Psychotic Disorders

Psychotic disorders. Many individuals with body dysmorphic disorder have delu­sional appearance beliefs (i.e., complete conviction that their view of their perceived de­fects is accurate), which is diagnosed as body dysmorphic disorder, with absent insight/ delusional beliefs, not as delusional disorder. Appearance-related ideas or delusions of reference are common in body dysmorphic disorder; however, unlike schizophrenia or schizoaffective disorder, body dysmorphic disorder involves prominent appearance pre­ occupations and related repetitive behaviors, and disorganized behavior and other psy­chotic symptoms are absent (except for appearance beliefs, which may be delusional).

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