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Living With Body Dysmorphic Disorder

Much more research is needed to know what the effects of natural, untreated body dysmorphic disorder, or BDD, may be and what the long-term effects of treatment can bring. Current information suggests that untreated BDD tends to run a chronic course, may get worse with age and can last for decades. Many people say that, at times, their obsessions may improve (for example, when they avoid social situations and/or when they make determined efforts to avoid looking in mirrors), and that at times of difficult life-stress their symptoms may get worse.

Although treatment research is still new, what is known suggests that modern treatments of medications and psychotherapies (cognitive-behavior therapies, for example) can help a substantial proportion of people with BDD. With the right medications at the right doses, about 65 percent to 70 percent of patients get significant relief from their symptoms, and for many individuals symptoms may virtually disappear. For milder cases, cognitive-behavior therapy alone may offer considerable relief. Many clinicians believe that optimal treatment consists of a combination of these two approaches.

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