Body dysmorphic disorder (BDD) is pseudo-illness characterized by a preoccupation with an imagined bodily defect. Patients initially may present with concerns about their hair or skin. The psychopathology is the perception that a flaw or imperfection exists. The patient may be convinced that their hair are abnormal and imagine imperfections. Women are affected more commonly than men. The age of onset is between 15 and 20 years. Many patients have depression, they suffer from social phobia.

Diagnostic Criteria for Body Dysmorphic Disorder -

  • Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person’s concern is markedly excessive.
  • The preoccupation causes clinically significant distress in social, occupational, or other important areas of functioning.

Treatment -

  • Hair restoration if indicated can be suggested immediately and may help. Regular counselling is needed. At times a simple amino acid known to be safest stress buster can be given.

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