ICD-11 classes
14 Diseases of the skin
Sensory and psychological disorders affecting the skin
Psychological or psychiatric conditions affecting the skin
6B21 — Body dysmorphic disorder

ICD-11 6B21 — Body dysmorphic disorder

Body Dysmorphic Disorder is characterised by persistent preoccupation with one or more perceived defects or flaws in appearance that are either unnoticeable or only slightly noticeable to others. Individuals experience excessive self-consciousness, often with ideas of reference (i.e., the conviction that people are taking notice, judging, or talking about the perceived defect or flaw). In response to their preoccupation, individuals engage in repetitive and excessive behaviours that include repeated examination of the appearance or severity of the perceived defect or flaw, excessive attempts to camouflage or alter the perceived defect, or marked avoidance of social situations or triggers that increase distress about the perceived defect or flaw. The symptoms are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.

The diagnosis includes nothing.

It excludes 3 items.

  • Anorexia Nervosa (6B80)
  • Bodily distress disorder (6C20)
  • Concern about body appearance (QD30-QD3Z)

Diagnosis with code 6B21 contains 3 clarifying diagnoses:

  1. 6B21.0 — Body dysmorphic disorder with fair to good insight
  2. 6B21.1 — Body dysmorphic disorder with poor to absent insight
  3. 6B21.Z — Body dysmorphic disorder, unspecified

The diagnosis is coded elsewhere:

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