Body dysmorphic disorder is a mental health condition. A person with body dysmorphic disorder becomes very anxious about a physical defect. Often, they’re imagining the defect, or it’s so minor that others can’t see it. These feelings consume the person’s thoughts, affecting their social activities and job. Show
How does body dysmorphic disorder (BDD) affect people?People with body dysmorphic disorder may:
Who gets body dysmorphic disorder (BDD)?Body dysmorphic disorder affects people of any gender. It tends to begin during the teen years or early adulthood. That’s the age when children start comparing themselves to others. Body dysmorphic disorder is a chronic (long-term) condition. Without treatment, body dysmorphic disorder can get worse as people get older. They become even more unhappy with physical changes that come with aging, such as wrinkles and gray hair. Is body dysmorphic disorder (BDD) the same as an eating disorder?People with body dysmorphic disorder may have other disorders. Some have eating disorders, anxiety disorders, depression and obsessive-compulsive disorder (OCD). Body dysmorphic disorder has some similarities to eating disorders. People with body dysmorphic disorder and those with an eating disorder worry about their body image. The difference is that a person with an eating disorder focuses on their weight and body shape. A person with body dysmorphic disorder is anxious about a specific body part. Is body dysmorphic disorder (BDD) related to obsessive-compulsive disorder (OCD)?Body dysmorphic disorder is related to obsessive-compulsive disorder (OCD), an anxiety disorder. A person with OCD has upsetting thoughts they can’t control (obsessions). These thoughts result in a need to do certain activities or routines (compulsions). A person with body dysmorphic disorder can be so preoccupied with the defect that they start doing ritualistic activities. They might look in the mirror all the time or pick at their skin. The obsession can affect their social, work and home life. What areas of the body are people with body dysmorphic disorder (BDD) worried about?The most common areas of concern for people with this condition include:
Other areas of concern include:
How common is body dysmorphic disorder (BDD)?Body dysmorphic disorder affects about 1 in 50 people. In the United States, an estimated 5 million to 10 million people have this condition. It may be even more common than these numbers represent. People with body dysmorphic disorder may be reluctant to discuss their symptoms and may not receive a diagnosis.
The exact cause of body dysmorphic disorder is not known. One theory suggests that there are problems with certain neurotransmitters (chemicals that help nerve cells in the brain send messages to each other). Body dysmorphic disorder often occurs in people with other mental health disorders, such as major depression and anxiety, which helps support this theory. Other factors that might influence the development of or trigger body dysmorphic disorder include:
What are the symptoms of body dysmorphic disorder?People with body dysmorphic disorder have inaccurate views of themselves. This can cause them to avoid others, or lead them to harmful behaviors or to repeated surgeries to correct problems they think they have. Some of the warning signs that a person may have body dysmorphic disorder include the following:
It can be hard to diagnose this disorder because people often feel shame and are secretive about their feelings and symptoms. They may be embarrassed and choose not to tell their providers about their symptoms. The disorder can go unnoticed for years. Many people with body dysmorphic disorder don’t receive a diagnosis. One sign providers and family members may notice is a person repeatedly seeking plastic surgery for a physical defect they think they have. How is body dysmorphic disorder (BDD) diagnosed?A healthcare provider will ask about personal and family medical history and do a physical exam. If the provider suspects body dysmorphic disorder, they may refer the person to a psychiatrist or psychologist. These mental health professionals evaluate the person’s attitude, behavior and symptoms. A provider will often diagnose body dysmorphic disorder when a person:
Body dysmorphic disorder treatment often includes a combination of:
What are complications of body dysmorphic disorder (BDD)?Complications of body dysmorphic disorder include:
If you or someone you know is experiencing suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-8255. This national network of local crisis centers provides 24/7 free and confidential emotional support to people in suicidal crisis or emotional distress.
You may not be able to prevent body dysmorphic disorder. But family members and loved ones can help a person stay healthy by lowering their risk of developing body dysmorphic disorder or preventing it from getting worse:
When people receive and follow treatment, the outlook is good. The support of family members and loved ones helps the person receive and stick with their treatment, leading to better outcomes. Can body dysmorphic disorder (BDD) be cured?There is no cure for body dysmorphic disorder. However, treatment, including therapy, can help people improve their symptoms. The goal of treatment is to decrease the effect that the disorder has on a person’s life so that they can function at home, work and in social settings.
If you or a loved one has body dysmorphic disorder, ask your provider:
A note from Cleveland Clinic People with body dysmorphic disorder become obsessed about a perceived bodily flaw or defect. They may spend excessive time trying to hide or fix the flaw. Often, the defect is imagined or so small that others don’t even see it. The obsessive thoughts interfere with a person’s ability to function. If you or a loved one has body dysmorphic disorder, talk to your healthcare provider. Usually, a combination of therapy and medication can reduce symptoms so the person can get back to enjoying life.
Last reviewed by a Cleveland Clinic medical professional on 10/14/2020. References
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