Obsessive-compulsive and related disorders (OCRDs) are both prevalent and a source of significant impairment for patients who suffer from them, yet they remain underrecognized and underdiagnosed. Handbook on Obsessive-Compulsive and Related Disorders provides comprehensive and cutting-edge coverage of OCRDs for clinicians and trainees in the context of the new classification framework established by the DSM-5. Chapters cover OCD, body dysmorphic disorder (BDD), hoarding disorder, trichotillomania (hair pulling disorder), excoriation (skin picking) disorder, and illness anxiety disorder, among other related conditions, ensuring that readers are current on both the research on and the standard of care for these illnesses. In addition, each chapter employs a logical and consistent structure, addressing diagnostic criteria and symptomatology, epidemiology, etiology and pathophysiology, comorbidities, course and prognosis, assessment and differential diagnosis, psychosocial impairment and suicidality, and other topics such as cultural and gender-related issues. Treatment approaches and considerations are explored in-depth. The Handbook's useful features are many: * The first book focused on the OCRDs to be published since the development of DSM-5, it reflects a deep understanding of the disorders and the DSM-5 development process. Readers can depend on the utmost compatibility with DSM-5 because the book was edited by the chair of the DSM-5 work group, and the chair of the sub-work group, that oversaw the development of the OCRD category. The editors have provided a helpful introductory chapter that thoroughly addresses the changes from DSM-IV.* The book includes a chapter on disorders that were seriously considered for, though ultimately not included in, the DSM-5 OCRD chapter and for which research offers some support for a close relationship to OCD. These include tic disorders, illness anxiety disorder (hypochondriasis), and obsessive-compulsive personality disorder.* Case studies are provided in each chapter, as well as key clinical points, both of which help the reader understand, contextualize, and make use of the book's content. Recommended readings at the end of each chapter offer the opportunity to deepen understanding. The costs to society of undiagnosed and/or untreated OCRD are high in both human and financial terms, and clinicians need to master all available tools to help patients and families understand and cope with these disorders. Handbook of Obsessive-Compulsive and Related Disorders deserves a prominent position-both in the literature and on the clinician's bookshelf.

Jane is an attractive woman in her mid-thirties, tall, thin and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she hasn't left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, hiding in her room, even on Thanksgiving. The one time she left the house - forced to see a doctor - she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this," she said. "If I had my choice, I'd rather be blind or have my arm cut off. I'd be happy to have cancer." Jane has body dysmorphic disorder, or BDD. In this revised and expanded edition of The Broken Mirror, Dr Katherine Phillips draws on years of scientific research, clinical practice, and detailed interviews with patients to bring readers an updated and expanded book on this troubling and sometimes debilitating disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, such as Jane's, but also milder cases, such as Carl, a successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose", sneaking constant peaks at a pocket mirror, or spending hours redoing makeup. BDD afflict millions of people. It isn't an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns; one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. This revised and expanded edition of The Broken Mirror provides updated information from recent research that sheds new light on this serious illness. Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they know have BDD. She includes common clues to BDD - such as frequent mirror checking, covering up with clothing, and excessive exercise. Four new chapters on treatment contain updated information and recommendations on how to effectively treat BDD - as well as frequently obtained treatments that should be avoided. A revised chapter offers helpful advice and reassurance for friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book. The revised and expanded edition of The Broken Mirror is the most comprehensive book on BDD and is written by the leading expert on this disorder. It is essential reading for psychiatrists, other mental health professionals, dermatologists and plastic surgeons; for the friends and family concerned about a loved one who won't believe their reassurance; and for the millions who suffer from BDD in silence and secrecy.

For many years, the American Psychiatric Glossary has been the standard reference for psychiatrists, residents, psychiatric social workers, and other mental health professionals. Last published 8 years ago, it enjoyed unparalleled dominance in the mental health market. Now comes The Language of Mental Health: A Glossary of Psychiatric Terms, which is designed not only to replace its predecessor but also to improve upon its offerings and bring the content firmly into the twenty-first century.

This comprehensive, user-friendly reference boasts an abundance of features, both time-tested and new, as follows: - The number of Glossary definitions has been increased by 25%, and coverage has been expanded to include terms specific to newer psychiatric subspecialties, such as geriatric psychiatry, addiction psychiatry, psychosomatic medicine, and child and adolescent psychiatry.- The section on "Medications Used in Psychiatry" is expanded and up to date. Medications are organized by drug class (e.g., antidepressants), subclass (e.g., selective serotonin reuptake inhibitors), trade name (e.g., Prozac), and generic name (e.g., fluoxetine).- The section on "Psychiatric Measures" is robust and detailed. For example, the entry under "Neuropsychiatric Measures for Cognitive Disorders" lists nearly a dozen assessments, along with their acronyms or abbreviations.- The section on "Mental Health Resources" includes vital descriptions and current contact information for dozens of organizations. The Web addresses are especially useful for those seeking immediate assistance or access to information.

