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Body dysmorphia and its effect on mental health
Mental Disorders
Question #8808
20 days ago
47

Body dysmorphia and its effect on mental health - #8808

Anonymously

I’ve been hearing a lot about body dysmorphia and how it affects people’s self-image, but I don’t fully understand what it means from a medical perspective. From what I read, body dysmorphic disorder (BDD) is a mental health condition where a person becomes obsessed with perceived flaws in their appearance, even if others don’t see them. How is body dysmorphia different from just being self-conscious about certain features? I sometimes feel dissatisfied with how I look, but does that mean I have body dysmorphia, or is that just normal insecurity? I also read that people with BDD often engage in repetitive behaviors like constantly checking mirrors, avoiding social situations, or even seeking cosmetic procedures to "fix" their flaws. At what point do these behaviors indicate a serious problem rather than just wanting to improve one’s appearance? Also, how do allopathic doctors diagnose body dysmorphia—do they rely on psychological evaluations, or are there specific tests that help determine if someone has BDD? I also wonder what the best treatment options are. I read that therapy, especially cognitive behavioral therapy, is commonly used, but do medications like antidepressants help with body dysmorphia as well? Lastly, does body dysmorphic disorder ever go away on its own, or does it always require long-term treatment to manage the symptoms?

Tags: body dysmorphia
Body dysmorphic disorder
Mental health
Self-image issues
Bdd symptoms
Therapy for body dysmorphia
Treatment for bdd
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
19 days ago
Body dysmorphic disorder (BDD) is indeed a mental health condition characterized by an intense preoccupation with perceived flaws in one’s appearance that are often either minor or not observable to others. This differs from normal self-consciousness or dissatisfaction with appearance because BDD involves significant distress and impairment in daily functioning, leading to behaviors that can be compulsive and time-consuming. While it’s common for individuals to occasionally feel insecure about their looks, BDD is marked by the following significant features: 1. Intensity of Preoccupation: The concern over appearance is excessive and disproportionate to any actual physical defect. 2. Functional Impairment: Individuals may struggle with relationships, work, or social situations because of their body image concerns. 3. Repetitive Behaviors: Common behaviors include mirror checking, excessive grooming, skin picking, or seeking reassurance, which are done to alleviate anxiety related to perceived flaws. It's crucial to differentiate between everyday insecurities and BDD. If your feelings about your appearance are persistent, distressing, and interfere with your life, it might be worth discussing with a healthcare professional. Diagnosing BDD typically involves a comprehensive psychological evaluation. Healthcare providers often use structured interviews and questionnaires, but there are no specific laboratory tests for BDD. The evaluation will assess the severity of symptoms, duration, distress, and functional impairment. Regarding treatment, cognitive behavioral therapy (CBT) is considered one of the most effective therapies for BDD. It addresses the thought patterns and behaviors associated with the disorder. In addition to therapy, some individuals benefit from medications. Selective serotonin reuptake inhibitors (SSRIs), a class of antidepressants, have shown effectiveness in reducing BDD symptoms. Commonly prescribed SSRIs for BDD include fluoxetine and sertraline, but the appropriate choice and dosage should always be determined by a healthcare provider based on individual needs. As for whether BDD can resolve on its own, it is rare for symptoms to fully dissipate without intervention. Many individuals find that symptoms persist or worsen over time without treatment. Thus, seeking professional help early can lead to better management and improved quality of life. If you or someone you know is experiencing significant distress related to body image, emotional challenges, or compulsive behaviors, it is advisable to consult a mental health professional for an evaluation and potential treatment options. This can lead to effective strategies for managing the condition and improving overall well-being.
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