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Body Dysmorphic Disorder

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In this paper I will discuss what body dysmorphic disorder is and I will teach you the characteristics and signs and symptoms of BDD, the causes, how it is diagnosed, the usual treatment and outlook for people who are suffering from this disorder.
Body Dysmorphic Disorder is a condition where a person is preoccupied with an image of themselves with an imagined physical defect or a defect that other people cannot see, they suffer from obsessions about their appearance that can last hours or up to an entire day (Cleveland Clinic Foundation, 2014). People with this condition are never satisfied with their appearance and often see themselves as being “ugly”, often times this can lead to the person socially isolating themselves away from others (Cleveland Clinic Foundation, 2014). This person might miss school or work and even avoid friends and family members because they are afraid that others will notice their flaws (Body Dysmorphic Disorder BDD, 2014). A person who suffers from Body Dysmorphic Disorder aka BDD, is concerned about a specific body part, it is a long term chronic disorder that affects both men and women and usually begins in teen to early adult years (Cleveland Clinic Foundation, 2014). BDD can lead to ritualistic behaviors such as constantly looking in the mirror, or picking at one’s skin. The most common reported areas of concern for people who are suffering from BDD includes: Skin imperfections such as wrinkles, scars, acne, or blemishes; Hair on the head or body, or absence of hair; Facial features: often involves the nose, or the size and shape of any other feature (Cleveland Clinic Foundation, 2014). People who have BDD think about their flaws for hours each day and their thoughts may cause severe emotional distress and can interfere with their daily functioning (Body Dysmorphic Disorder BDD, 2014).
Symptoms of BDD
Body Dysmorphic sufferers usually perform some type of compulsive or repetitive behavior to try and hide or improve their “flaws” (Body Dysmorphic Disorder BDD, 2014). Examples include: constantly asking for reassurance that the defect is not visible or too obvious; camouflaging with body position, clothing, makeup, hair, or hats; comparing body part to others’ appearance; seeking surgery; checking in the mirror constantly or avoiding mirrors; picking at their skin; excessive grooming; exercising excessively; or changing clothes excessively (Body Dysmorphic Disorder BDD, 2014).
Causes of BDD
There is no exact cause of what causes people to suffer from BDD. Some theories suggest that this disorder involves a problem with certain neurotransmitters in the brain (Cleveland Clinic Foundation, 2014). Other factors that could cause influence to develop or trigger BDD include: Experience of traumatic events or emotional conflict during childhood years, low self-esteem, or having parents or others who were critical of that person’s appearance; Pressure from peers or society regarding beauty or physical appearance can also have an impact on the development of BDD (Cleveland Clinic Foundation, 2014).
How Is BDD diagnosed?
Many cases of BDD can often go unrecognized because of the shame or embarrassment that the sufferer may be experiencing (Cleveland Clinic Foundation, 2014). In diagnosing, the doctor will begin their evaluation with a complete history and physical exam. If the doctor then suspects BDD, there will usually be a referral done to a psychiatrist or psychologist who will then make a diagnosis based on their assessment of the person’s attitude and behavior (Cleveland Clinic Foundation, 2014).
Treatment for BDD
Treatment for BDD usually includes a combination of the following therapies: Psychotherapy, which is a type of individual counseling that focuses on changing the thinking and behavior of the person with BDD by correcting the false belief about the defect and minimizing the compulsive behavior (Cleveland Clinic Foundation, 2014). Medications such as antidepressants called selective serotonin reuptake inhibitors (SSRI’s) have been showing a positive effect on people suffering with this disorder; Group/Family therapy- family support is an important part to the treatment process, it’s important for family members to understand and learn the signs and symptoms body dysmorphic disorder (Cleveland Clinic Foundation, 2014) . There is no known way to prevent BDD. The support of family members and loved ones can have a big impact on the outlook for people who are suffering from body dysmorphic disorder (Body Dysmorphic Disorder BDD, 2014). It is important to begin treatment as soon as they begin having symptoms. Teaching, and encouraging healthy and realistic attitudes about body image can help prevent worsening of this disorder (Cleveland Clinic Foundation, 2014).
Scenario
Maggie is a 33-year-old who made an appointment with her family physician following a recent panic attacks, low mood, attempted suicide and avoidance of leaving the house. The problem began six weeks earlier when she developed a light rash over her neck area. She believed that she was ‘smelly, disgusting, ugly, revolting and hideous’. She took sick leave for three weeks until it cleared up and did not leave the house or let anyone see her during this period except her boyfriend who lived with her. She constantly asked him for reassurance, and she estimated the frequency of this as approximately every 15 minutes. The consequence was that her boyfriend could not cope and moved out, which she said reinforced her belief in being hideous. She said that she woke up one morning and when she looked in the mirror noticed the problem. Since the ‘outbreak’ she was constantly in fear of a re-occurrence and developed a number of coping behaviors. She washed her neck hourly with soap, constantly mirror checking herself to check her skin, washed her bed sheets and pillowcase daily. She could not allow any piece of clothing to touch her neck for fear of a reaction. She avoided all make-up and perfume and began to eat only plain foods and also avoided eating out.
In Conclusion Body dysmorphic disorder is a serious disease that usually goes undiagnosed because the affected person is too ashamed or embarrassed of their “flaw” or “defect”. Symptoms can vary but typically involve a certain area of that person’s body or body part that they become absolutely obsessed with in their appearance and at times can lead to social isolation or even plastic surgery. Treatment should be started as soon as possible in order to bring the affected person “back to reality”. The affected person may never truly be okay with their perceived “flaw”, but with proper therapy and family support, the sufferer can learn to have a better attitude and love themselves again.

References

Body Dysmorphic Disorder BDD. (2014, September). Retrieved from Anxiety and Depression
Association of America: http://www.adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/body-dysmorphic-disorder-bdd

Cleveland Clinic Foundation. (2014, March 8). Body Dysmorphic Disorder. Retrieved from
Cleveland Clinic: http://my.clevelandclinic.org/services/neurological_institute/center-for-behavorial-health/disease-conditions/hic-body-dysmorphic-disorder

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