Body Dysmorphic Disorder: Treatment Plan and Management
This paper presents a treatment plan for a 38-year-old adult patient diagnosed with Body Dysmorphic Disorder (BDD), an obsessive-compulsive disorder marked by recurring preoccupation with perceived physical flaws. Drawing on the patient's history of body shaming beginning in high school, the paper outlines psychopharmacologic interventions — specifically selective serotonin reuptake inhibitors (SSRIs) — alongside Cognitive Behavioral Therapy delivered through individual, family, and group modalities. The paper also addresses primary care medical management needs, relevant community support resources such as the BDD Foundation and the Anxiety and Depression Association of America, and a collaborative follow-up plan involving monthly clinical assessments.
- Introduction to Obsessive-Compulsive and Body Dysmorphic Disorders: Overview of OCD and BDD as anxiety disorders
- HPI and Clinical Impression: Patient history and BDD symptom presentation
- Psychopharmacologic Treatments: SSRI medications recommended for BDD treatment
- Psychotherapy Approaches: CBT modalities for behavioral modification
- Medical Management and Community Support: Primary care needs and community agency resources
- Follow-Up Plan and Conclusion: Monthly collaborative follow-up and treatment summary
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What makes this paper effective
- The paper integrates both pharmacologic and psychotherapeutic recommendations, demonstrating awareness that BDD treatment requires a multimodal approach rather than a single intervention.
- It grounds clinical recommendations in patient history — tracing the disorder to a specific psychosocial origin (body shaming) — which adds context and coherence to the treatment rationale.
- The inclusion of community resources and a structured follow-up plan moves the paper beyond diagnosis into practical, real-world care coordination, reflecting graduate-level clinical thinking.
Key academic technique demonstrated
The paper uses a case-based format to organize its argument, moving systematically from clinical impression to treatment modalities to aftercare. This structure mirrors real clinical documentation and shows how academic writing can align with professional practice frameworks, making abstract treatment guidelines concrete and patient-specific.
Structure breakdown
The paper opens with a brief overview of OCD before narrowing to BDD as a specific subtype. It then presents the patient's history and clinical impression, followed by distinct sections on psychopharmacology, psychotherapy, medical management, community resources, and a follow-up plan. The conclusion synthesizes the key treatment elements. This funnel-to-specific structure is well-suited to clinical case papers at the graduate level.
Introduction to Obsessive-Compulsive and Body Dysmorphic Disorders
Obsessive-compulsive disorder (OCD) is a term that refers to a class of anxiety disorders characterized by uncontrollable obsessions and compulsions. The condition is a chronic, long-lasting disorder in which the individual experiences recurring thoughts and behaviors. Obsessive and compulsive symptoms can affect all aspects of a person's life, including personal relationships, school, and work. There are various kinds of obsessive-compulsive disorders, each with different signs, symptoms, and treatment approaches. This paper discusses treatment recommendations for an adult patient suffering from Body Dysmorphic Disorder, including analysis of medical management, community resources, and a follow-up plan for the patient's condition.
HPI and Clinical Impression
The patient is a 38-year-old individual diagnosed with Body Dysmorphic Disorder (BDD), an obsessive-compulsive disorder characterized by recurring thoughts regarding perceived flaws or defects in appearance (Mayo Clinic Staff, 2016). The patient developed this condition following a history of body shaming by schoolmates and colleagues at work. Since her high school years, she has viewed herself as ugly and subsequently developed this obsessive-compulsive disorder.
She is obsessed with the appearance of her face, hair, and skin, which she considers to have defects and flaws that contributed to her experience of body shaming. She not only compares herself to others on a constant basis but has also performed repetitive grooming behaviors in an effort to improve her appearance. Her symptoms include behaviors focused on fixing perceived defects or flaws, frequent comparison with others, perfectionist tendencies, preoccupation with perceived defects, and attempts to hide the perceived flaws.
Psychopharmacologic Treatments
The treatment of obsessive-compulsive disorders like Body Dysmorphic Disorder involves different treatment approaches, including pharmacologic interventions, cognitive-behavioral therapy, and other psychosocial interventions (Ahmed et al., 2019). Psychopharmacologic treatments for this condition entail a combination of medication and psychotherapy. For this patient, the recommended medication is selective serotonin reuptake inhibitors (SSRIs) — such as fluoxetine, citalopram, escitalopram, and fluvoxamine. These psychopharmacologic treatments are appropriate for the patient because they represent the drug treatment recommended by the U.S. Food and Drug Administration for BDD.
References
Ahmed et al. (2019, October 3). Body Dysmorphic Disorder Treatment & Management. Retrieved October 10, 2019, from
Harris, P. M., & Drummond, L. M. (2016, October). Compliance of community teams with specialist service recommendations for obsessive-compulsive and body dysmorphic disorders. BJPsych Bulletin, 40(5), 245–248.
Mayo Clinic Staff. (2016, April 28). Body Dysmorphic Disorder. Retrieved October 10, 2019, from https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944
Phillips, K. A., & Hollander, E. (2008, March). Treating body dysmorphic disorder with medication: Evidence, misconceptions, and a suggested approach. Body Image, 5(1), 13–27.
Phillips, K. A. (2006, July). The presentation of body dysmorphic disorder in medical settings. Primary Psychiatry, 13(7), 51–59.
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