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Body dysmorphic disorder

The drive for perfection

doi: 10.1097/01.NME.0000550562.49125.31
CE Connection

GENERAL PURPOSE: To provide information about the etiology of and treatment for BDD. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Identify the subjective and objective features of the various forms of BDD. 2. Explore treatment options for BDD and their impact.

  1. BDD was recently classified as an
    1. eating disorder.
    2. anxiety disorder.
    3. obsessive-compulsive disorder.
  2. BDD affects men and women
    1. equally.
    2. unequally, with men more affected than women.
    3. unequally, with women more affected than men.
  3. BDD typically develops between the ages of
    1. 9 and 11.
    2. 12 and 13.
    3. 15 and 17.
  4. Patients with BDD often focus on their
    1. personality.
    2. relationships.
    3. perceived flaws.
  5. BDD by proxy occurs when patients are hyperfocused on
    1. what others think of them.
    2. another person, such as a family member.
    3. anxieties, depression, and loneliness.
  6. Snapchat dysmorphia occurs when patients ask a surgeon to perform surgical procedures to
    1. achieve the look seen in a heavily edited selfie.
    2. look like a specific celebrity.
    3. change their features so they're no longer similar to a selfie photo.
  7. On average, individuals between ages 16 and 25 spend how long attempting to take an acceptable selfie?
    1. 5 minutes and 2 attempts
    2. 10 minutes and 5 attempts
    3. 16 minutes and 7 attempts
  8. In many cases of Snapchat dysmorphia, cosmetic procedures
    1. can easily duplicate the filtered images.
    2. can't surgically duplicate the filtered images.
    3. can duplicate the filtered images, but most surgeons refuse to perform the surgery.
  9. Individuals with severe BDD may describe themselves as
    1. monstrous.
    2. unattractive.
    3. out of proportion.
  10. Compulsive behaviors commonly seen in individuals with BDD include all of the following except
    1. camouflaging.
    2. avoiding mirrors.
    3. skin picking.
  11. Muscle dysmorphia is associated with increased rates of
    1. skin picking.
    2. substance abuse.
    3. surgery seeking.
  12. For patients with BDD, plastic surgery usually
    1. leads to increased distress.
    2. is their best treatment option.
    3. is associated with positive outcomes.
  13. Before receiving a diagnosis of BDD, typical patients will usually suffer in silence for
    1. 3 years.
    2. 10 years.
    3. 20 years.
  14. Criteria for diagnosing BDD in the DSM-5 include
    1. agoraphobia.
    2. repetitive behaviors.
    3. trichotillomania disorder.
  15. Diagnosis of BDD is based on the patient focusing on his or her flaws for a minimum of
    1. 1 hour per day.
    2. 3 hours per day.
    3. 8 hours per day.
  16. CBT
    1. is ineffective for treating BDD by proxy.
    2. hasn't been proven to be beneficial for treating BDD.
    3. helps patients learn new ways of thinking about themselves.
  17. Which class of medication is least likely to be prescribed to treat patients with BDD?
    1. antianxiety
    2. antidepressant
    3. antipsychotic
  18. Of the 80% of patients with BDD who report suicidal thoughts, approximately how many will attempt suicide?
    1. one-eighth
    2. one-fourth
    3. one-half
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