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Body Dysmorphic Disorder is a disorder of adolescence, not enough known and not always taken into account by child and adolescent clinicians, which delays diagnosis and worsens its prognosis. Methods: We aimed to carry out a practical review for clinicians working with adolescents, by means of an electronic search using the main databases, along with a manual search in journals and specialized textbooks. Results: The disorder is very common, with prevalences of 1.7 to 2.5%. Two thirds of cases begin in adolescence and an earlier age of onset is more likely to be associated with comorbidity throughout the course of the disease and with an increased suicide risk. It is a disorder of the obsessive-compulsive spectrum that involves persistent concerns about one or more perceived physical defects that are not observable by others, as well as compulsive behaviors in response to those concerns. The shame and the fear of rejection prevent adolescents from explaining their symptoms and a delay of several years to diagnosis is very usual, with most of the diagnoses established in adult age, if they are ever reached. The course is chronic and if not diagnosed, the prognosis will be very poor, with frequent social isolation and functional deterioration. A correct diagnosis at an appropriate time will greatly improve clinical course as it is a disorder that responds well to both pharmacological and psychological treatments. Conclusion: Adequate knowledge of Body Dysmorphic Disorder in the adolescent is very important to diagnose it in time, which will improve prognosis very considerably.

Trastorno Dismórfico Corporal: revisión sistemática de un trastorno propio de la adolescencia