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)

Narcissistic Personality Disorder

Narcissistic personality disorder or NDP is a personality disorder characterized by grandiosity. You may see it in people who have an inflated ego, with little regards to others. It is important to note that NDP is a psychiatric condition, and it is more complex than simply being arrogant. It’s distressing for those who have it and for those who’re around them. Hoping to shed some light on the condition, and sign that a person should seek help. While much of T.V and movies portray narcissism as people who feel like they’re better than everyone else, it’s usually not just the case.

What is narcissism?

Narcissism is a set of traits classified and studied by psychologists. The psychological definition of narcissism is an inflated, grandiose self-image. To varying degrees, narcissists think they’re better looking, smart and more important than other people and that they deserve special treatment.

Psychologists recognize two form of narcissism as personality traits:

  • Grandiose
  • Vulnerable

What is NDP?

  • NPD is a personality disorder in which the person feels self-important and craves constant validation.
  • Their feelings of superiority often hint at a deeper problem.
  • As their need of validation often comes from a place of insecurity and instability rather than genuine self love which they may not be aware of.

What causes NPD?

  1. While the cause of NPD is unknown, researchers believe that it has to do with a combination of genetic and environmental factors.
  2. It’s believed that 6% of people have this disorder. Men have a higher chance of this disorder than women.
  3. Some believe that NPD is developed to cope with trauma and feelings of inadequacy. Others believe it may be learned in early childhood from dealing with anything, from abuse to excessive pampering.
  4. There is even a debate as to how much of the disorder is passed down from parents to children acquiring the disorder.

What are the signs and Symptoms?

The feeling of grandiosity where they feel that they’re superior to others and low empathy are often seen in those with NPD; they don’t care much for others expecting to receive constant validation.

  • People with NPD feel as though they’re entitled to whatever they want which can be dangerous as it can manifest into toxic relationships.
  • They may manipulate others to get what they want.
  • They brag and exaggerate their achievements or feel envious of anyone that outperforms them, but deep down the person with NPD may be really dealing with their own feeling of inadequacy.

How to get help?

  • People with NPD may not seek help for the disorder itself as they may not know that there’s an issue.
  • Usually, people are diagnosed because they seek treatment for other issues such as depression or addiction.

However people who feel that they may have the condition and urged to reach out for help. NPD and the underlying feelings of inadequacy can be treated. It not only benefits the individual, but also to people around them.

What treatment options are available?

People diagnosed with narcissistic personality disorder will most likely work with a therapist using psychotherapy methods.

Other self-improving activities such as:-

  • Doing exercises and,
  • Hobbies may be used in conjunction with therapy.

Coming to a conclusion, we do live in a very materialistic and Consumersious society and as long as that’s the case, narcissism is going to win because it’s about putting yourself first and not caring as much about others. Not to mention people with NPD can be very generous when it’s going to get them what they need. They may buy everyone big dinners and take everyone on a big vacation so it creates this illusion that there’s lots of people all around them, because it’s all the stuff that they’re making possible for them. It’s important to know that treatment is available and that life can be made more manageable.