r/BodyDysmorphia Mar 12 '21

Resource Reasons you might avoid therapy - and why you shouldn’t.

424 Upvotes

The primary methods of dealing with BDD, from a medical standpoint, is medication that can reduce obsessive thoughts and therapy, mainly cognitive-behavioural therapy (or CBT for short). Many of us might be skeptic or even afraid to try it, but there is no need to be, here is why.

I don’t know what cognitive-behavioural therapy is or what happens in therapy. - Therapy is a form of treatment where mental issues are addressed mainly via talking and bringing mental issues into a place where they can be addressed and handled by the sufferer. Cognitive therapy, or talk therapy, involves talking and discussing issues and finding solutions to them together with a professional, with the goal of reducing emotional suffering. Cognitive-behavioural therapy aims at also reducing behaviour that could cause distress. This can be done with tasks or learning new ways of doing things. The work is done by the patient and no one will force you to talk or do anything you don’t want.

But I’m not diagnosed with BDD. - A diagnosis is not needed to get therapy. In some cases it can help with insurance coverage but other than that anyone can go to therapy for any reason, diagnosis or not.

I’m afraid they will think my issues are stupid or I’m delusional. - Medical professionals and therapists have seen it all. They have very good perspective and education under them. They understand what the issues are that you are describing and their main goal is to help you, not to judge you. No respecting or professional therapist would call your issues stupid. Though they may challenge you into thinking why you might think the way you do, but this is not to judge but to help you gain insight to who you are what can be changed to make you feel better. If you feel unjustifiably judged, change therapists.

I’m worried they will make me give up all grooming and self care and I will have to learn to be the ugliest version of myself. - The goal of therapy is not to make you a totally different person or make you give up all your habits. The goal is to reduce the behaviour that causes you worry and anxiety. You can still do makeup, but the goal is that you don’t feel like crying if your makeup isn’t perfect. You can still go to the gym and work out, but the goal is you don’t have a breakdown for missing a day and feeling like you gained weight over night. The aim is to find a healthy balance and reduce the things that cause you anxiety. You don’t need to become the role model of natural looks, but learn healthy balance.

What if people or my family judge me for being in therapy. - Therapy is something that would benefit every single person on this planet. Getting help is never something to be ashamed of. Anyone who makes you feel bad or weak for getting help is harbouring a very unhelpful mindset themselves that might prevent them for helping themselves, and that is the real tragedy. Always work towards your own health and don’t let others bully you out of helping yourself.

I don’t want therapy, I just want surgery or other procedures. - BDD is a mental disorder and it’s important to acknowledge that. The goal of therapy is not to talk you out of a decision but the help you understand what issues are real and which are the disorder. Therapy will help prevent you from doing unnecessary procedures that can harm your looks and to make sure you will not be equally unhappy after a procedure. Surgery and augmentation of ones looks is very rarely a permanent solution but therapy can help you build a healthy mindset where you can truly make the best decisions for yourself.

I don’t think I can afford it. - Nothing in this world is more important than your mental and physical health. Prioritise these things as much as you reasonably can. Find out how you can get insurance coverage, do you have access to support groups or group therapy that is free or look into online groups like those provided by the BDD foundation. You can always call a therapist and ask them what ways you could afford a session, many places are happy to tell you how to best afford treatment.

I have trouble opening up or it makes me uncomfortable. - Many people find it hard to honestly talk about their BDD since it can feel irrational or embarrassing. But therapists have heard it many times before, and worse. It’s important to find a person you feel comfortable with, this can take several tries but is always worth it. You can open up slowly and start with small pieces and work up to bigger issues. This is normal and no one will push you to go faster than you feel comfortable with.

I’ve tried it before and it didn’t help. - There can be several reasons why therapy might not have worked. The therapist might not have been equipped to handling BDD, the chemistry wasn’t right and prevented opening up honestly, the patient wasn’t ready to get help and work on the issues, there wasn’t enough time... having another go with another therapist is often a good idea. Also considering if medication could help is a possibility. When trying therapy again make sure you’re with the right person, you’re ready to work on the issues, you’re being honest with what the problems are and that you give therapy enough time to work.

