This group, which in some case series may comprise as many as 40 percent, may actually be diagnosed with both BDD and delusional disorder. People with delusional BDD respond to SRI medications about as well as those without delusional characteristics, and may not require the types of antipsychotic medications used to treat delusions in other psychiatric conditions such as schizophrenia. However, many individuals with delusional disorder are deluded about matters entirely unrelated to their appearances, such as mysterious plots, being followed, special relationships with famous people, and many other issues.
Social phobia — is a condition marked by extreme anxiety, shame and embarrassment in social situations. Sufferers are often preoccupied with what others might be thinking about them, sometimes to the extent of seeming paranoid around other people and avoiding them entirely. Uncomplicated social phobia does not concern preoccupation with an imagined or slight body defect, though.
Many patients with social phobia respond positively to the same medications used to treat BDD and to cognitive behavior therapy techniques similar to those used for BDD. Social phobia may coexist with BDD, and, in fact, some Japanese psychiatrists believe that BDD is actually a form of social phobia.
Eating disorders: anorexia nervosa and bulimia nervosa — are characterized by preoccupations about shape and weight, and overvaluation of one’s self-esteem based on shape and weight. Technically, the diagnosis of BDD cannot be based exclusively on preoccupations about shape and weight.
Some of the medications that have been found helpful for BDD also may help certain patients with anorexia nervosa and bulimia nervosa, although differences exist in effective medications and in the degree of treatment responses. Many authorities see BDD and eating disorders as closely related, and some have wondered whether the eating disorders are actually BDD subtypes. Furthermore, a sizable minority of eating disorder patients also has specific dissatisfactions with nonweight related parts of their bodies, such as their noses and hair, so that they actually qualify for both diagnoses.
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