Body dysmorphic disorder
ICD-10 F45.22 is a billable code used to indicate a diagnosis of body dysmorphic disorder.
Body dysmorphic disorder (BDD) is a mental health condition characterized by an obsessive focus on perceived flaws in physical appearance, which are often unnoticeable to others. Individuals with BDD may engage in repetitive behaviors such as mirror checking, excessive grooming, or seeking reassurance about their appearance. This disorder can lead to significant distress and impairment in social, occupational, or other important areas of functioning. The onset of BDD typically occurs in adolescence or early adulthood, and it is often associated with other mental health conditions, including anxiety disorders, obsessive-compulsive disorder (OCD), and depression. Patients may experience high levels of anxiety related to their perceived defects, which can exacerbate their condition. Treatment often involves cognitive-behavioral therapy (CBT) and, in some cases, pharmacotherapy with selective serotonin reuptake inhibitors (SSRIs). Understanding the nuances of BDD is crucial for accurate diagnosis and effective treatment planning.
Detailed patient history, symptom description, and treatment response.
Initial assessment of BDD, treatment planning, and follow-up evaluations.
Consideration of comorbid conditions and the impact of BDD on the patient's quality of life.
Documentation of physical examinations and any cosmetic procedures considered.
Patients seeking cosmetic interventions due to perceived defects.
Awareness of the psychological aspects of BDD when treating skin-related concerns.
Used for therapy sessions addressing BDD symptoms.
Document the focus of therapy on appearance concerns and coping strategies.
Psychiatrists should note the impact of BDD on the patient's mental health.
The primary symptoms include an obsessive focus on perceived flaws in appearance, compulsive behaviors related to appearance, and significant distress or impairment in daily functioning.
