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Hery Kaggwa
Hery Kaggwa
PMHNP-BC, APRN. Clinical Director
Assured Hope Community Health. LLC
May 23, 2024

Body Dysmorphic Disorder (BDD) is a challenging condition that affects individuals of all ages, including pediatric patients. When it comes to children and adolescents, addressing BDD requires a tailored approach that considers their unique developmental needs. Let’s explore the treatment of Body Dysmorphic Disorder among pediatric patients, focusing particularly on the implications and management of Body Dysmorphic Disorder.

What Is It? 

Body Dysmorphic Disorder is when kids can’t stop thinking about flaws in their appearance that might not even be real. They might obsess over tiny things like their nose or how their body looks. Even though others say they look fine, they can’t shake the feeling that something’s wrong. This constant worry can make them feel really bad about themselves and make it hard for them to do everyday things.

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Body Dysmorphic Disorder might show up as worrying too much about how their face looks or if their body is the right shape. They might spend a lot of time looking in the mirror or avoiding situations where others might see them. This worry can get in the way of having fun with friends or doing well in school.

Kids with BDD might feel really upset or anxious because they can’t stop thinking about these flaws. It’s like their brain keeps telling them something’s wrong, even when it might not be true. This can make them feel like they’re not good enough or that others won’t like them because of how they look.

Implications of Body Dysmorphic Disorder in Pediatric Patients: 

When kids have Body Dysmorphic Disorder (BDD), it can affect many parts of their life. One big thing is how they interact with others. 

Difficulty In Making Friends:

Kids with BDD might feel really self-conscious about how they look, so they might avoid being around other kids or going to parties. This can make it hard for them to make friends or feel like they fit in. They might worry that others will judge them because of their appearance, even though that might not be true.

School Performance:

BDD can also make it tough for kids to do well in school. They might have a hard time focusing on their work because they’re too busy thinking about their appearance. This can make it hard for them to learn and do their best. Plus, feeling bad about themselves can make them believe they’re not smart or capable, even though that’s not true.

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Depression & Anxiety:

If BDD isn’t treated when kids are young, it can lead to other problems later on. Kids with BDD are more likely to feel sad or worried all the time. This can make them more likely to develop depression or anxiety as they get older. So, it’s really important to help kids with BDD as soon as possible to prevent these other issues from happening.

Overall, BDD can make life really tough for kids. It affects how they feel about themselves, how they do at school, and how they interact with others. But with the right support and treatment, kids with BDD can learn to feel better about themselves and not let their worries control their lives.

Management of Body Dysmorphic Disorder in Pediatric Patients: 

Effective management of BDD in pediatric patients involves a multifaceted approach that addresses both the psychological and behavioral aspects of the disorder. Here are some key components of treatment:

1. Psychotherapy: 

Cognitive-behavioral therapy (CBT) has been proven to be very helpful for kids and teens with Body Dysmorphic Disorder (BDD). In CBT, therapists work with patients to understand and challenge the thoughts they have about their appearance. They help kids see that their worries might not be true and teach them new ways to think about themselves.

CBT also helps kids develop better ways to cope with their feelings. Instead of getting overwhelmed by their worries, they learn techniques to manage their emotions and feel more in control. With regular sessions and practice, kids can start to feel better about themselves and worry less about their appearance. CBT is a powerful tool for helping kids with BDD learn to see them in a more positive light and lead happier, healthier lives.

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2. Family Support: 

Family support plays a vital role in helping kids with Body Dysmorphic Disorder (BDD) recover. When families are involved in treatment, it creates a strong support system for the child. Family therapy sessions provide a safe space for open communication and understanding between family members.

Through family therapy, families can learn how to better support their child with BDD. They can gain insight into the challenges their child faces and learn effective ways to respond to their needs. Family therapy also helps reduce conflicts within the family, creating a more harmonious environment for the child’s recovery journey.

3. Medication: 

Medication might be recommended to ease the symptoms of anxiety or depression linked to Body Dysmorphic Disorder (BDD). Selective serotonin reuptake inhibitors (SSRIs) are frequently prescribed medications that can aid in lessening obsessive-compulsive symptoms and enhancing mood. These medications work by increasing the levels of serotonin in the brain, which helps regulate mood and reduce anxiety. While medication alone may not fully address BDD, it can be a valuable component of a comprehensive treatment plan when combined with therapy and other interventions.

4. School-Based Interventions: 

Collaborating with schools can significantly aid in supporting children with Body Dysmorphic Disorder (BDD). Educators can play a crucial role by implementing tailored strategies to meet the child’s needs. This may involve providing additional support, such as counseling or accommodations, during times of heightened distress. Moreover, educators can help reduce academic pressure by adjusting expectations and workload to alleviate stress for the child. By fostering a supportive and understanding environment within the school setting, educators can contribute to the child’s well-being and academic success despite the challenges posed by BDD.

5. Holistic Approaches: 

Holistic approaches like mindfulness, yoga, and art therapy can offer valuable support alongside traditional treatments for kids with Body Dysmorphic Disorder (BDD). These practices focus on promoting overall well-being by addressing the mind, body, and emotions. Mindfulness techniques help children become more aware of their thoughts and feelings, while yoga fosters relaxation and physical well-being. Art therapy provides a creative outlet for self-expression and processing emotions. By incorporating these holistic approaches into treatment plans, kids with BDD can benefit from a comprehensive approach that addresses their psychological, emotional, and physical needs.

In Conclusion

Body Dysmorphic Disorder can have significant implications for pediatric patients, impacting their emotional well-being, social functioning, and overall quality of life. However, with early intervention and comprehensive treatment approaches, children with BDD can learn to manage their symptoms and regain a sense of hope and confidence. By raising awareness, providing support, and implementing evidence-based interventions, we can help pediatric patients with BDD navigate their journey towards recovery and assured hope for a brighter future.

Ready to take the first step towards supporting your child’s mental health journey? Visit our website to learn more about Body Dysmorphic Disorder and discover how our compassionate team can help. Don’t hesitate to schedule an appointment today for personalized support and guidance. Your child’s well-being is our top priority. Click here to book an appointment: Assured Hope Health – Book Appointment

References:

  1. Phillips, K. A., & Menard, W. (2009). Olfactory reference syndrome: demographic and clinical features of imagined body odor. General hospital psychiatry, 31(5), 484-489.
  2. Mufaddel, A., & Osman, O. T. (2018). Body dysmorphic disorder: A review of nosology, cognition, and treatment strategies. The primary care companion for CNS disorders, 20(2).
  3. Albertini, R. S., & Phillips, K. A. (1999). Thirty-three cases of body dysmorphic disorder in children and adolescents. The Journal of the American Academy of Child & Adolescent Psychiatry, 38(4), 453-459.
  4. Krebs, G., de la Cruz, L. F., Monzani, B., Bowyer, L., & Mataix-Cols, D. (2017). Increased psychological flexibility after intensive residential treatment for severe, chronic obsessive–compulsive disorder. Journal of Affective Disorders, 208, 596-598.
  5. Veale, D., Anson, M., Miles, S., Pieta, M., Costa, A., & Ellison, N. (2014). Efficacy of cognitive behavioral therapy versus anxiety management for body dysmorphic disorder: a randomized controlled trial. Psychotherapy and Psychosomatics, 83(6), 341-353.