Although the reference maintains the level of theoretical, diagnostic, and therapeutic accuracy one would expect from a book for clinicians, it will also prove useful to advocacy groups, attorneys, and mental health patients and their families. Compact enough to slip into a pocket or briefcase, yet substantial enough to withstand frequent consultations and extended study, The Language of Mental Health is a worthy successor to the American Psychiatric Glossary and is the only reference of its caliber and completeness on the market.

Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and colorful historical and clinical tradition. Yet, some of them have received only limited empirical investigation.

This book continues that rich tradition by offering a broad and scholarly synthesis of the current knowledge -- and controversies -- about somatoform and factitious disorders. Here you'll find up-to-date, clinically focused overviews of these intriguing and often difficult-to-treat disorders.

Recognized experts present the latest findings along with insightful recommendations and illustrative case studies on - Somatization disorder -- The evolution and problems of diagnostic criteria (e.g., its focus on symptom counting), epidemiology, clinical features, etiologic considerations, differential diagnosis (e.g., contrasted with depressive and anxiety disorders), evaluation (use of questionnaires), and treatment considerations (psychotherapy, psychotropic medications).- Hypochondriasis -- History, clinical features, theoretical models (psychodynamic, cognitive-behavioral, and physiologic), research studies, and practical techniques for treatment (from pharmacotherapy to cognitive behavioral therapy to alternative treatments such as relaxation therapy).- Body dysmorphic disorder -- History and prevalence, clinical features, treatment (including surgery and nonpsychiatric medical treatment), etiology and pathophysiology (its relationship to obsessive-compulsive, depressive, and eating disorders), and diagnosis and misdiagnosis.- Conversion disorder -- Diagnostic criteria and clinical subtypes, history and definitions, models of symptom generation, functions served by conversion symptoms, associated features, epidemiology, demographic and disease course, comorbidity, differential diagnosis, and treatment (best done in collaboration with an internist, primary care physician, or neurologist).- Factitious disorders (widely known as Munchausen syndrome, its most extreme subtype) -- Empirical evidence related to epidemiology and etiology; diagnosis, clinical description, prevalence, and associated costs; limitations of current approaches; the reliability and usefulness of differential diagnoses; comorbidity, etiology, and management.

Both concise and thorough, this extensively annotated volume clarifies the issues surrounding these fascinating disorders and offers practical guidance and recommendations, highlighting the pressing need for further research to improve patient care. As such, it will prove compelling reading for practicing psychiatrists and other physicians in any clinical setting who want to better understand the baffling complexities of these distressing disorders.

This landmark book is the first comprehensive edited volume on body dysmorphic disorder (BDD), a common and severe disorder. People with BDD are preoccupied with distressing or impairing preoccupations with non-existent or slight defects in their physical appearance. People with BDD think that they look ugly - even monstrous - although they look normal to others. BDD often derails sufferers' lives and can lead to suicide. BDD has been described around the world since the 1800s but was virtually unknown and unstudied until only several decades ago. Since then, research on BDD has dramatically increased understanding of this often-debilitating condition. Only recently, BDD was considered untreatable, but today, most sufferers can be successfully treated. This is the only book that provides comprehensive, in-depth, up-to-date information on BDD's clinical features, history, classification, epidemiology, morbidity, features in special populations, diagnosis and assessment, etiology and pathophysiology, treatment, and relationship to other disorders. Numerous chapters focus on cosmetic treatment, because it is frequently received but usually ineffective for BDD, which can lead to legal action and even violence toward treating clinicians. The book includes numerous clinical cases, which illustrate BDD's clinical features, its often-profound consequences, and recommended treatment approaches. This volume's contributors are the leading researchers and clinicians in this rapidly expanding field. Editor Katharine A. Phillips, head of the DSM-V committee on BDD, has done pioneering research on many aspects of this disorder, including its treatment. This book will be of interest to all clinicians who provide mental health treatment and to researchers in BDD, anxiety disorders, eating disorders, and other obsessive-compulsive and related disorders. It will be indispensable to surgeons, dermatologists, and other clinicians who provide cosmetic treatment. Students and trainees with an interest in psychology and mental health will also be interested in this book. This book fills a major gap in the literature by providing clinicians and researchers with cutting-edge, indispensable information on all aspects of BDD and its treatment.

