Understanding Body Dysmorphic Disorder (BDD)

A Comprehensive Guide to Recognizing, Understanding, and Treating BDD

Psychiatry

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Last updated: Mar 24, 2025

What is BDD?

Body dysmorphic disorder is a mental health condition where a person becomes excessively preoccupied with perceived flaws in their appearance that others may not notice or consider minor.

Key Symptoms

  • Intense focus on perceived physical flaws
  • Repetitive behaviors (mirror checking, excessive grooming)
  • Significant distress affecting daily life
  • Frequent comparisons of appearance with others
  • Seeking reassurance about appearance

Common Areas of Concern

  • Facial features
  • Skin imperfections
  • Hair
  • Body weight and shape
  • Muscle size and tone

Impact on Daily Life

  • Social isolation
  • Difficulty maintaining relationships
  • Problems at work or school
  • Depression and anxiety
  • Avoidance of social situations

Diagnosis

Diagnosis requires evaluation by a mental health professional based on:

  • Symptom duration and severity
  • Impact on daily functioning
  • Presence of other mental health conditions

Treatment Options

Psychological Treatments

  • Cognitive Behavioral Therapy (CBT)
  • Exposure and Response Prevention (ERP)
  • Group therapy

Medication

  • Selective Serotonin Reuptake Inhibitors (SSRIs)
  • Other antidepressants as prescribed

Self-Help Strategies

  1. Mindfulness practices
  2. Joining support groups
  3. Limiting mirror checking
  4. Following treatment plans consistently
  5. Building a support network

When to Seek Help

Seek professional help if:

  • Thoughts about appearance are intrusive
  • Daily activities are affected
  • Experiencing depression or anxiety
  • Considering cosmetic procedures frequently

Support Resources

  • Mental health professionals
  • BDD support organizations
  • Online support communities
  • Family and friends education resources

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