n a typical day, Eve* would wake up and start prodding at her body while still in bed. She would avoid catching sight of herself while showering, or while trying to find an outfit to best hide her body.
For Eve, body dysmorphic disorder has been a shadow attached to every thought since childhood. She was often praised for being “pretty” as a child, but the compliments became backhanded as she got older, with suggestions from boys at school, and later men, that she would be more attractive if she were thinner.
“I believed I’d never allow myself to be intimate again as my body was too repulsive, and if a partner saw me naked, they would reject me. I resigned myself to a life of being single.” Dr Katharine Phillips, a professor of psychiatry at New York-Presbyterian and Weill Cornell Medical Center in the US, notes genetics and the environment contribute to BDD’s development.
“It tends to be considered less important than other severe mental disorders, even though it’s more highly associated with suicidal ideation and suicide attempts than most other serious mental illnesses.”Studies by Rossell and colleagues including David Castle, a psychiatrist and professor of psychiatry at the University of Tasmania, show changes in brain structure and connectivity among BDD patients.
Pikoos often sees clients who were initially satisfied with a cosmetic surgery, but months or years later feel the “flaw” has come back or become worse.Read more
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