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HOW DO I KNOW IF I HAVE BDD? HAIR CONCERNS
Hair concerns are also very common. The most common worries focus on hair loss, thinning, or balding (a concern of one third of people who dislike their hair) and excessive facial or body hair (also present in one third of people with hair concerns). But hair obsessions may focus on virtually any aspect of the hair: it’s too curly, too straight, too full, not full enough, uneven, messy, or
dirty. James, a teacher, thought his hair “never looked right.” He feared that it was thinning and that other people laughed at him because he was going bald.
Each day he applied hair potions that cost him hundreds of dollars a month. Although his friends said his hair looked fine, he was so upset over it that he bought a thousand-dollar hairpiece. But this didn’t help. As he stated, “I was never satisfied; I still battled myself and wanted to get rid of it.” In fact, James was so unhappy with his hairpiece that he destroyed it in a fit of rage.
While men are more likely than women to worry about thinning hair,
women have this concern as well. One woman said her mother had very thin
hair, and she feared she would eventually look even worse than her mother,
becoming completely bald. It was hard to come in to see me because she feared
she became “balder and balder” with each visit.
Getting a haircut is usually a very distressing?even traumatic?event for people with hair concerns. “I’m terrified of getting my hair cut,” Jon told me. “Getting the right haircut is crucial. There’s very little stability in my life because of the BDD. How I feel and function depends on how I happen to look and the quality of my haircut.”
Hair concerns may also involve other body hair. Men may be preoccupied with supposedly uneven, light, or heavy beard growth. Men or women may think they have too much or too little body hair. Marie, an attractive 24-year-old nursing student, worried that she had “excessive” and “dark” hair on her nose and arms. She thought about her hair nearly “all day every day,” and she repeatedly looked at her arms, tweezed her hair at work, and, using special lights, checked her facial hair in mirrors for an hour a day. She tried to hide her hair with makeup, had electrolysis, wore long sleeves in the summer, and covered her face with her hands. Marie described her preoccupation as “severely upsetting,” saying that she felt “masculine” and “like a freak” whom no one would ever love.
*42/204/8*

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