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The Broken Mirror : Understanding and Treating Body Dysmorphic Disorder - Katharine A. Phillips

The Broken Mirror

Understanding and Treating Body Dysmorphic Disorder

Hardcover Published: 1st July 2005
ISBN: 9780195167184
Number Of Pages: 432

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Jane is an attractive woman in her mid-thirties, tall, thin and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she hasn't left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, hiding in her room, even on Thanksgiving. The one time she left the house - forced to see a doctor - she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this," she said. "If I had my choice, I'd rather be blind or have my arm cut off. I'd be happy to have cancer." Jane has body dysmorphic disorder, or BDD. In this revised and expanded edition of The Broken Mirror, Dr Katherine Phillips draws on years of scientific research, clinical practice, and detailed interviews with patients to bring readers an updated and expanded book on this troubling and sometimes debilitating disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, such as Jane's, but also milder cases, such as Carl, a successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose", sneaking constant peaks at a pocket mirror, or spending hours redoing makeup. BDD afflict millions of people. It isn't an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns; one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. This revised and expanded edition of The Broken Mirror provides updated information from recent research that sheds new light on this serious illness. Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they know have BDD. She includes common clues to BDD - such as frequent mirror checking, covering up with clothing, and excessive exercise. Four new chapters on treatment contain updated information and recommendations on how to effectively treat BDD - as well as frequently obtained treatments that should be avoided. A revised chapter offers helpful advice and reasurrance for friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book. The revised and expanded edition of The Broken Mirror is the most comprehensive book on BDD and is written by the leading expert on this disorder. It is essential reading for psychiatrists, other mental health professionals, dermatologists and plastic surgeons; for the friends and family concerned about a loved one who won't believe their reassurance; and for the millions who suffer from BDD in silence and secrecy.

Why BDD mattersp. 3
Patients speakp. 7
What is body dysmorphic disorder?p. 21
How do I know if I have BDD?p. 37
BDD comes in many formsp. 51
Painful obsessionsp. 69
Mirror checking, grooming, camouflaging, dieting, and other BDD behaviorsp. 83
How BDD affects lives : social avoidance, problems at work, and suicidep. 115
Gender and BDD across the life spanp. 141
What causes BDD? : clues to an unsolved puzzlep. 157
Aren't we all concerned with how we look? : BDD, body image, and normal appearance concernsp. 187
Getting better : a treatment guidep. 203
How to successfully treat BDD with medicationp. 215
Cognitive-behavioral therapy for BDDp. 249
Treatments that don't workp. 299
Anorexia nervosa, obsessive compulsive disorder, Koro, and other disorders - are they relatives of BDD?p. 311
For family members and friendsp. 335
Getting help for BDDp. 353
Demographic characteristics of people with BDD
Brief description of selected psychiatric disorders
Instruments (scales) for assessing BDD
Co-occurrence of BDD and other disorders
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9780195167184
ISBN-10: 019516718X
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 432
Published: 1st July 2005
Publisher: Oxford University Press Inc
Country of Publication: US
Dimensions (cm): 24.3 x 16.3  x 3.4
Weight (kg): 0.79
Edition Number: 2
Edition Type: Revised