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What is body dysmorphic disorder?

What is body dysmorphic disorder?

Last Updated: 09-04-2025

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Written by :

Dr.Akshita Bakshi
Counselling Psychologist
Ph.D. Relationship Psychology

Reviewed By:

Counselling Psychologist MA Psychology Pennsylvania State University, USA
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Body dysmorphia, also called body dysmorphic disorder (BDD), is an emotional well-being condition that makes an individual have a distorted and obsessive and fanatical perspective on their physical appearance. It is assessed that 1-2% of the population might be impacted by BDD, and it can altogether affect an individual s quality of life.ย 

Body dysmorphic disorder is a mental health condition in which an individual canโ€™t stop thinking about one or more perceived imperfections in their look - a defect that seems, by all accounts, to be insignificant or canโ€™t be noticed by others.ย  Be that as it may, it is joined by feelings of embarrassment, disgrace, and anxiety to the place where an individual avoids numerous social circumstances.

Since there is an extreme preoccupation with appearance and how an individual sees their body, they spend a lot of energy everyday checking themselves in the mirror, grooming , and continually searching for reassurances. The perceived flaw, joined with the repetitive behavior, gives individuals experiencing body dysmorphia a great deal of emotional anguish and hinders their ability to function in everyday life

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Symptoms of body dysmorphic disorder

The symptoms of body dysmorphia can differ from one individual to another but typically include a preoccupation with perceived imperfections or deformities in oneโ€™s physical appearance. This preoccupation can be extraordinary to such an extent that it disrupts daily existence and causes critical distress. Some common symptoms of BDD include:

  • Obsessive thoughts about oneโ€™s appearance, like, continually taking a look at oneโ€™s appearance in mirrors or other reflective surfaces.

  • Engaging in excessive grooming such as excessive hair washing or plucking.

  • Repeatedly looking for reassurance from others around oneโ€™s appearance.

  • Avoiding social situations or activities because of worries about oneโ€™s appearance.

  • Comparing oneself with others, and feeling inferior.

  • Engaging in repetitive behaviors, like, skin picking or excessive exercise to attempt to enhance oneโ€™s appearance.

  • Often changing clothing or makeup to try and hide perceived imperfections.

  • Believing that oneโ€™s appearance is imperfect andย  it interferes with daily existence, work, or social connections.

  • Feeling anxious, depressed, and ashamed.

  • Suicidal thoughts

People with body dysmorphic disorder may excessively emphasize on at least one part of their body, like the face, hair, skin, breasts, genitalia, or body built. Men may be more likely to experience muscle dysmorphia, where they view their body built to be excessively small or not solid enough. Insight into the disorder can vary, for some people perceive that their beliefs about their appearance might be excessive or not true, while others are convinced that their perceived imperfections are genuine.

Causes of body dysmorphic disorder

The causes of body dysmorphia are not well understood, but it is believed to be a combination of genetic, environmental, and psychological factors. Some possible causes of BDD include:

  • Genetics: There may be a genetic component to body dysmorphia, as it appears to run in families.

  • Chemical imbalances: There may be an imbalance of certain chemicals in the brain that contribute to the development of BDD.

  • Childhood trauma: Childhood experiences, such as bullying or abuse, may contribute to the development of BDD.

  • Societal pressure: Societal pressure to conform to certain beauty standards can contribute to the development of BDD, particularly in individuals who are already vulnerable to this type of thinking.

Diagnosis of body dysmorphic disorder

Body dysmorphic disorder is diagnosed by a mental health expert who assesses your symptoms and their impact on your daily functioning. The following criteria must be met for a BDD diagnosis to be made:

  • You must exhibit an excessive preoccupation with a minor or imagined flaw in your appearance.

  • Your preoccupation with the perceived flaw must be disruptive enough to impede your ability to function normally.

  • Your symptoms cannot be attributed to another mental health condition.

  • Individuals with BDD often experience other mental health conditions, such as Obsessive Compulsive Disorder , social anxiety, depression, and eating disorders.

  • There are several treatment options available for body dysmorphia, including therapy and medication.

BDD vs. Normal Body Image Concerns

While it s normal to feel self-conscious about specific parts of one s appearance, Body Dysmorphic Disorder (BDD) goes beyond ordinary insecurities. BDD is a clinical condition characterized by an obsessive preoccupation with perceived flaws that are minor or non-existent. These perceived imperfections include significant distress and interfere with daily functioning, unlike ordinary worries, which are manageable and fleeting.

People with BDD might spend hours focusing on their appearance, engaging in repetitive behaviors like mirror checking, or avoiding social circumstances completely. In contrast, normal body image concerns ordinarily don t disrupt life to such an outrageous degree. Recognizing this distinction is essential for understanding when professional intervention is needed to help psychological well-being and prosperity.

