Body Dysmorphic Disorder

14 min read

Body Dysmorphic Disorder (BDD) is a mental health disorder characterized by an excessive preoccupation with one or more perceived defects or flaws in one’s physical appearance. People with BDD may have a distorted view of how they look and may spend a lot of time comparing their looks to others. They may also go to great lengths to hide their perceived flaws, such as avoiding social situations or wearing excessive makeup or clothing.

Causes of Body Dysmorphic Disorder

The exact cause of BDD is unknown, but it is believed to be a combination of biological, psychological, and environmental factors. Biological factors may include an imbalance of serotonin, a neurotransmitter that helps regulate mood. Psychological factors may include low self-esteem, perfectionism, and a fear of negative evaluation from others. Environmental factors may include teasing or bullying about one’s appearance.

Diagnosis of Body Dysmorphic Disorder

BDD is typically diagnosed by a mental health professional, such as a psychiatrist or psychologist. The diagnosis is based on a physical exam, psychological evaluation, and medical history. The doctor may also ask questions about the person’s thoughts, feelings, and behaviors related to their appearance.

Complications of Body Dysmorphic Disorder

People with BDD may experience a variety of complications, including depression, anxiety, social isolation, and suicidal thoughts or behaviors. They may also engage in compulsive behaviors, such as excessive grooming or skin picking, in an attempt to improve their appearance.

Take the Body Dysmorphic Disorder Assessment

Symptoms

Common Symptoms of BDD

  • Excessive preoccupation with a perceived physical flaw
  • Engaging in compulsive behaviors, such as excessive grooming, skin picking, or checking mirrors
  • Avoiding social situations due to embarrassment or fear of being judged
  • Low self-esteem and feelings of shame or embarrassment
  • Depression, anxiety, or suicidal thoughts

Diagnosing BDD

If you think you may have BDD, it is important to talk to a mental health professional. A doctor or therapist can help you determine if you have BDD and provide treatment options. Treatment may include cognitive-behavioral therapy, medications, or a combination of both.

Causes

Genetics

Research suggests that genetics may play a role in the development of BDD. Studies have found that people with BDD are more likely to have a family history of the disorder, suggesting that it may be passed down through generations. Additionally, people with BDD are more likely to have a family history of other mental health conditions, such as depression and anxiety.

Brain Chemistry

Studies have found that people with BDD have an imbalance of certain chemicals in the brain, such as serotonin. Serotonin is a neurotransmitter that helps regulate mood, and an imbalance of this chemical can lead to depression and anxiety. Additionally, people with BDD may have an overactive amygdala, which is the part of the brain responsible for processing emotions.

Environmental Factors

Environmental factors, such as stress, trauma, and negative life experiences, may also contribute to the development of BDD. People who have experienced bullying or teasing about their appearance may be more likely to develop BDD. Additionally, people who have experienced trauma, such as physical or sexual abuse, may be more likely to develop BDD.

Cultural Factors

Cultural factors, such as the media’s portrayal of beauty, may also contribute to the development of BDD. People who are exposed to images of “perfect” bodies may be more likely to develop BDD, as they may feel that they do not measure up to these unrealistic standards. Additionally, people who are exposed to images of people who have undergone cosmetic surgery may be more likely to develop BDD.

Conclusion

While the exact cause of BDD is unknown, there are several factors that may contribute to its development, such as genetics, brain chemistry, environmental factors, and cultural factors. If you or someone you know is struggling with BDD, it is important to seek professional help. A mental health professional can help you manage your symptoms and develop healthy coping strategies.

Getting a Diagnosis

What is BDD?

BDD is a mental health disorder that causes a person to become excessively preoccupied with a perceived physical flaw. This perceived flaw may be real or imagined, and can range from minor to severe. People with BDD may spend hours obsessing over their appearance, and may even go to extreme lengths to hide or fix the perceived flaw. Common symptoms of BDD include:

  • Excessive grooming, such as plucking eyebrows or shaving body hair
  • Compulsive skin picking or hair pulling
  • Excessive use of makeup or clothing to hide the perceived flaw
  • Avoidance of social situations due to embarrassment
  • Depression or anxiety

Diagnosing BDD

Diagnosing BDD can be difficult, as many people with the disorder are ashamed of their symptoms and may not seek help. However, it is important to get an accurate diagnosis in order to receive the best treatment. A doctor or mental health professional will typically diagnose BDD based on a physical exam, psychological evaluation, and patient history. The doctor may also ask questions about the patient’s thoughts, feelings, and behaviors related to their appearance. If the doctor suspects BDD, they may refer the patient to a mental health professional for further evaluation.

