 Body Dysmorphic Disorder
Body dysmorphic disorder is a condition where the sufferer is preoccupied with an imagined defect, or a slight imperfection, in their appearance. Body dysmorphic disorder sufferers concern about their appearance is considered excessive and their appearance worries significantly negatively impact upon their ability to work , socialize or carry out activities of daily living.
Body dysmorphic disorder sufferers may be concerned about the appearance of their: genitals, complexion, scars, teeth, hair, nose, hands, thighs, jaw, chin, head, mouth, lips, abdomen, arms, legs, hips, shoulders, eyes, eyelids, ears, buttocks etc. Please note this is not an exhaustive list of BDD complaints.
BDD sufferers may be focused on one or more body parts simultaneously.
BDD sufferers may spend an excessive amount of time checking their appearance in mirrors, shops windows etc. They may also spend time comparing their body parts to those of other people by, for example, looking at magazines.
BDD sufferers may spend an excessive amount of time grooming themselves. E.g combing their hair, plucking hairs, applying makeup etc
BDD sufferers may ask others for reassurance about their appearance, e.g. “ Does my bottom look big in these jeans?”,. but any relief gained from such reassurance is only temporary.
Some BDD sufferers are so distressed about their appearance that they may not venture out of the house, except at night, for fear of being seen. Body dysmorphic disorder sufferers may be unable to work and may avoid job interviews because of their appearance. They may lack friends and avoid dating.
For example, a balding man may avoid dating because he fears a date would try to run her hands through his hair. He may avoid an invitation to go swimming because it would highlight his hair loss.
BDD sufferers may spend a lot of time trying to camouflage their imagined ugliness, e.g. a slight build may be disguised with layers of clothes, an imperfect complexion may be camouflaged with foundation and concealer, thinning hair may be masked by wigs , hats, hair products etc. Some sufferers who are concerned about their complexion would never let themselves be seen without makeup (e.g. going to bed with their makeup on), whilst those concerned with hair loss may never been seen in public without a hat.
BDD sufferers may resort to cosmetic surgery in an attempt to remedy their perceived defect, e.g. botox for wrinkles, liposuction for fat thighs and buttocks. However, post surgery they may be dissatisfied with the results and undergo repeated procedures on the same area. Following surgery BDD sufferers may find that then become preoccupied with the appearance of another body part.
Body dysmorphic disorder may be treated with antidepressant medication and/or cognitive behavioural therapy.
References
Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
Melbourne Psychologist Catherine Madigan provides treatment for body dysmorphic disorder.
Ph (03) 98193671 |
Anxiety
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