Modular cognitive-behavioral therapy for body dysmorphic disorder

Behav Ther. 2011 Dec;42(4):624-33. doi: 10.1016/j.beth.2011.02.002. Epub 2011 May 1.


This study pilot tested a newly developed modular cognitive-behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Affect*
  • Body Dysmorphic Disorders / psychology
  • Body Dysmorphic Disorders / therapy*
  • Body Image*
  • Cognitive Behavioral Therapy / methods*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Pilot Projects
  • Treatment Outcome