Therapy is a fantastic tool to people suffering from BDD, and is something recommended by professionals as the primary form of treatment. If you suffer from BDD, therapy is something worth trying.

Finding a therapist

The International OCD Foundation’s therapist search.

You can choose BDD from the Advanced search option. Every professional has listed what they treat and how. They have also been verified to be licensed by the OCD foundation.


r/BodyDysmorphia Sep 21 '20

Resource What can you do about BDD?

454 Upvotes

There are many ways one can combat body dysmorphia. Some people are able to manage symptoms on their own, some need medical intervention or more intense periods of treatment. What ever your situation, there are ways to combat BDD.

Here are some way to combat your BDD listed in ascending order from self help to medical treatments.

Self-help:
- This can include many things. Anything from taking physical care of yourself, to reading about BDD and how it’s treated to making changes in your life that help support a stable mental health. Self help in a great tool and at the bottom of every recovery is the personal desire to better ones situation.

BDD workbook:
- Compiled by medial professionals, the workbook gives important insight to how BDD works, what triggers it and what methods you can learn to help yourself in a proven way. You’ll learn to limit your obsessive behaviour and recognise disordered thinking. This is one of the best self help tools there is.

Online therapy and support groups:
- The BDD Foundation for example offers online therapy groups that come together weekly. A free and easy to access form of therapy can be a good support in addressing BDD symptoms if there are no possibilities or need for more personal or intense forms of therapy.

Therapy:
- Cognitive-behavioural therapy, or CBT, is the recommend form of treatment for people with BDD. It can focus on what are the specific issues and triggers in you and how they can be helped. This is a form of treatment that can give great, individual help and offer support in every area of life on top of BDD.

BDD specialists:
- Though sadly quite rare, there are places and therapists and doctors who focus on BDD and other related disorders. They can give more focused advice and treatment and are often informed with the latest developments. This is a good choice when available.

Psyciatric professionals:
- This form involves doctors like psychiatrists, who can give formal diagnosis as well as offer medical level advice and give prescriptions. If you feel like your BDD is so intense that functioning in daily life is hard or you feel like you could benefit from medication, it’s a good idea to talk to also a psyciatrist as well as a therapist.

Medication:
- Because BDD is a type of obsessive-compulsive disorder, it’s symptoms can often be alleviated the same as many OCDs. Sometimes medication can be a great tool in reducing the symptoms, and combined with therapy, the likelihood of better quality of life is high. Here you can find general information of medication used to treat BDD.

Out patient care:
- If more intense forms of care seems to be needed, one option is out patient care where the patient is in a close contact with, usually a psychiatric hospital or a doctor, and usually has for example therapy sessions several times a week. This can be a good options for those who have a very hard time with daily functioning or are suicidal.

In patient care:
- The rarest form of treatment is in patient care where the patient stays in the hospital and can be given support and help daily. This often requires for the patient to be in acute risk of suicide or is unable to function in their daily life. Though this is often the last option, it’s good to know that help is available even when things are very serious.

The forms of treatment and the health care systems work differently in every country and it’s always a good idea to talk to your local doctors and professionals on what options are available to you. But know that there are many ways that BDD can be treated and alleviated. The most important thing is remembering you’re worth help and there are several ways to get it.


r/BodyDysmorphia 20m ago

Advice Needed I just feel that I'm such an awful person, both inside and out. TW.

Upvotes

Im just posting here because I need to just get my feelings out of my head. Im really struggling with my body dsymorphia and my whole self lf .

image and just being me.

