'Everybody looks at my pubic bone'--a case report of an adolescent patient with body dysmorphic disorder.
OBJECTIVE
Body dysmorphic disorder (BDD) was described for the first time more than 100 years ago, but it is still unknown to many clinicians. Although the onset usually occurs during adolescence, BDD has received little attention in the adolescent psychiatric literature.


METHODS
The case and treatment of a 16-year-old female patient is described.


RESULTS
The patient, suffering from the overvalued belief of a dislocated pubic bone, a comorbid mild depressive episode, BDD associated rituals and social avoidance, was treated successfully with a combination of exposure and response prevention and 125 mg/day of doxepine.


CONCLUSIONS
If BDD is diagnosed early in the course and treated appropriately, it is possible to obtain a satisfying outcome.
Sobanski
E
E
Department of Child and Adolescent Psychiatry, Central Institute of Mental Health, Mannheim, Germany.
Schmidt
M H
MH
D000293:Adolescent; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D003131:Combined Modality Therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D004316:Doxepin / Q000627:therapeutic use; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000523:psychology; D011630:Pubic Bone / Q000293:injuries; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D016896:Treatment Outcome
D000929:Antidepressive Agents, Tricyclic; D004316:Doxepin