Treatment for BDD

Treatment for BDD typically involves a combination of psychotherapy, medication, and lifestyle changes. Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that can help people with BDD learn to challenge their negative thoughts and behaviors related to their appearance. Medication, such as antidepressants, can also be used to help reduce symptoms of depression and anxiety. Finally, lifestyle changes, such as getting regular exercise and eating a healthy diet, can help improve overall mental health.

Conclusion

Body Dysmorphic Disorder is a mental health disorder characterized by an excessive preoccupation with a perceived physical flaw. Diagnosing BDD can be difficult, as many people with the disorder are ashamed of their symptoms and may not seek help. However, it is important to get an accurate diagnosis in order to receive the best treatment. Treatment for BDD typically involves a combination of psychotherapy, medication, and lifestyle changes.

Questions for Your Doctor

1. Symptoms

The first thing to discuss with your doctor is your symptoms. Describe how you feel and what you experience. Be as detailed as possible. This will help your doctor understand your condition and determine the best course of treatment.

2. Treatment Options

Your doctor will likely discuss treatment options with you. These may include cognitive-behavioral therapy, medications, or a combination of both. It’s important to ask questions and understand the pros and cons of each option before making a decision.

3. Support System

Having a strong support system is essential for managing BDD. Talk to your doctor about who you can turn to for help and support. This could include family, friends, or a mental health professional.

4. Coping Strategies

Your doctor may also discuss coping strategies with you. These can help you manage your symptoms and reduce the impact of BDD on your life. Examples of coping strategies include relaxation techniques, mindfulness, and positive self-talk.

5. Follow-Up Appointments

Finally, it’s important to discuss follow-up appointments with your doctor. This will help ensure that your treatment plan is working and that you’re making progress. It’s also a good opportunity to ask questions and get additional support.

Talking to your doctor about BDD can be difficult, but it’s an important step in getting the help you need. Be sure to discuss your symptoms, treatment options, support system, coping strategies, and follow-up appointments with your doctor.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy that focuses on changing negative thought patterns and behaviors. It can help people with BDD identify and challenge their distorted beliefs about their appearance, as well as learn to manage their anxiety and distress. CBT can also help people with BDD develop healthier coping strategies and learn to accept their appearance.

Exposure and Response Prevention (ERP)

Exposure and Response Prevention (ERP) is a type of CBT that focuses on helping people with BDD confront their fears and reduce their compulsive behaviors. During ERP, people with BDD are gradually exposed to their feared situations and taught to resist engaging in compulsive behaviors, such as mirror checking or skin picking. Over time, this can help them reduce their anxiety and distress.

Medication

Medication can also be used to help manage the symptoms of BDD. Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed medications for BDD. These medications can help reduce anxiety and obsessive thoughts, as well as improve mood. It is important to note that medication should be used in combination with psychotherapy for the best results.

Support Groups

Support groups can be a great way for people with BDD to connect with others who are going through similar experiences. These groups provide a safe and supportive environment where people can share their stories, offer advice, and provide emotional support. Support groups can also help people with BDD feel less alone and more empowered to manage their symptoms.

Drugs & Medications

Medications for BDD

The most common medications used to treat BDD are selective serotonin reuptake inhibitors (SSRIs). SSRIs are a type of antidepressant that work by increasing the amount of serotonin in the brain. Serotonin is a neurotransmitter that helps regulate mood, and increasing its levels can help reduce symptoms of depression and anxiety. Common SSRIs used to treat BDD include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).

In addition to SSRIs, other medications may be used to treat BDD. These include antipsychotics, such as risperidone (Risperdal) and olanzapine (Zyprexa), and mood stabilizers, such as lithium (Lithobid). These medications can help reduce symptoms of anxiety and depression, as well as reduce obsessive thoughts and behaviors.

