What is BDD? 

Body Dysmorphic Disorder (BDD), as defined by the 'DSM-5' [the Diagnostic and Statistical Manual of Mental Disorders - which is a framework for diagnosing and classifying mental disorders] - is 'characterized by a preoccupation with perceived flaws or defects in one's physical appearance'.

BDD is a serious mental health disorder, that has shared characteristics with Obsessive Compulsive Disorder (OCD); such as intrusive thoughts, repetitive behaviours, and high levels of anxiety and distress.

In BDD, the obsessions (intrusive thoughts) typically revolve around perceived flaws in physical appearance; concerns are often centred around specific body parts, such as the skin, hair, nose, or overall body shape. While the compulsions (compulsive behaviours) manifest as comparing oneself to others, seeking reassurance, excessive mirror checking or grooming, or trying to conceal or fix the perceived flaws through cosmetic procedures.

The sufferer's body image issues or 'perceived flaws' - although they may be non-existent or minimal to others - causes significant distress and impairment in various aspects of life (home, school, work, leisure activities, health, & relationships). Individuals with BDD may experience high levels of shame, anxiety, depression, and suicidal ideation or worse. 

BDD is often misunderstood as vanity, or the feelings & behaviours of the suffer is minimised by others, as the condition is widely misunderstood, under-recognised & under-diagnosed. Leaving individuals to unknowingly suffer or suffer in silence.

Diagnosis and treatment of BDD typically involve a comprehensive assessment by a mental health professional. 

Psychotherapy, specifically cognitive-behavioural therapy exposure response prevention (CBT ERP) and medication, such as selective serotonin reuptake inhibitors (SSRIs), are commonly used in the treatment of BDD to reduce symptoms and improve overall well-being.

We recommend that you consult an accredited BACP (British Association for Counselling and Psychotherapy) or accredited BABCP (British Association for Behavioural and Cognitive Psychotherapies) registered therapist who has met the rigorous standards and criteria set by these professional organizations in the United Kingdom. Both organizations aim to ensure high standards of professional practice and ethics among their registered members. 

We recommend to always verify the accreditation and registration status of a therapist with the respective organization before seeking their services.