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HOW DO I KNOW IF I HAVE BDD? BDD IS COMMON BUT UNDERDIAGNOSED – THE PATIENT GROUPS
BDD also appears fairly common in other patient groups. In a research study I and my colleagues did of people who were seeing a dermatologist, 12% had probable BDD. Studies of people seeking cosmetic surgery have found that from 6% to 20% have BDD.
Anti-DepressantIt is clear, however, that health care professionals usually miss BDD. As a result, BDD sufferers may not find out that they have BDD, and treatment may not succeed because it doesn’t target BDD. Five research studies have looked at this important question. In these studies, the researchers asked a series of people about BDD; they detected and diagnosed it in people who had it, because they systematically asked everyone in the study about BDD symptoms. Then the researchers looked at the patients’ medical records to see whether their clinician had correctly diagnosed BDD. The dismaying finding was that in all five studies, the doctor or therapist hadn’t diagnosed a single person with BDD. This was the case in the Minnesota inpatient study; in that study, all of the patients with BDD said that BDD was their most important problem or a major problem. And in my study of 200 people with BDD, half of those treated with psychiatric medication never revealed their BDD symptoms to their doctor.
These research results are very consistent with what I’ve heard for more than a decade from my patients and people participating in my research studies. A staggeringly high proportion of them have suffered with BDD for many years, even decades, but were never diagnosed, even though they’d seen plenty of doctors and therapists.
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