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HOW DO I KNOW IF I HAVE BDD?
Some people with BDD also have “subclinical” concerns with certain body areas; that is, in addition to the body parts they’re preoccupied with, they dislike others, but not to the point where they’re preoccupied with them or experience distress or impairment as a result. Heather, for example, disliked her “wide” nose and her weight, but her weight wasn’t a significant concern and didn’t preoccupy her. “It’s much less severe than my nose,” .she said. “I don’t like it, but it’s not really a problem.” In my research, I’ve made an effort to identify the body parts that are the focus of preoccupation, and have listed only excessive and problematic concerns in Table 5. If I had identified all the body parts which people had any dissatisfaction with whatsoever, the percentages for each body area would be much higher.
Some people with BDD think they sometimes look okay. As one woman said, “When my hair looks okay, I think I look attractive. But when it’s bad, which it often is, I think I’m really ugly.” People who are worried about minor acne may think they look fine when their skin is better?but when it’s “broken out,” it’s a disaster.
I’ve found that skin concerns are most frequent. Two thirds of people with skin concerns obsess about perceived acne or scarring, followed by concerns with marks (one third) and skin color (one quarter), typically thinking it’s too red or too white. But virtually any aspect of the skin can be disliked?facial pores that are considered unusually large, veins, capillaries, or other skin flaws. Some people think their skin is the wrong color?typically too red or too white. Others obsess about wrinkles, lines, sagging, shriveling, or stretch marks, which they may consider a sign of aging.
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