Body Dysmorphic Disorder

Body Dysmorphic Disorder

Amelia Amen

Body Dysmorphic Disorder (BDD) is a mental health condition characterized by preoccupied negative ideations of physical appearance. A person diagnosed with BDD tends to obsess over perceived “defects” in their body image, thus interfering with their daily functioning and heightening their stress levels. Areas of concern include skin, hair, body parts, facial features, wrinkles, teeth, etc. People may not notice the perceived physical flaws that an individual claims to be negative. The severity of the disorder differs from each individual and could produce other mental health concerns such as anxiety, depression, substance abuse, self-harm, and suicidal thoughts. BDD commonly develops during a boy and girl’s adolescence. The development of BDD can derive from various factors between genetics, environment, and trauma. It can stem from experiencing bullying and abuse, having a chemical imbalance in the brain, beauty standards on social media, and more. Repetitive and compulsive routines are carried out every day in order to cope with preoccupied thoughts. Common repetitive behaviors that are exhibited include:

  • Avoiding mirrors or constantly looking in the mirror
  • Skin picking, excessive grooming, and body checking
  • Over-Exercising and weighing yourself
  • Masking perceived flaws with heavy clothing and/or makeup
  • Seeking cosmetic surgery with little satisfaction
  • Comparing yourself to others

            Living with BDD can cause individuals to be reluctant to participating in social gatherings, work, school, and curricular activities. As a result, this can lead to self-isolation. One of the most effective sources of treatment for coping with BDD is Cognitive Behavioral Therapy (CBT). Attending therapy can help address concerns regarding the symptoms that come with BDD, process perceived negative thoughts, increase self-esteem and confidence, and encourage an individual to have a more positive outlook on their appearance. With proper treatment, BDD can become more manageable to live with.

If you or someone you know is seeking therapy for body dysmorphic disorder or other body-image struggles, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Psychotherapy & Psychiatric Services. Contact our Manhattan, NY or Paramus, NJ offices respectively at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Sources: https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938

Body Image: Body Dysmorphic Disorder Treatment

By Samantha Glosser

Body dysmorphic disorder, sometimes referred to as body dysmorphia or BDD, is a mental disorder characterized by preoccupation with imagined or markedly exaggerated imperfections or defects in one’s physical appearance. Those suffering from body dysmorphic disorder spend a significant amount of time every day obsessing over their appearance and engaging in repetitive compulsive behaviors in an attempt to avoid anxiety, distress, and hide their imperfections. Signs and symptoms include constantly checking one’s appearance, excessive grooming, over-exercising, picking skin, pulling hair, using makeup or clothing to camouflage one’s appearance, or even getting plastic surgery. Body dysmorphic disorder leads to significant impairment in daily functioning and quality of life. However, there are treatment options available.

Cognitive-behavioral therapy (CBT). CBT is short-term, goal-oriented therapy. In body dysmorphic disorder, CBT is used to decrease compulsive behaviors and the negative thoughts about one’s appearance. This is achieved through techniques such as cognitive restructuring and mind reading. Cognitive restructuring teaches the patient to challenge irrational thoughts about their bodies and replace them with more realistic and adaptive thoughts. In addition to their own negative thoughts, individuals diagnosed with body dysmorphic disorder also believe others hold the same negative thoughts about them. Mind reading allows patients to understand that other people do not share these thoughts about them and provides realistic alternatives. For example, that person staring at them at the mall was probably admiring their outfit. Another frequently used technique is exposure therapy. This requires patients to create a hierarchy of anxiety-provoking situations which they are then exposed to in order to overcome anxiety and distress.

Psychiatric medications. Research has also shown that antidepressant medications are an effective treatment for body dysmorphic disorder, specifically selective serotonin reuptake inhibitors (SSRI’s). SSRI’s that are commonly used for the treatment of body dysmorphic disorder include Lexapro, Prozac, Paxil, and Zoloft, among others. SSRI’s help to reduce obsessional thinking, compulsive behaviors, and depression, a common comorbid disorder among individuals diagnosed with body dysmorphic disorder.

If you or someone you know appears to be suffering from body dysmorphic disorder, or other problems associated with negative body image, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit http://www.counselingpsychotherapynjny.com/

 

Source: Tartakovsky, M. (2016, July 17). Demystifying treatment for body dysmorphic disorder. Retrieved from https://psychcentral.com/lib/demystifying-treatment-for-body-dysmorphic-disorder/