By Sabine Wilhelm PhD
See additionally the comparable self-help advisor by way of Dr. Wilhelm, Feeling reliable in regards to the manner You Look, an excellent suggestion for consumers with BDD or much less serious physique photograph problems.
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Extra info for Cognitive-Behavioral Therapy for Body Dysmorphic Disorder: A Treatment Manual
Patients will also complete an inventory such as the Beck Depression Inventory–II (BDI-II), a short self-report measure of depression that is discussed further in Chapter 4, in the waiting room before each session. This will provide a general indication of depressed mood and help you determine whether there is a significant risk of suicidal behavior (see item 9). If so, discuss the need to develop a safety plan during the coming days, and establish a formal plan to monitor suicidality. If a patient refuses to agree to contact you if he or she feels unsafe, or if you believe that the patient is at significant risk, take immediate measures to ensure safety.
Patients may also have suicidal ideation that requires a treatment focus on hopelessness. This module offers approaches that are tailored to patients with this problem, such as behavioral activation and scheduling pleasant and achievement-oriented activities. Examples of Treatment Schedules Most patients will receive the treatment components in the order presented in this manual— first the core interventions, and then any specialized treatment modules that are relevant. Motivational techniques are used as needed throughout the treatment.
In essence, they learn to tolerate unpleasant experiences that led them to engage in BDD behaviors in the past. These mindfulness exercises are combined with perceptual retraining done in front of the mirror. To counteract selective attention to disliked body areas, as well as rituals like mirror checking and excessive grooming, patients learn to observe and describe their entire bodies while looking in the mirror (not just the perceived flaws) in a more holistic, objective, and nonjudgmental way.