Body Dysmorphic Disorder: When Your Flaws Become Your Greatest Enemies may earn commission when you buy something through the links or banners on this page.

Many women have a hard time accepting their bodies, but body dysmorphic disorder takes it to a whole new level. Sure, women don’t usually like everything about their bodies, and they can easily rattle off at least one or two “flaws.”

But with body dysmorphic disorder, women are obsessively concerned about their perceived flaws and imperfections.

What is body dysmorphic disorder?

Body dysmorphic disorder (BDD), or body dysmorphia,  is a mental health disorder. It’s related to another psychiatric disorder – obsessive-compulsive disorder (OCD).

With BDD, you can’t stop thinking about a real or perceived flaw in your appearance. Strangely enough, this “flaw” is either minor, or it isn’t even noticeable to other people.

So far, this doesn’t sound so much different than the dissatisfaction many women feel about their bodies. How many times has someone lamented about the shape of their nose or their uneven breasts? You know, the things you wouldn’t have even noticed had they not pointed them out to you.

But body dysmorphia isn’t just about not liking one of your features. It’s about repetitive behaviors that are distressing and interfere with your daily life. It’s not just that you see it and dislike it. It’s that you experience true anxiety over it and obsess about it.

BDD is similar to eating disorders and obsessive-compulsive disorders for several reasons.

In both BDD and eating disorders, the individual is focused on body image. What differentiates the two disorders is that with BDD, you usually focus on a specific body part. With an eating disorder, the problem is typically overall weight and shape.

BDD has a lot in common with obsessive-compulsive disorder, too. In both conditions, the individual has lots of recurring and disrupting thoughts, fears, and obsessions – things they can’t control. These repetitive and obsessive thoughts cause a lot of anxiety, and even destructive behaviors, such as cheek biting, hair pulling and skin picking.

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Who gets this disorder?

Both men and women can develop body dysmorphic disorder, however, it’s most common in teens and young adults.

Symptoms of body dysmorphic disorder

How can you tell if you, or someone you know, is struggling with this mental disorder? Here are some of the signs and symptoms that show up. As you can see, they can seriously disrupt a person’s social life, their sense of confidence and their overall quality of life.

  • Extreme worry about a perceived flaw. Others might not even notice it, and if they do, it seems minor to them. This flaw can be any body part, but it appears that body dysmorphia has common problem areas, like skin, hair and facial features. Skin concerns include wrinkles, blemishes, acne or scars. Hair “flaws” can focus on head or body hair, or even not having enough hair. Finally, when it comes to facial features, it’s usually the nose that takes the hit.
  • The belief that there’s something wrong with how you look, and that this flaw makes you ugly and even deformed.
  • Obsessive and repetitive behaviors to fix or hide your flaws. These behaviors can become hard to stop or control. These include picking your skin to make it smooth (especially if there is any scarring), cheek biting, cosmetics, cosmetic procedures and surgeries, hair styling, hair pulling, and clothing.
  • Always looking at yourself in the mirror, or avoiding mirrors completely.
  • Spending a lot of time comparing your appearance with other people’s.
  • Needing other people to reassure you about how you look.
  • Avoiding social interaction.
  • Repetitive, anxious and anti-social behaviors that cause distress and seriously affect areas of life and daily functioning.
  • Being a perfectionist and having the above behaviors.

Is it body dysmorphia, or are you self-obsessed?

As you can see from the BDD symptoms, the individual is intensely focused on appearance. And it might be easy to confuse this disorder with vanity or self-obsession. But these are two very different things.

Body dysmorphia is a serious mental illness. Here, individuals aren’t obsessed with their appearance because they admire it. Instead, individuals are obsessed with everything they think is wrong with them. It’s almost as though they are a slave to their anxious thoughts. And it’s something they’re deeply ashamed of.

What causes body dysmorphic disorder

No one knows the exact cause of BDD. Some say this disorder has a biological basis, where the brain regions associated with processing information about the body’s appearance don’t function properly.

Possible environmental factors include experiencing traumatic or emotional events during childhood years. Similarly, if people criticize or shame a person’s appearance in their developmental years, it can lead to low self-esteem and the chance of body dysmorphia.

Finally, society and pressure push women to live up to an unrealistic and unreachable beauty standard. This, too, could be a contributing factor in BDD.

How to deal with body dysmorphic disorder

Dealing with this condition is tricky. That’s because it’s not always diagnosed. One reason why so many people go undiagnosed is that they are often ashamed and embarrassed to speak about it with their doctors, family or friends.

One red flag that suggests a person has BDD is when they get plastic surgery for the same feature multiple times.

However, once an individual receives a diagnosis for BDD, there are two treatment options. One is to work with a psychiatrist or psychologist, and the other is medication.

Counseling for body dysmorphia

Research shows that cognitive behavioral therapy (CBT) can help individuals with BDD. With CBT, a psychiatrist or psychologist helps the individual learn to change how they think, and therefore how they behave.

Individuals also learn the triggers for their behaviors and develop healthy coping skills to better respond to these triggers without having to resort to BDD behavior.

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Medication for body dysmorphia

A common medication for obsessive-compulsive disorders and BDD is an antidepressant called fluoxetine, which is a selective serotonin reuptake inhibitor (SSRI). The brand name for fluoxetine is Prozac.

Fluoxetine can take up to six weeks to have an effect, and there are some side effects that may occur, like insomnia, headaches, and nausea. If these occur, it’s important to speak to your doctor about them and make sure fluoxetine is the appropriate medication for your own unique situation.

Body dysmorphic disorder is much more than just not liking your body. It is a serious psychiatric disorder that can negatively affect a person’s wellbeing and quality of life. It can be embarrassing and difficult to live with but rest assured, there are many kind and capable professionals who can support you in overcoming BDD.

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