Body dysmorphic disorder

Preoccupation with perceived defects or flaws in physical appearance that leads to repetitive behaviors or mental acts in response to the apparent concerns

Poor insight

Seeks care from dermatologists and cosmetic surgeons to address perceived defects

Symptom onset during adolescence

Waxing and waning course

Cognitive behavior therapy (exposure and response prevention)

Some evidence for SSRIs

Excoriation (skin-picking) disorder

Recurrent skin picking resulting in skin lesions

Repeated attempts to decrease or stop skin picking

More common in females

Symptom onset at the beginning of puberty

Habit reversal therapy

Limited studies evaluating response to pharmacotherapy

Hoarding disorder

Persistent difficulty discarding or parting with possessions because of strong urges to save items and/or distress with discarding items

Accumulation of possessions to a degree that the space where possessions accumulate cannot be used as intended

75% of patients with hoarding disorder have comorbid mood or anxiety disorders

The hoarding causes significant distress or impairment in function

Symptom onset between 11 and 15 years of age

Symptoms or hoarding behaviors progressively worsen

Behavior therapy targeted toward removal of hoarded items and reduction in accumulation of new items

No data to support pharmacotherapy

Trichotillomania (hair-pulling disorder)

Recurrent pulling of hair from any part of the body resulting in hair loss

Repeated attempts to decrease or stop hair pulling

More common in females

Symptom onset at the beginning of puberty

Habit reversal therapy

Mixed to poor response to SSRIs