What is body dysmorphic disorder?
Body dysmorphic disorder (BDD) is characterized by excessive preoccupation with imagined flaws in one's physical appearance, regardless of whether those flaws are observable to others. BDD is distinct from simply having a body image problem; it involves constant or persistent worry about imagined flaws disproportionate to their actual appearance.
The criteria for BDD (set out in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)) include intense distress and engaging in repetitive behaviors related to perceived flaws such as excessive grooming, exercise, or requesting reassurance (American Psychiatric Association, 2013). People with dysmorphic disorder often present with negative thought patterns about themselves and their worth.
The concept of body image (how one perceives one's own body) is central to BDD diagnosis and therapy. Effective treatment strategies often cultivate a neutral or positive body image by helping individuals identify distorted thoughts and perceptions. This often entails shifting focus away from self-objectification and towards body functionality.
BDD affects not only mental health but also overall functioning and quality of life. Excessive focus on appearance can impair social interactions, hinder professional aspirations, and strain personal relationships. Additionally, individuals with BDD may neglect their physical health, prioritizing cosmetic 'improvement' over well-being.










