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HOPE FOR PEOPLE WITH BDD: MY PATIENTS?S STORIES
Keith responded to a combination of a serotonin-reuptake inhibitor known as fluoxetine (Prozac) and a type of therapy known as cognitive-behavioral therapy. He stopped worrying about his appearance almost entirely. Like Jennifer, it’s now much easier to go out in public because he no longer thinks that everyone is staring at him. The serotonin-reuptake inhibitors, which are antidepressant medications with antiobsessional properties, appear particularly effective for BDD. Those currently marketed in the United States are citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), clomipramine (Anafranil), paroxetine (Paxil), and sertraline (Zoloft). Cognitive-behavioral treatment also appears effective for BDD. This treatment helps patients stop their compulsive behaviors, face the situations they fear, and develop more accurate and helpful appearance-related beliefs.
The field of psychiatry is rapidly advancing; some of the things we now know about the workings of the brain were barely imaginable even a decade ago. Many advances?such as those in brain imaging and genetics?will be applied to BDD and are likely to exponentially increase our knowledge. A statement made by Eric Kandel, a famous neuroscientist and Nobel Prize winner, about his area of research struck me as particularly applicable to BDD: “We are at the foothills of an enormous mountain range.”
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