Understanding Body Dysmorphic Disorder
A guide to BDD, body image distress, and finding peace with your appearance.
What Is Body Dysmorphic Disorder?
Body Dysmorphic Disorder (BDD) involves a preoccupation with perceived flaws in physical appearance that others don't notice or see as minor. This preoccupation causes significant distress and impacts daily life.
BDD is not vanity - it's a serious condition where the brain processes self-image in a distorted way. It's related to OCD and responds to similar treatments.
Signs and Experiences
Preoccupation: Spending hours thinking about perceived flaws.
Mirror behaviours: Frequently checking mirrors or avoiding them entirely.
Comparison: Constantly comparing yourself to others.
Seeking reassurance: Asking others if you look okay repeatedly.
Camouflaging: Using makeup, clothing, or positioning to hide perceived flaws.
Cosmetic procedures: Seeking surgery or treatments that don't satisfy.
Avoidance: Missing social events or work due to appearance concerns.
Skin picking: Trying to 'fix' perceived skin imperfections.
Understanding BDD
The perceived flaw is often invisible or minimal to others.
BDD affects how the brain processes visual information about yourself.
Common areas of focus include skin, nose, hair, but can be any body part.
BDD often begins in adolescence but can start at any age.
It's not about wanting to look good - it's about relief from distressing thoughts.
Treatment and Recovery
CBT for BDD: Specialised therapy addressing BDD-specific patterns.
ERP: Gradually reducing checking, reassurance-seeking, and avoidance.
Medication: SSRIs at higher doses can help significantly.
Resist compulsions: Reducing mirror-checking and reassurance-seeking.
Cosmetic procedures caution: These rarely help and often worsen BDD.
Self-compassion: Learning to treat yourself with kindness.
Recovery is possible. Many people with BDD find significant relief with proper treatment.