Westwood Institute for Anxiety Disorders

What We Treat

Body Dysmorphic Disorder

Learn about body dysmorphic disorder, common symptoms, daily life impact, and specialized treatment at Westwood Institute.

About Body Dysmorphic Disorder

Body dysmorphic disorder involves excessive preoccupation with perceived flaws in appearance that cause significant distress and impairment.

Common Symptoms

Symptoms can include mirror checking or avoidance, grooming, reassurance seeking, comparison, skin picking, and avoidance.

Treatment Approach

Treatment focuses on reducing rituals, approaching feared situations, and rebuilding daily functioning.

Your questions, answered

Frequently asked questions about Body Dysmorphic Disorder

How is body dysmorphic disorder different from ordinary appearance concerns?

BDD involves a distressing preoccupation with perceived appearance flaws that others may not notice. Checking, comparing, concealing, or avoiding situations can take substantial time and disrupt everyday life.

Can avoiding mirrors be a sign of BDD?

Yes. Some people repeatedly check mirrors, while others avoid them. Both patterns can occur with BDD, along with seeking reassurance or comparing appearance with other people.

What treatments are used for BDD?

Treatment may include CBT adapted for BDD, often incorporating exposure and response prevention. Medication may also be considered by a prescribing clinician, depending on symptoms and individual needs.

When should I seek an assessment for BDD?

Consider an assessment when appearance concerns lead to distress, repetitive behaviors, or avoidance of work, school, relationships, or daily activities. A clinician can explore BDD and other possible explanations.

Further reading: NHS