Presenting an effective treatment approach specifically tailored to the unique challenges of body dysmorphic disorder (BDD), this book is grounded in state-of-the-art research. The authors are experts on BDD and related conditions. They describe ways to engage patients who believe they have defects or flaws in their appearance. Provided are clear-cut strategies for helping patients overcome the self-defeating thoughts, impairments in functioning, and sometimes dangerous ritualistic behaviors that characterize BDD. Clinician-friendly features include step-by-step instructions for conducting each session and more than 50 reproducible handouts and forms; the large-size format facilitates photocopying. See also the related self-help guide by Dr. Wilhelm, Feeling Good about the Way You Look, an ideal recommendation for clients with BDD or less severe body image problems.

In a society where a blemish or "bad hair" can ruin an otherwise perfect day and airbrushed abs dominate the magazine rack, many of us feel ashamed of our bodies. If dissatisfaction with your looks is a distressing preoccupation, this compassionate book offers a way to break free from the mirror. Harvard psychologist Sabine Wilhelm leads you through a step-by-step program that helps you fight the urge to spend hours "fixing" your skin and hair, working out, or shopping for flattering clothes. Reality-check exercises based on cognitive-behavioral therapy demonstrate how to identify unfounded beliefs about your appearance. Once you understand the negative thoughts and feelings that distort your self-image, you'll be able to shed lengthy grooming rituals and overcome the embarrassment that keeps you from enjoying life. With Dr. Wilhelm's expert guidance, you'll learn to replace self-doubt and insecurity with confidence and a positive outlook. Whether you've spent thousands on plastic surgery or avoid trips to the beach, dating, or socializing, you owe yourself this opportunity to make peace with your looks. If you or someone you care about is struggling with a body image problem, effective care is finally at hand. Health care professionals, see also the related treatment manual: Cognitive-Behavioral Therapy for Body Dysmorphic Disorder.

In a world obsessed with appearance, it is not surprising that body dysmorphic disorder, or BDD -- an emotionally painful obsession with perceived flaws in one's appearance -- has manifested itself as a troubling and relatively common problem for many individuals. In The Broken Mirror, the first and most definitive book on BDD, Dr. Katharine A. Phillips provided a comprehensive manual for patients and their physicians by drawing on years of clinical practice, scientific research, and professional evaluations of over 1,000 patients. Now, in Understanding Body Dysmorphic Disorder: An Essential Guide, the world's leading authority on BDD reaches out to patients, their friends, and their families with this concise and updated handbook.
BDD causes sufferers to be obsessed by perceived flaws in their appearance and may afflict as much as two percent of the population, or nearly five million people. Many sufferers are able to function well in society, but remain secretly obsessed by their "hideous acne" or "horrible nose," sneaking constant peeks at a pocket mirror, or spending hours at a time redoing makeup. Others find their lives disintegrate because of their appearance obsessions. It is not an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns.
Using stories and interviews to show the many different behaviors and symptoms of BDD, and a quick self-assessment questionnaire, Dr. Phillips guides readers through the basics of the disorder and through the many treatment options that work and don't work. With Understanding Body Dysmorphic Disorder: An Essential Guide, sufferers will find both helpful adviceand much needed reassurance in a compact, down-to-earth indispensable book.

Jane is an attractive woman in her mid-thirties, tall, thin and stately. She believes she is breathtakingly ugly. Tormented by what she sees as her huge nose, crooked lip, big jaw, fat buttocks, and tiny breasts, she hasn't left her house in six years. Though she lives in the same house as her mother, she once went two years without seeing her. When relatives come over, she avoids them, hiding in her room, even on Thanksgiving. The one time she left the house - forced to see a doctor - she covered her face with bandages. Eventually, she attempted suicide. "I can't imagine any suffering greater than this," she said. "If I had my choice, I'd rather be blind or have my arm cut off. I'd be happy to have cancer." Jane has body dysmorphic disorder, or BDD. In this revised and expanded edition of The Broken Mirror, Dr Katherine Phillips draws on years of scientific research, clinical practice, and detailed interviews with patients to bring readers an updated and expanded book on this troubling and sometimes debilitating disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, such as Jane's, but also milder cases, such as Carl, a successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose", sneaking constant peaks at a pocket mirror, or spending hours redoing makeup. BDD afflict millions of people. It isn't an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns; one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. This revised and expanded edition of The Broken Mirror provides updated information from recent research that sheds new light on this serious illness. Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they know have BDD. She includes common clues to BDD - such as frequent mirror checking, covering up with clothing, and excessive exercise. Four new chapters on treatment contain updated information and recommendations on how to effectively treat BDD - as well as frequently obtained treatments that should be avoided. A revised chapter offers helpful advice and reassurance for friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book. The revised and expanded edition of The Broken Mirror is the most comprehensive book on BDD and is written by the leading expert on this disorder. It is essential reading for psychiatrists, other mental health professionals, dermatologists and plastic surgeons; for the friends and family concerned about a loved one who won't believe their reassurance; and for the millions who suffer from BDD in silence and secrecy.