Body Dysmorphic Disorder (BDD)

Body dysmorphic disorder (BDD) is a mental health condition in which a person spends significant time worrying about perceived flaws in appearance — often minor or not visible to others. It causes substantial distress and can be treated effectively.

Quick Facts

  • ICD-10: F45.22
  • Common in: Late teens, early 20s
  • Treatment: CBT + SSRIs

Symptoms

  • Preoccupation with one or more perceived flaws in appearance
  • Repetitive behaviors (mirror checking, grooming, comparing to others, skin picking, seeking reassurance)
  • Significant distress or impairment
  • Avoidance of social situations
  • Repeated cosmetic procedures with limited satisfaction

Treatment

  • Cognitive behavioral therapy (CBT) tailored for BDD
  • SSRIs (often at higher than typical doses)
  • Combination of CBT and medication for moderate-severe cases
  • Avoiding cosmetic procedures (often worsen long-term outcomes)

When to Seek Help

If preoccupation with appearance is causing significant distress or interfering with daily life, work, or relationships, consult a mental health professional. BDD is treatable; many people improve substantially.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • International OCD Foundation. BDD Resources.