Modular Cognitive–Behavioral Therapy for Body Dysmorphic Disorder

This study pilot tested a newly developed modular cognitive–behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD.

Research Highlights► Tested new modular cognitive-behavioral therapy for body dysmorphic disorder (BDD). ► Examined feasibility, acceptability, and treatment outcome in 12 BDD patients. ► At post-treatment, BDD and related symptoms (e.g., mood) were significantly improved. ► Treatment gains were maintained at 6-month follow-up.