Body Dysmorphic Disorder (BDD) is a complex condition that continues to be underrecognized and misdiagnosed. Despite similarities to OCD, BDD presents with unique clinical challenges, including higher overvalued ideation, treatment ambivalence, reliance on cosmetic and dermatological procedures, depression, shame, isolation, and suicidality. Standard evidenced based treatment based for OCD is therefore inadequate to address the full scope of BDD symptomatology. This lecture will explain the cognitive behavioral treatment for BDD and introduce additional strategies to enhance treatment outcome. These include a larger focus on engagement via a shared formulation with the client as well as incorporating a variety of techniques such as: dialectical behavior therapy, perceptual re-training, compassion focused therapy, and attentional training.