Episode 136 hosts Professor David Veale (Consultant Psychiatrist based in South London, UK)

He is an internationally-renowned thought leader and researcher in the field of body dysmorphic disorder (BDD). Professor Veale leads a highly specialised service for patients with severe anxiety disorders including Obsessive-Compulsive Disorder (OCD), emetophobia (the fear of vomiting), Post Traumatic Stress Disorder (PTSD) as well as BDD.

Having first explored BDD way back in episode 7, we re-visit the topic and discuss:

- how virtual working and the 'Zoom Boom' has affected our perception of ourselves

- What exactly BDD is and how this differs from patients who are just very picky or 'difficult'

- what can be done in the cosmetic consultation to explore the topic of BDD

- the patient perspective in suffering with BDD

- the treatment modalities commonly used

- novel approaches to treating the condition including nutritional psychiatry & psychedelic medications

00:00 Introduction 01:04 Meet Professor David Veale 04:55 Why Mental Health Matters in Cosmetic Practice 10:59 Impact of COVID and Virtual Consultations on Patients 18:27 Understanding Body Dysmorphic Disorder Explained 26:25 Common Triggers Including Bullying and Social Comparison 33:29 Role of Social Media and the Zoom Effect on Self Image 41:37 Key Red Flags During Aesthetic Consultations 48:53 How to Assess Patient Motivation and Expectations 52:09 When Cosmetic Treatment May Not Be in the Patient's Best Interest 61:45 Communicating Concerns and Referring Patients Safely 68:49 Difference Between Difficult Patients and True BDD 76:38 Treatment Options Including Therapy and Medication 80:09 Emerging Research Including Gut Health and Psychedelic Therapy 86:34 Final Advice on Ethics, Patient Safety and Professional Responsibility

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