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Cognitive-Behavioral Therapy and Supportive Psychotherapy for Body Dysmorphic Disorder

Eligibility Criteria:


  • 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


  • 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 by 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.

Last Modified February 3, 2015