“…The shame is based on the interpersonal view and fear of visual exposure can lead to avoidance of the public i.e., social phobia. Often, patients with BDD suffer from comorbidity [Cotterill, 1996;Phillips, 1996;Stangier and Gieler, 1997], in particular affective disorders including negative beliefs and depressive worrying, obsessive-compulsive disorders and social phobia as well as delusional disorder of distorted body functions [Koblenzer, 1985]. Obsessive-compulsive disorders are not limited to obsessive thoughts about personal appearance since compulsive actions can also be observed.…”