Body Dysmorphic Disorder (BDD)

What is Body Dysmorphic Disorder?

Body Dysmorphic Disorder (BDD) is a mental illness that causes an individual’s self-perception to become distorted. Those with BDD fixate on perceived flaws in their physical appearance which they deem abnormal, unattractive, or deformed. These perceived imperfections are often not noticeable to others but are no less distressing to the individual. Because of this, those with BDD often check their reflections in the mirror, make self-deprecating comments, and/or attempt to fix the flaws with body modification. Interestingly, studies show that those who receive cosmetic surgery often feel no relief from BDD. 

This condition causes significant distress and often manifests alongside other mental disorders, such as major depression, OCD, and substance abuse. Having BDD is not the same as having an eating disorder, but both conditions can exist in a patient simultaneously.

What are the common symptoms?

Body Dysmorphic Disorder symptoms vary from person to person, but the core symptoms include:

  • Skin picking
  • Obsessively checking appearance
  • Camouflaging perceived flaws
  • Excessive clothing changes
  • Multiple hours spent at the gym
  • Repetitive requests for validation
  • Compulsive shopping
  • Constant comparison of themselves to others

BDD Statistics*

Roughly 2% of adults have BDD.

The top 3 fixated upon body parts are skin (80.0%), hair (57.5%), and the nose (39.0%).

13% of those with BDD have had some form of cosmetic surgery in their lifetime.

*Statistics taken from pubmed.gov via uptodate.com

Treatment Options

Psychotherapy (AKA Talk Therapy)

Cognitive Behavioral Therapy (CBT) is one of the most successful types of therapy for BDD, especially when partnered with the correct medications.

Medication

Psychiatrists work with a patient to find which medication is the best fit for their lifestyle and needs.

Lifestyle Changes

Education is the first step toward improving BDD symptoms. Those who have BDD may desire cosmetic surgery, but studies show that this does not ease BDD symptoms. Abstaining from drugs, cigarettes, and alcohol can help improve BDD symptoms.

Related Conditions: OCD, Self Esteem Issues, Anxiety