Causes are unknown at this time. Treatment of BDD may include cognitive-behavioral psychotherapy, pharmacologic interventions, and other psychosocial interventions that promote social functioning. Prevent adoption of the sick role Minimize unnecessary costs and complications by avoiding unwarranted hospitalizations, diagnostic and treatment procedures, and medications, especially avoiding corrective surgeries. Avoid drugs with abuse or addictive potential. SSRIs may be helpful in controlling obsessional thinking.
Clomipramine is another option.
Other classes of drugs including TCAs, benzodiazepines, neuroleptics, and anticonvulsants have produced minimal or no improvement. In general it is recommended that medications be used in conjunction with psychosocial interventions such as cognitive-behavioral therapy. Does not significantly bind to alpha-adrenergic, histamine, or cholinergic receptors and thus has fewer side effects than tricyclic antidepressants. Tricyclic antidepressants - Use when SSRIs are ineffective. Patients have best results when treated by a consistent medical and mental health team.