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Anti-DepressantThe BDDQ questions ask about the core definitional features of BDD—what’s required for the diagnosis. But BDD has some features that, while not necessary for the diagnosis, can provide clues to its presence. These include frequent mirror checking, excessive grooming, face picking, reassurance seeking and other behaviors.
I’ve sometimes observed strangers doing things that have made me wonder if they have BDD. I once saw a young man in a parking lot who stood outside his car repeatedly checking his hair in a side-view mirror, frantically combing and recombing it. He wasn’t simply taking a quick glance, as some people might—instead, he seemed “stuck” there, and appeared extremely agitated and distressed over the state of his hair. I once drove behind a woman on a busy highway for about 20 miles who spent most of the time looking in her rearview mirror fixing her hair, rather than looking at the road. And what about the young woman I saw at a baseball game who seemed to have normal body hair everywhere except her arms, which had none? Had she removed it through excessive “grooming,” trying to improve “excessively” hairy arms? Did any of these people have BDD? Without talking with them, I couldn’t make the diagnosis. But their behaviors were clues to the diagnosis that made me wonder.
*36/204/8*

