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As Castle & Harrison note in their fine review, imagined ugliness is a not uncommon problem presenting to psychiatrists. The “considerable lag before the disorder comes to the attention of health professionals” was a mean of seven years in the 30 cases of Gomez-Perez et al (1994). Whether the problem is called dysmorphophobia, body dysmorphic disorder (BDD) or something else, its coherence of features resembles that of other psychiatric syndromes.
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