Body Dysmorphic Disorder (BDD) and Eating Disorders (EDs)

Body Dysmorphic Disorder (BDD) and Eating Disorders (EDs) are intricate mental health conditions that often intersect and co-occur. They share common threads of distorted body image and can lead to severe physical and psychological consequences.

Body Dysmorphic Disorder (BDD):

Body Dysmorphic Disorder is characterized by an obsessive focus on perceived flaws or defects in physical appearance, which are often minor or even non-existent. 

Common features of BDD include:

• Preoccupation with Appearance: Individuals with BDD are consumed by concerns about their appearance, often fixating on specific features, such as their skin, nose, or hair.

• Repetitive Behaviors: Engaging in repetitive behaviors, like checking mirrors, seeking reassurance from others, or resorting to excessive grooming or cosmetic procedures to alleviate distress.

• Avoidance: Avoiding social situations, public appearances, or activities due to perceived flaws

• Emotional Distress: Experiencing significant emotional distress, anxiety, and depression as a result of their preoccupation with appearance.

Eating Disorders (EDs):

Eating Disorders encompass a range of conditions, including Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder. These disorders are characterized by abnormal eating patterns, body image disturbances, and excessive concern about body weight and shape. 

Common features of EDs include:

• Restrictive Eating: Severely limiting food intake, leading to significant weight loss in Anorexia Nervosa.

• Bingeing and Purging: Engaging in cycles of overeating followed by purging behaviors, like vomiting or laxative use, in Bulimia Nervosa.

• Binge Eating: Consuming large quantities of food in a short period, often accompanied by feelings of guilt and shame in Binge-Eating Disorder.

• Distorted Body Image: Having a distorted perception of body size and shape, often viewing oneself as overweight or obese, even when underweight.

The Complex Intersection:

The relationship between BDD and EDs is multifaceted. Many individuals with BDD exhibit concerns about their body size and weight, which can lead to restrictive eating or excessive exercise as an attempt to achieve an idealized appearance. Conversely, individuals with EDs may experience intense preoccupation with specific body parts, resembling BDD symptoms.

Seek professional support if:

• obsessive concerns about appearance or eating patterns interfere with daily life, relationships, or emotional well-being.

• you notice a preoccupation with perceived flaws or defects, abnormal eating habits, or a distorted body image.

What to expect from therapy? 

In therapy, you can expect to: 

• explore the underlying emotional triggers and thought patterns related to body image and eating.

• develop healthier coping strategies to manage distress and preoccupations.

• work on self-acceptance and promoting a more balanced relationship with food and appearance.

• address co-occurring conditions, such as depression or anxiety.

Different counseling models used for Body Dysmorphic Disorder and Eating Disorders include:  

• Cognitive Behavioral Therapy (CBT)

• Acceptance and Commitment Therapy (ACT)

• Dialectical Behavior Therapy (DBT)