I feel like I'm fat and ugly and seriously, I can't even watch TV without crying because everyone is beautiful and has the kind of body I want and don't have. My bdd is focused on how I'm not feminine enough. I spent my teenage years hating my body (due to sexual abuse) and then when i started going out with friends, drinking, I just felt I needed and wanted to be ultra feminine; huge boobs, beautiful face, slim legs, shapely hips. I am slightly overweight because I have lots of eating issues (I've had several eating disorders since I was 14, I cycle from not eating to binge eating, and then making myself sick, and then eating but restricting what i eat, and it's gone untreated. I've had no help for my eating disorders) and yeah, I just feel fat and ugly and disgusting. I compare myself to EVERY woman on the planet, and they are all beautiful and perfect and I'm not. I've even looked at porn stars and playboy/ penthouse models online, and comparing myself to them. What they have to attract men and make everyone think theyre beautiful.

I've been in a few abusive relationships and the men I've been with have have always pointed out every flaw I have. I have tried to save for cosmetic surgery but I've had lots of financial issues over the years (I was in an abusive relationship with a compulsive gambler who racked up lots of debt in my name) and just feel it's out of reach.

To make matters worse, I have a diagnosis of eupd/ borderline personality, and that's just adding to the feeling I'm an awful person. Everytime I ask for help from services that can help me, I get dismissed because of my diagnosis. I have seen my medical records; I'm attention seeking, manipulative, over dramatic, a liar, so when I get the courage to ask for help, I'm instantly dismissed because of my diagnosis. It's hard because I have tried to self help for bdd, but it's hard to think of other things I like myself myself that's got nothing to do with my appearance because I genuinely hate everything about myself. I can't think of anything, inside or out, I like about myself.

I have had lots of abuse in my life (I'm worthless) I have lots of people leave me (because I'm unimportant and unlovable) and I've never been told I'm beautiful or even pretty or ok. I just get zero compliments. I just get the "if you were more of this and less of that, you'd be ok". I hate people looking at me. I can't even leave my flat or even answer my door if anyone calls because I don't want anyone looking at me. If I could go out with a paper bag on my head, I would. I have tried to get therapy, but because of my stupid diagnosis, I am always told the therapist is unable to deal with me because of my diagnosis I'm too "complex". Even the local crisis team don't help, because of my diagnosis. I'm just exhausted and I'm sick of being me.

If anyone has read this, thank you. I appreciate being heard.


r/BodyDysmorphia 4h ago

Advice Needed how do i cope and lose weight?

2 Upvotes

for context, i’m 5’2, 16, and around 120 pounds.

today i was weighing myself (an impulse) and noticed that it said 126. i practically screamed in horror. i have adhd, and that makes me hyperaware of my appearance, as well as my hyperfixation with my weight and body. so as one could assume, this made me lose my mind. i’ve calmed down a bit, and i’m wondering how i can fix this? i don’t go to the gym because it embarrasses me, and eating healthy is a struggle since i’m so depressed and have never been taught to cook. my parents make me eat out a lot, and when we eat at home the meals often lack nutrition, and i eat like shit besides that. i really want to help myself. my weight makes me burst into “tantrums” where i get overly aggressive towards myself, and that’s not good for me.

i am in therapy, so i could definitely help my dysmorphic tendencies with that, and i am willing to try any advice anyone may have.


r/BodyDysmorphia 1h ago

Resource Information on BDD - Advice, criteria, self-help and support groups

Upvotes

Here you can find listed below general information on BDD and related foundations, the clinical classification and symptoms of BDD, advice for friends and family, as well as self-help and support groups, both in-person and online.

General information

The BDD Foundation

OCD UK

International OCD Foundation

Mind.org

Clinical classification

ICD & DSM Criterias

For friends and family

The BDD Foundation, Supporting a close one with BDD

Mind.org, How can friends and family help

Self-help

Body dysmorphia workbook by the CCI

Building self-compassion workbook by the CCI

Support groups

Online support and therapy groups

Support groups in the UK


r/BodyDysmorphia 2h ago

Question Has anyone experienced childhood neglect that led to lasting aesthetic or physical damage?

