Feasibility Pilot Study of Internet-based Cognitive Behavioral Therapy (CBT) for Body Dysmorphic Disorder With Global Recruitment

Exclusion Criteria

• •Patient received Cognitive Behavior Therapy for Body Dysmporphic Disorder in the 12 months preceding treatment
• •Patient changed psychotropic medications within the 12 weeks before treatment
• •Patient receiving other ongoing psychotherapy at the time,
• •Patient did not have access to a 24 hour psychiatric emergency center
• •Patient could not provide an emergency contact person.
• •Current substance dependence (assessed with M.I.N.I. 7.0, AUDIT, DUDIT)
• •Lifetime bipolar disorder diagnosis (assessed with M.I.N.I. 7.0 and self-report)
• •Psychosis present
• •Severe depression (assessed with M.I.N.I., MADRS-S score ≥ 35)
• •Personality disorder diagnosis (self-report and video-conference diagnostic interview),
• •Lifetime history of suicide attempts (self-report) or clinically significant current suicidal ideation (≥ 5 on item 9 of MADRS-S; Columbia Suicide Severity Rating Scale (C-SSRS Lifetime Recent) - Clinical Version: Recent (past month) - Most Severe Ideation score ≥ 4).
• •Additionally, eligibility continues to be assessed on an ongoing basis after initial inclusion. The MADRS-S, Appearance Anxiety Questionnaire (AAI), and Adverse Events Questionnaire (AEQ) are administered weekly in order to ensure that the treatment study continues to be a safe and appropriate level of care for participants.