Body dysmorphic disorder

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Causes

By Mayo Clinic staff

It's not known specifically what causes body dysmorphic disorder. Like many other mental illnesses, body dysmorphic disorder may result from a combination of causes:

  • Brain chemical differences. Some evidence suggests that naturally occurring brain chemicals called neurotransmitters, which are linked to mood, may play a role in causing body dysmorphic disorder.
  • Structural brain differences. In people who have body dysmorphic disorder, certain areas of the brain may not have developed properly.
  • Genes. Some studies show that body dysmorphic disorder is more common in people whose biological family members also have the condition, indicating that there may be a gene or genes associated with this disorder.
  • Environment. Your environment, life experiences and culture may contribute to body dysmorphic disorder, especially if they involve negative experiences about your body or self-image.
References
  1. Body dysmorphic disorder. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec15/ch204/ch204b.html#sec15-ch204-ch204b-767. Accessed Sept. 1, 2010.
  2. Ford CV. Somatoform disorders. In: Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry, 2nd ed. New York, N.Y.: McGraw Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=3287234. Accessed Sept. 1, 2010.
  3. Body dysmorphic disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association: 2000. http://www.psychiatryonline.com. Accessed Sept. 1, 2010.
  4. Fiora P, et al. Body dysmorphic disorder: A complex and polymorphic affection. Neuropsychiatric Disease and Treatment. 2009;5:477.
  5. Hunt TJ, et al. The mirror lies: Body dysmorphic disorder. American Family Physician. 2008;78:217.
  6. Conrado LA, et al. Body dysmorphic disorder among dermatologic patients: Prevalence and clinical features. Journal of the American Academy of Dermatology. 2010;63:235.
  7. Phillips KA, et al. Body dysmorphic disorder: Treating an underrecognized disorder. American Journal of Psychiatry. 2008;9:165.
  8. Ipser JC, et al. Pharmacotherapy and psychotherapy for body dysmorphic disorder (Review). Cochrane Database of Systematic Reviews. 2009;(1): CD005332.
DS00559 Nov. 5, 2010

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