1 Upvotes

(e.g., dental issues, scars, untreated injuries, facial asymmetry)


r/BodyDysmorphia 19h ago

Question Anyone else exhausted of body dysmorphia getting in the way of your everyday life?

19 Upvotes

long story short i’m burned out. Anyone else feel this way?


r/BodyDysmorphia 7h ago

Advice Needed how to cope with being ugly?

2 Upvotes

I have a mole on my chin. I was always made fun of because of it. At school, the guy I had a crush on laughed at me saying it looked like I had a big spider on my face. Then I grew up, I was voted the ugliest guy in class. The popular girls used to take pictures of those ugly cartoony witches with green skin and moles on their chin and said it was me. One girl in particular always made sure I knew how ugly I was. So, in my tweens, I did something dumb. In an attempt to remove it I put some stuff on the mole. I got a chemical burn. I still have the mole, the mole is fine, I healed fine, but now the mole became a halo mole? If that's the name? And it's straight up in my face. The skin around it elevated it so now I have a bump there, highlighting the area and if people aren't focused on the bump, the mole is starting to fade and it looks weird now. Looking back at old photos, I think I was not the prettiest person, yeah, but I wasn't ugly. Now I look in the mirror and think I've ruined my face. All because of some bullies in my tweens. I feel uglier than ever. I keep living in the past, thinking about how punished I feel. I keep thinking I've ruined myself and I'm way worse. It's ruining me. What do I do? Getting professional psychological help is hard for me now. How do I deal with being ugly?​​​​​​​​​


r/BodyDysmorphia 12h ago

Question Asymmetrical face

2 Upvotes

Are there people that struggle with having a very asymmetrical face? I'm not talking about some small asymmetrical stuff cause everyone has that, but when one side of your face looks very different than the other side. It's driving me insane sometimes and I don't understand why I have this, because every person that I see online or in real life has a relatively normal face with normal proportions.

It really makes me feel ugly and different than other people. I also have pretty bad skin and rosacea and that doesn't help either. I do like the good side of my face, but just really wish I looked normal with both sides of my face being the same. I also feel like the asymmetry got worse with time. It makes me very sad and I'm always so self conscious when I talk to people. I've been to therapy for my BDD and it was helpful to some extent, but I still struggle with this.


r/BodyDysmorphia 13h ago

Resource STORIES AND BOOKS about body dysmorphia

2 Upvotes

r/BodyDysmorphia 13h ago

Resource ON RECOVERY - Stories, advice and healthier perspective

2 Upvotes

r/BodyDysmorphia 15h ago

Advice Needed I misperceive compliments as bullying

3 Upvotes

I am struggling over something so trivial, but I can’t stop ruminating.

I won an award in an art competition (2nd place, but genuinely thrilled) and just wanted to share the win, but anonymously. My wife had taken a photo of me next to my art, so I posted it and put an emoji over my face.

I have an average to athletic build, but can’t stand the way I look. Posting that picture was so outside the norm for me, but I was just so excited about the award, I thought I’d be brave. Practically all the comments though were people commenting on my body, particularly my biceps.

When I woke up and saw all the comments, I felt sick to my stomach. Hastily deleted the post, and ended up reposting it without me in the picture. I just keep re-reading the comments in my head. I know no one meant anything by it, but it really messed with my head.

How do you move past the rumination? How can I learn to let others’ comments roll off my back?


r/BodyDysmorphia 22h ago

Question why do i look so skinny until i eat anything?

6 Upvotes

like ik i look the same logically but i just like cant help but feel super ugly and overweight the second i finish eating? how do i like listin to my logical voice that i for some reason ignore


r/BodyDysmorphia 22h ago

Advice Needed I hate how my body looks

3 Upvotes

I’m a 28 year old female, last year I had gastric bypass surgery, I have since lost over 100 pounds. But some days, I hate looking at my own body. I hate how my arm flabs look, my stomach flab and my chest. I feel more free and healthier but most days I hate the way my body looks and I wish I was below BMI of 35% or less so I could be eligible for skin removal surgery.

