Psychocutaneous Dan Flashcards
body dysmorphic disorder is 2-3x more common in women
True
body dysmorphic disorder affects 12% of the population
Falsepoint prevalence 1%but 12% in derm clinics (10-14)
OCD is seen in 80% of those with body dysmorphic disorder
False 30%
Depression risk is 80% in those with Body dysmorphic disorder and suicidality is common
Truealso;up to 80% have suicideal ideation25% make suicide attempts
social phobia is seen in >50% of those with body dysmorphic disorder
FalseUp to 40%
substance abuse is common in those with body dysmorphic disorder
True40%
anorexia nervosa patients often have body dysmorphic disorder related to things other than their weight
True40% have another BDD
20% of delusions of parasitosis pts actually have a parasite infestation
False>5% have a parasite infestation
> 10% of delusions of parasitosis pts have folie a deux
True
Body dysmorphic disorder is often diagnosed within a few months of onset
FalseLate diagnosis often >10 years as pts are secretive
Body dysmorphic disorder gets better after surgery
FalseAfter cosmetic surgery or other treatment 90% of these pts don’t think it helpedand 80% were dissatisfied with treatment and often think they look worseEven if result of the procedure is the best that could be expected pts may think they look even worse than beforeMany who initially appear happy with the treatment outcome report being dissatisfied 5 years later
Body dysmorphic disorder symptoms last 11-18 years typically
True
If pts have sub-Body dysmorphic disorder and have cosmetic treatment, 50% will still develop BDD
True
Most pts with Body dysmorphic disorder improve with SSRIs and relapse is rare
Flase>60% of patients improve - trueBut 80% relapse at discontinuation so need to continue long term – at least a year
Psychological therapies are helpful for Body dysmorphic disorder
TrueCBT can relieve stress and symptoms by >75%Also trySupportive psychotherapyNarrative therapy
80% of childhood cases of Neurotic excoriations resolve before adulthood
Falsealmost half continue into adulthood
In 15% of women with neurotic excoriations increased picking coincides with menstrual periods
Falseoccurs in almost 50% of women
Diagnosis of neurotic excoriations is often delayed by up to 10 years
True
Women in their 20s with neurotic excoriations have the most destructive picking habits
FalseWomen age 30-50 have the most destructive picking
2 thirds of pts with neurotic excoriation suse make up and clothes to conceal the skin features
True
People with neurotic excoriations are rigid and obsessional and exacerbations are linked to stress
True
Depression is common in neurotic excoriations and 40% avoid social situations
True
Problems with neurotic excoriations last 11-18 years typically
FalseOften resolves eventually – takes longer if it has been going for longer NB Body dysmorphic disorder lasts 11-18 years
Trichotillomania is most common in the elderly
False2 peaks;o Childhood more common - age 5-12 or sometimes preschoolo Chronic adult form – often starts in adolescence or early adulthood