Side Effects of Medications for BDD

Like all medications, medications used to treat BDD can have side effects. Common side effects of SSRIs include nausea, headache, insomnia, and sexual dysfunction. Antipsychotics and mood stabilizers can also cause side effects, such as weight gain, drowsiness, and dry mouth.

It is important to talk to your doctor about any side effects you may experience while taking medications for BDD. Your doctor may be able to adjust your dosage or switch you to a different medication if necessary.

Other Treatments for BDD

In addition to medications, there are other treatments available for BDD. Cognitive-behavioral therapy (CBT) is a type of psychotherapy that can help people with BDD learn to manage their symptoms. CBT can help people identify and challenge negative thoughts and behaviors, and learn to cope with their anxiety and distress.

Support groups can also be helpful for people with BDD. Support groups provide a safe and supportive environment where people can share their experiences and learn from each other. They can also provide a sense of community and help people feel less alone.

Conclusion

Body Dysmorphic Disorder is a serious mental health condition that can have a significant impact on a person’s life. Fortunately, there are a number of treatments available to help people manage their symptoms. Medications, such as SSRIs, antipsychotics, and mood stabilizers, can help reduce symptoms of anxiety and depression. In addition, psychotherapy and support groups can be helpful in managing BDD.

Diet

Nutrition for BDD

Eating a balanced diet is important for everyone, but it is especially important for people with BDD. Eating a balanced diet can help to reduce stress and anxiety, which are common symptoms of BDD. Eating a balanced diet can also help to improve mood and energy levels, which can help to reduce the preoccupation with physical appearance.

A balanced diet should include a variety of foods from all the food groups, including fruits, vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods can help to ensure that the body is getting all the essential nutrients it needs to function properly. Eating a balanced diet can also help to reduce cravings for unhealthy foods, which can help to reduce the risk of overeating.

Mindful Eating

Mindful eating is a practice that involves being aware of the food that is being eaten and the sensations associated with eating. Mindful eating can help to reduce stress and anxiety, which can help to reduce the preoccupation with physical appearance. Mindful eating can also help to reduce cravings for unhealthy foods, which can help to reduce the risk of overeating.

When practicing mindful eating, it is important to be aware of the food that is being eaten, the sensations associated with eating, and the emotions that arise during the meal. It is also important to be aware of the body’s hunger and fullness cues, and to stop eating when the body is full. Practicing mindful eating can help to reduce stress and anxiety, which can help to reduce the preoccupation with physical appearance.

Conclusion

Eating a balanced diet and practicing mindful eating can help to reduce stress and anxiety, which can help to reduce the preoccupation with physical appearance associated with BDD. While there is no specific diet for BDD, these dietary strategies can help to manage the symptoms of the disorder.

Lifestyle

1. Practice Self-Compassion

It is important to be kind to yourself and practice self-compassion. Remind yourself that you are not alone in your struggles and that it is okay to not be perfect. Acknowledge your feelings and be gentle with yourself. It is also important to remember that your worth is not determined by your physical appearance.

2. Challenge Negative Thoughts

People with BDD often have negative thoughts about their appearance. It is important to challenge these thoughts and recognize that they are not necessarily true. Ask yourself questions such as “What evidence do I have that this thought is true?” and “What would I tell a friend in this situation?” This can help you to gain a more balanced perspective.

3. Avoid Comparing Yourself to Others

It can be tempting to compare yourself to others, especially on social media. However, this can be damaging to your mental health and can make your BDD symptoms worse. Instead, focus on your own progress and celebrate your successes, no matter how small.

4. Seek Professional Help

If your BDD symptoms are affecting your daily life, it is important to seek professional help. A mental health professional can help you to develop coping strategies and provide support. They can also help you to identify any underlying issues that may be contributing to your BDD.

5. Take Care of Your Physical Health

Taking care of your physical health can help to improve your mental health. Eating a balanced diet, exercising regularly, and getting enough sleep can help to reduce stress and improve your mood. It is also important to avoid drugs and alcohol, as these can worsen BDD symptoms.

Conclusion

Living with BDD can be difficult, but there are lifestyle tips that can help to manage the condition. Practicing self-compassion, challenging negative thoughts, avoiding comparisons, seeking professional help, and taking care of your physical health can all help to improve your mental health and reduce BDD symptoms.