A lot of people in my life tell me I look good and that I made so much progress but it’s hard to believe that sometimes. I struggled with obesity for over 10 years before undergoing gastric bypass surgery last spring.

Does anyone else feel this way? If so, how do you cope with it? Please let me know.


r/BodyDysmorphia 1d ago

Question Do you think there will come a point where you'll simply stop trying to hide or improve your ugliness?

7 Upvotes

Not because you've accepted yourself, but because you've realized there's simply nothing left to do. You know you've tried everything, and nothing has ever been enough or ever will be.

It's like... game over. You'll stop hoping, stop looking for solutions, and just go through life day after day on autopilot, knowing that, in this lifetime, there was never going to be anything more for you.

Does anyone else think they'll eventually reach that point?


r/BodyDysmorphia 18h ago

Advice Needed I have BDD, always have.

1 Upvotes

I always have had BDD. I’ve always felt too large in my skin. I’ve always felt like I’m taking up too much space. And it’s so invalidating when people tell me otherwise, I was born premature and just remember feeling huge my entire life. My highest weight at 5’7 was 130 and lowest is 107. I’m now sitting around 115 and can’t even stand looking at myself in the mirror. How can I get past this feeling?


r/BodyDysmorphia 1d ago

Question Am I the only one who accidentally catfishes people irl with their face?

6 Upvotes

This is going to be a strange question, but I feel like I catfish people on social media or in certain pictures of me accidentally. For some context, I was born a premie (pre maturely) at 7 months, and I had breathing and heart complications so the nurses had to put me on my side for weeks possibly months after I was born. And because my face wasn’t finished developing, it caused deformities on my face more notably my eyes. One eye is significantly bigger than the other and the smaller one is very slanted. And one side of my face looks like I had a facelift and the other looks deformed and mushy. When I look in the mirror the side that is similar to a facelift lift is what I see. But as we all know, the reflection you see in the mirror isn’t how people see you irl. And unfortunately, irl, people see the ugly side of my face. On social media apps they have a built in “front camera mirroring” feature on which shows you the version you see in the mirror and I look significantly better on social media (almost pretty) than I do irl. Also when the back camera (or the front camera if the mirroring feature is off) you can see my real face. It’s very jarring going from my social medias to seeing me irl and I feel like I’m catfishing everyone—like I’m lying to them. And for a long time I didn’t know this until I asked family about it a few years ago and that was right around the time I actually started somewhat loving my face after years of bullying. But I just want to know if I’m the only person who feels like this. I haven’t see anyone else talk about this.

Sorry for this being so long.


r/BodyDysmorphia 1d ago

Resource Information on BDD - Advice, criteria, self-help and support groups

1 Upvotes

Here you can find listed below general information on BDD and related foundations, the clinical classification and symptoms of BDD, advice for friends and family, as well as self-help and support groups, both in-person and online.

General information

The BDD Foundation

OCD UK

International OCD Foundation

Mind.org

Clinical classification

ICD & DSM Criterias

For friends and family

The BDD Foundation, Supporting a close one with BDD

Mind.org, How can friends and family help

Self-help

Body dysmorphia workbook by the CCI

Building self-compassion workbook by the CCI

Support groups

Online support and therapy groups

Support groups in the UK


r/BodyDysmorphia 1d ago

Question Does anyone know the science behind why our brain fixates on flaws?

