Body dysmorphic disorder in men

BMJ 2001; 323 doi: http://dx.doi.org/10.1136/bmj.323.7320.1015 (Published 3 November 2001)
Cite this as: BMJ 2001;323:1015

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Psychiatric treatments are usually effective

  1. Katharine A Phillips, director, Body Dysmorphic Program (Katharine_Phillips@Brown.edu),
  2. David J Castle, professorial fellow
  1. Butler Hospital and the Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island 02906, USA
  2. Mental Health Research Institute and University of Melbourne, Parkville, Victoria 3052, Australia

    Body image isn't just a women's problem. Many studies reveal that a surprisingly high proportion of men are dissatisfied with, preoccupied with, and even impaired by concerns about their appearance.1 One American study, for example, found that the percentage of men dissatisfied with their overall appearance (43%) has nearly tripled in the past 25 years and that nearly as many men as women are unhappy with how they look.1

    A more severe form of body image disturbance—body dysmorphic disorder or dysmorphophobia—is an underrecognised yet relatively common and severe psychiatric disorder.2 Body dysmorphic disorder affects as many men as women 3 4 and consists of a preoccupation with an imagined or slight defect in appearance that causes clinically significant distress or impairment in functioning. Patients with body dysmorphic disorder often present to non-psychiatric physicians, with reported rates of 12% in dermatology settings and 7-15% in cosmetic surgery settings.5 Although the symptoms of body dysmorphic disorder might …

    Get access to this article and all of bmj.com for the next 14 days

    Sign up for a 14 day free trial today

    Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

    Article access

    Article access for 1 day

    Purchase this article for £20 $30 €32*

    The PDF version can be downloaded as your personal record

    * Prices do not include VAT

    THIS WEEK'S POLL