A study was conducted by Phillips et al. (2005) that features the significant quality of life impairments experienced by people with Body Dysmorphic Disorder (BDD), showing that their psychosocial functioning is often more severely impacted than those with depression or Obsessive Compulsive Disorder . BDD symptoms, based on perceived physical flaws, lead to significant emotional distress, social withdrawal, and occupational difficulties, severely limiting daily life activities. The research highlights the requirement for comprehensive treatment approaches that address both the psychological symptoms and the profound social and emotional impairments, underlining that BDD is a debilitating mental health condition as opposed to a simple cosmetic concern.

Therapy:

Cognitive Behavioral Therapy (CBT): is the most commonly used type of treatment for BDD. CBT focuses on changing the negative thought patterns and behaviors related with body dysmorphia. In CBT, individuals figure out how to challenge their negative thoughts and replace them with more positive ones. They also learn coping techniques for managing anxiety and stress connected with their appearance.

Another type of treatment that might be useful for BDD is exposure and response prevention (ERP). ERP includes gradually exposing people to circumstances that trigger their anxiety connected with their appearance, like going out in public without makeup or covering up perceived imperfections. The individual then, at that point, figures out how to tolerate the anxiety without engaging in their typical compulsive behaviors, like extreme grooming or staying away from social situations.

When to see a therapist/ psychiatrist:

Body dysmorphic disorder is a mental health condition characterized by an excessive preoccupation with oneโ€™s appearance and repetitive behaviors connected with the perceived imperfection. The disorder can lead to significant distress, impairments in social and occupational functioning, and, even thoughts of suicidal and behavior, if left untreated. It is essential to look for help from healthcare services or mental health professionals ifย  you are experiencing signs or symptoms of body dysmorphic disorder. Treatment choices, like Cognitive behavioral therapy and medication, can assist with reducing distress and enhance functioning. Without treatment, the disorder can deteriorate over time and lead to serious outcomes.

Supporting your loved one suffering from Body Dysmorphic Disorder (BDD)

If you suspect that a loved one has Body Dysmorphic Disorder (BDD), it is crucial to approach situations with patience, empathy, and understanding. Here are a few steps you can take:

  • Educate yourself about BDD: Learn as much you can about BDD, its side effects, and the accessible treatment choices. You can begin by reading reputable websites or books on the subject.

  • Express your concerns: Approach your loved one with care and express your issues about their prosperity. Let them know that you have noticed a few signs that might demonstrate that they have BDD.

  • Be a good listener: Listen to your loved onesโ€™ concerns and sentiments without judgement. Try to understand what they are going through and how it is impacting their life.

  • Encourage them to seek professional assistance: Encourage your loved one to look for professional assistance from a mental health expert who is experienced in treating BDD. Let them know that looking for help is definitely not an indication of weakness, but rather a courageous step towards improving.

  • Offer help: Offer to accompany your loved one to appointments, assist them with tracking down a therapist, or provide them with emotional assistance all throughout their treatment.

Remember that it might require your time and patience for your loved one to accept that they have BDD and look for treatment. However, your assistance and understanding can have a significant effect in their recovery.

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Reference

  • Buhlmann, U., & Winter, A. (2011). "Perceived Realism of Mirror Reflections Predicts Appearance Fixation in Body Dysmorphic Disorder." Behaviour Research and Therapy, 49(11), 717โ€“721.ย 
  • Didie, E. R., & Phillips, K. A. (2007). "Obsessive-Compulsive Disorder and Body Dysmorphic Disorder: A Comparison of Clinical Features." Journal of Clinical Psychiatry, 68(8), 1219โ€“1225.
  • Feusner, J. D., Yaryura-Tobias, J. A., & Saxena, S. (2008). Body dysmorphic disorder and the brain: A review of neuroimaging studies. Psychiatry Research: Neuroimaging, 172(3), 141โ€“151.
  • Phillips, K. A. (2004). "Body Dysmorphic Disorder: Clinical Features and Treatment." Harvard Review of Psychiatry, 12(2), 142โ€“151.ย 
  • Phillips, K. A., & Pinto, A. (2005). The relationship between body dysmorphic disorder and obsessive-compulsive disorder: A multidimensional perspective. Psychiatric Annals, 35(2), 132โ€“140.
  • Rief, W., Buhlmann, U., Wilhelm, S., Borkenhagen, A., & Brรคhler, E. (2006). "The Prevalence of Body Dysmorphic Disorder: A Population-Based Survey." Psychological Medicine, 36(6), 877โ€“885.
  • Schieber, K., Kollei, I., de Zwaan, M., & Martin, A. (2016). Prevalence of body dysmorphic disorder in the general population: A systematic review. Psychological Medicine, 46(9), 1735โ€“1747
  • Wilhelm, S., Phillips, K. A., & Steketee, G. (2013). The role of cognitive-behavioral therapy in the treatment of body dysmorphic disorder. Harvard Review of Psychiatry, 21(3), 111โ€“123.

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