Cognitive-Behavioral Therapy and Supportive Psychotherapy for Body Dysmorphic Disorder

Eligibility Criteria:

Inclusion:

• 18 Years and older
• Outpatient men and women age 18 and older
• DSM-IV BDD or its delusional variant for at least 6 months
• BDD is the most problematic psychiatric disorder (in the patient's and clinician's opinion) and the primary reason for seeking treatment
• Score of 24 or higher on the BDD-Yale-Brown Obsessive Compulsive Scale

Exclusion

• Current clinically significant suicidality and/or score on the BDI-II suicide item (#9) > 1
• Any clinical features requiring a higher level of care
• Mental retardation or borderline intellectual functioning (estimated IQ < 80 on the Wechsler Abbreviated Scale of Intelligence) or dementia, brain damage, or other cognitive impairment that would interfere with ability to engage in CBT
• DSM-IV substance abuse or dependence within the past 3 months; or a positive urine drug screen for any illicit substances of abuse
• Current manic episode
• Psychotic disorder
• Borderline personality disorder
• Body image concerns accounted for primarily by weight concerns or an eating disorder
• Previous treatment with > 10 sessions of CBT for BDD
• Subjects cannot be receiving any other psychotherapy or begin such treatment during the study
• Patients can be receiving psychotropic medication if they have taken a stable dose for at least two months before the study baseline assessment and the dose remains stable during the study.
• Presence of any behavior (e.g., violence) that would interfere with full cooperation with the protocol.