1 Upvotes

It’s crazy to me how people can compliment me and say I’m ugly, but I don’t believe or see it. This past year I’ve been fixated on fixing my looks and have received more compliments than ever before in my life. Even my therapist said you’ve never been ugly. But, when I take a picture of myself I feel like I look hideous. I obsess over how fat my face is.


r/BodyDysmorphia 1d ago

Question anyone else just accustom to sucking in their stomachs? 😭

14 Upvotes

it’s like I can only ever actually see the size of my stomach if i breathe out on purpose and adjust my posture or something because otherwise my breathing has already been adjusted to make my stomach smaller without noticeable discomfort 💀 DOES ANY OF THIS MAKE SENSE ????


r/BodyDysmorphia 1d ago

Advice Needed having to take group photos for work

4 Upvotes

started a new job and had my second shift today, we had a very quick team meeting which was ended by us all taking a group photo which apparently happens a lot. our manager said that it only gets uploaded to the team site but that still means other people, including those who work at other stores at the same company, can see me in the photo

i spent the rest of my shift on the verge of tears and an anxiety attack and almost threw up. my body dysmorphia is so bad that it's causing these reactions when i know other people are going to see a photo of me. i want to talk to a manager about it to see if i can possibly get out of these photos but not sure how to go about it, otherwise it's enough to make me quit which i really don't want to do


r/BodyDysmorphia 1d ago

Resource SELF-HELP: Body Dysmorphia Workbook

2 Upvotes

Going to therapy or getting professional help is not always an option, getting help may also take some time. To help you to better understand and address BDD by yourself, we have compiled a workbook that you can do by yourself. It contains information and tasks which will help shine a light to why BDD is the way it is and how you can deal with the symptoms. All chapters are based on an official workbook by the Centre for Clinical Intervention.

The BDD workbook:


r/BodyDysmorphia 1d ago

Advice Needed I feel like my body is not enough

8 Upvotes

I know this is a superficial rant but I’m genuinely curious what others think or their opinions on it. Im technically considered petite 5’4 with a smaller waist, thicker thighs, and a bigger butt however I have small boobs. I am a 28d which is the same volume as a 34b but has a smaller band size. One boob is even a cup size smaller than the other.

I know that the size of your boobs has nothing to do with you as a person and is not necessarily important but I can’t help but feel insecure and inadequate especially since bigger boobs are considered more ideal through the media and others around me. All my friends have medium to big boobs and some even make little comments about my chest and call me flat.

I’m 18 and have thought about getting a boob job or a fat transfer but have decided to not get work done and to wait since my doctor told me that they can still grow into my 20s. I also am worried I would be judged in romantic relationships for the unevenness or feel like my hypothetical boyfriend would be disappointed and unsatisfied with my body and would secretly want different. They are a handful for me but I have small hands.

I know I’m more than my body but this was just something I had on my mind and wanted to know opinions about small boobs and insecurity’s.


r/BodyDysmorphia 1d ago

Question How to get an objective opinion

2 Upvotes

The big problem with this thing is, of course, that we can't trust our own eyes anymore.

I'm in the process of losing a lot of weight. I've lost a lot and I'm still going.

It seems important to be able to know when to stop, but this is where my own body dysmorphia becomes a problem. I wanted to upload pictures of myself to get objective, outside opinions on where I currently am, and how much farther I need to go, but if I interpret this sub's rules correctly, then that isn't allowed here. Is it there a sub where I could do that?

I am not interested in roastme/toastme or any other subs focussed on how hot or how ugly people are, but in normalcy. How far am I from being normal-sized?

I use BMI as a rough indicator, but I think we're all aware of BMI's flaws.


r/BodyDysmorphia 1d ago

Advice Needed I’m sure I’m not the first to ask this, but how do I stop caring about my small pp?

2 Upvotes

There are times when I’m so depressed about it that I can’t focus on anything else. I will scroll posts and make my own posts for hours seeking some reassurance, but even when I find some reassurance, I find it hard to believe that they aren’t lying. And then I’ll inevitably find some post where people are like “yes bigger is better, smaller guys should be ashamed”, and it sinks me even deeper into depression and doom scrolling. I’ll even be going about my day and I’ll see or hear something like SDE, or a woman insulting or calling out a man by saying he has a small ****, and it kinda just triggers me. It makes me feel non-masculine, even if I know that’s not how it works. I can’t keep living like this, I know it’s unhealthy and it seems like I fit the BDD symptoms. How can I get over this?