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Commentary
November 1999

Treating Imagined Ugliness

Arch Gen Psychiatry. 1999;56(11):1041-1042. doi:10.1001/archpsyc.56.11.1041

BODY dysmorphic disorder (BDD) is an intriguing and relatively common1,2 syndrome that can challenge the clinical acumen of the most seasoned clinician. In the psychiatric literature, patients with BDD are described as extremely difficult to treat,3 and a noted dermatologist has stated, "The author knows of no more difficult patients to treat than those with body dysmorphic disorder."4(p463)

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