Interventions

Treatment for BDD

The National Institute for Health and Care Excellence (NICE) guidelines on BDD recommend two evidence-based treatment options: Cognitive-Behavior Therapy (CBT) and Selective Serotonin Reuptake Inhibitors (SSRI) medication.

CBT

We offer a specialised CBT treatment package to help young people to learn about and overcome their BDD. This involves:

  • Psycho-education
  • Caregiver inclusion/training
  • Exposure with response prevention (E/RP)
  • Relapse prevention
  • Cognitive strategies

Each young person works with their therapist at their agreed pace throughout the treatment; practising tasks together and agreeing tasks that can be continued at home.

  • Typically CBT involves meeting a therapist at the clinic once a week for an hour over an average of 20 weeks. An essential part of CBT is that the skills learnt from sessions are practised on a regular basis.
  • We can also offer CBT over the telephone or video-link, in an intensive format or during inpatient stay.
  • 4 follow-up appointments at 1, 3, 6 and 12 months post treatment are offered

Clinical questionnaires are completed at assessment and are repeated at the end of treatment, and at follow-up appointments

Medication 

SSRIs can help many young people with BDD. The medication options are carefully considered for every young person and will be discussed fully with the young person and family at their assessment.

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