# Dermatologists' Experience in Managing Body Dysmorphic Disorder in Saudi Arabia

## TL;DR

This study explores how often Saudi Arabian dermatologists encounter body dysmorphic disorder and their preferred treatment approaches.

## Contribution

The study provides insights into BDD management practices among dermatologists in Saudi Arabia.

## Key findings

- Most dermatologists in Saudi Arabia have encountered BDD patients during their careers.
- Many dermatologists prefer reassurance and explanation over first-line antidepressant treatment for BDD.
- Early psychiatric involvement is recognized as important but not commonly practiced.

## Abstract

Background: Preoccupation with a perceived minor or non-existent flaw in physical appearance that negatively impacts a patient’s quality of life is the cardinal feature of body dysmorphic disorder (BDD).

Objective: This study aims too explore how commonly dermatologists in Saudi Arabia (SA) encounter BDD patients and their preferred management approach.

Methods: We conducted a cross-sectional study using a previously validated questionnaire that included information about participants' demographics, the frequency of exposure to BDD patients, and their management approach. We used a purposeful sampling technique, distributing the survey via Google Forms to 127 dermatologists living in SA, regardless of their age, gender, position, clinical setting, or work experience, over a period of one month.

Results: A total of 118 (93%) participants had encountered at least one BDD patient at some point throughout their working life. Two-thirds of participants are currently treating BDD patients. Seventy-eight participants (62%) consider patient reassurance and condition explanation as their primary approach to managing BDD patients, despite knowing that antidepressants are considered the first-line treatment.

Conclusion: Most dermatologists in SA are aware of BDD and encounter it in their daily practice. While they recognize that antidepressants are the first-line treatment and that early involvement of a psychiatrist is paramount, most prefer to simply explain the nature of the condition to the patient and provide reassurance.