Cognitive Formulation of Body Dysmorphic Disorder

Trigger
(external representation
of appearance),
e.g. reflection in mirror

Mirror-checking
and selective
attention

Mirror checking

Negative appraisal
of body image

Processing of self
as an aesthetic
object

Avoidance and safety

behaviours to change
or camouflage
appearance

Mood
(depression and disgust)

Rumination on ugliness
or defectiveness and
comparison to ideal

Adapted from:

PSYCHOLOGYT

Veale, D. (2001). Cognitive-behavioural therapy for body dysmorphic disorder.

Advances in Psychiatric Treatment, 7, 125-132.

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