REVIEW ARTICLE
Prevalence, Assessment and Underdiagnosed Impact of Body Dysmorphic Syndrome (BDD) in Cosmetic and Aesthetic Clinical Practice: A Narrative Review
Siti Nur Hanis Mamood, Ungku Mohd Shahrin Mohd Zaman, Noor Shahirah Suparji, Kaveeshna Arumainathan
Abstract: Body Dysmorphic Disorder (BDD) is considered one of the high-risk psychological health disorders due to its significant impact on patients. However, it is often overlooked. This review aims to discuss BDD and highlight the importance of cosmetic and clinical practitioners in distinguishing BDD patients from other individuals seeking aesthetic or cosmetic treatments, as well as to explore the impact of BDD on cosmetic and clinical practice. It was found that BDD patients are often found in primary care and dermatology settings because they may not recognize the need for psychiatric treatment. Many seek cosmetic treatments, which usually do not alleviate their distress and result in temporary satisfaction, leading to dissatisfaction and shifting blame to practitioners. BDD patients can exhibit aggressive behaviours, posing risks to cosmetic providers, including verbal, physical, and legal threats. Therefore, raising awareness and understanding of BDD among clinical and cosmetic practitioners is crucial to care for these patients effectively and to avoid unnecessary financial, physical, and psychological strains of unwarranted procedures.
Keywords: Aesthetic and Cosmetic clinical practice, Body dysmorphic disorders, Psychological health
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