ED Deep Dive #6: Body dysmorphic disorder

Body dysmorphic disorder (also known as BDD) is recognized by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V) and is characterized by an extreme preoccupying fixation on one’s appearance, particularly perceived physical imperfections and defects.

While these defects may be unnoticeable to others, they are profound for the individual. The obsessive and anxious thoughts about real or imagined physical flaws often result in excessive and repetitive behaviors to alter one’s appearance.

An individual diagnosed with BDD may present with the following symptoms:

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  • A preoccupation with one or more specific parts of the body

  • Repetitive behaviors with the aim to fix or hide perceived flaws, such as body checking, excessive grooming, or skin picking

  • Seeking frequent reassurance from others regarding appearance

  • Avoiding social situations out of fear of appearance-based judgment and ridicule

Obsessive thoughts about appearance can be intrusive, uncontrollable, and a hindrance to the individual’s ability to function and concentrate. Depending on how much an individual believes in his or her perceived flaw, it can be difficult to recognize the problem and seek treatment.

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For more information about body dysmorphic disorder (BDD) from Mayo Clinic, click here.


If you or someone you know may be struggling with food and/or body image, visit the Rules & Resources page to find support near you.

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ED Deep Dive #7: Orthorexia nervosa

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ED Deep Dive #5: Rumination disorder