BODY DYSMORPHIC DISORDER(BDD)

Body Dysmorphic disorder is a mental disorder marked by an obsessive of perceived defects or flaws in once appearance. A flaw that to others is considered minor or not observable.

People suffering from BDD

  1. Can feel emotion such as shame and disgust concerning a part or parts of their body part and fixate on this.
  2. The obsession is so intense that the person repeatedly checks and compares the perceived flaw seeks reassurance sometimes for several hours each day.
  3. The person can also adopt unusual routines to avoid social contact that exposes the perceived flaw.
  4. This pervasive thoughts about their appearance and body image interfere with their daily life via
    • Educational
    • Occupational dysfunction and
    • Isolation

No matter how many times people assure them that there is no flaw, they cannot accept that the issue doesn’t exist.

The most common features about which people obsess includes:-

  • Nose
  • Wrinkles
  • Acne
  • Complexion
  • Blemishes
  • Hair
  • Skin
  • Vein appearance
  • Muscles size
  • Tone
  • Breast size
  • Buttocks
  • Genitalia

BDD is estimated to affect up to 2.4% of the population. The condition usually starts during adolescence affecting both men and women. BDD does not go away on its own if Untreated it may get worse with time leading to

  • severe depression
  • Anxiety
  • Substance abuse
  • Suicidal thoughts and behavior

Causes

The exact cause is unknown, but like every other disorder BDD may result from a combination of causes such as:-

  1. Brain differences
  2. Environmental factors; special if they involve negative social evaluations about the body or Self-image
  3. Childhood trauma
  4. Genetics; studies suggest that BDD is likely to run in family.

Certain factors that may increase the risk of developing the condition may include:-

  1. A family history
  2. Negative body image
  3. Perfectionism
  4. Negative life experiences such as bullying or teasing
  5. Introversion
  6. Media influence.

Symptoms

Extreme preoccupation with a perceived flaw in your physical appearance that appear minor to others for at least one hour a day. Attempting to hide perceived flaw with –

  • styling, makeup or clothes – to seeking plastic or cosmetic surgery,
  • avoiding social situations,
  • constantly comparing appearance with others,
  • always seeking assurance about appearance from others,
  • low self-esteem, compulsive behaviour such as skin picking and frequent clothes changing.

Extreme preoccupation with an appearance that interferes with social life work, school, or other functionality.

Diagnosis

A medical evaluation will be carried out other medical conditions after which further evaluation is carried out by a mental health professional.

Diagnosis is based on:-

  1. A psychological evaluation; which aims at assessing risk factors and thoughts feeling as well as behavior can be associated with a negative self-image.
  2. Personal, medical, family and social health history.

Treatment

Treatment option may include therapy and medication includes:-

  1. Cognitive behavioral therapy; that helps you learn how to cope and behave to improve your mental health
  2. Medications; such as SSRIs may help is control obsession and control repetitive behaviours

Psychiatric hospital may be suggested if the symptom is severe such as when you’re in immediate danger of harming yourself.

Famous personality with BDD

Here is a list of people with BDD;

  • Michael Jackson(singer, dancer)
  • Billie Elish (singer)
  • Robert Pattinson (from twilight)
  • Ileana D’Cruz (from Rustom)
  • Miguel Herrán (from money heist)