Introduction

Many of us spend a lot of time and effort on our appearance. We wear makeup, work out at the gym, buy flattering clothes and style our hair, all done in hope of looking more attractive. Individuals with Body Dysmorphic Disorder (BDD) are beset by a more extreme version of these normal appearance concerns. BDD is characterized by a time-consuming and potentially disabling preoccupation with imagined or slight defects in one's appearance or excessive concern about a slight physical anomaly. To meet the criteria for this diagnosis, the preoccupation must cause significant distress or impair school, personal or social functioning. Although virtually any body part can become the source of preoccupation, BDD most commonly involves the eyes, ears, nose, skin, chin, jaw or other facial features. Although we don't know what causes BDD, most likely there are multiple sources including biological, psychological and sociocultural factors. Both medication and cognitive/behavioral therapy have been helpful in moderating the symptoms.