Body Dysmorphic Disorder in Adolescents / Teens

Key things to know What the evidence shows
How common is it? 1.9%, England youth epidemiological survey; older systematic review 2.2% adolescents
Is it more common among adolescents / teens? Major onset/risk period
Are adolescents / teens at higher risk? Strong
How much higher is the risk? 1.9% vs 0.1% children
How often can it be missed? Very High
Does it show up differently among adolescents / teens? Strong Yes
How might it look different? Repetitive checking/camouflaging, social avoidance, reassurance seeking, appearance comparison; school/social impairment
What commonly occurs alongside it? Depression; anxiety; OCD; eating disorders
What can it be confused with? Eating disorders; OCD; social anxiety; acne/actual dermatological condition
Common screening tool BDDQ — Body Dysmorphic Disorder Questionnaire
Separate screening tool for adolescents / teens BDD-Dimensional scale has emerging adolescent/young-adult validation
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