: Research Findings and a Proposed Model
Jamie D. Feusner, MD; Fugen Neziroglu, PhD; Sabine Wilhelm, PhD; Lauren Mancusi, MA; Cara Bohon, MS