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When Do Body Image Issues Become Body Dysmorphic Disorder?

October 21, 2025

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Body image issues become body dysmorphic disorder (BDD) when they reach a level of severity and impairment that significantly affects a person’s daily life, functioning, and overall well-being. While body image concerns are common and many people experience some level of dissatisfaction with their appearance, BDD is characterized by an obsessive preoccupation with perceived flaws or defects in physical appearance, often to the point of delusion.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines specific criteria for diagnosing BDD, including:

Woman measuring her waist with a tape measure.

1. Preoccupation with a Perceived Flaw: The individual has a strong and persistent focus on a perceived physical flaw that others typically do not notice or view as minor.

2. Repetitive Behaviors or Mental Acts: The person engages in behaviors or mental acts in response to the perceived flaw, such as excessive mirror checking, seeking reassurance from others, or comparing their appearance to others’.

3. Significant Distress or Impairment: The preoccupation and repetitive behaviors cause significant distress and impairment in social, occupational, or other areas of functioning.

4. Time Consuming: The person spends a significant amount of time each day thinking about the perceived flaw or engaging in related behaviors.

5. Not Explained by Another Disorder: The symptoms of BDD are not better explained by another mental disorder, such as an eating disorder or obsessive-compulsive disorder.

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It’s important to note that BDD can lead to severe emotional distress, depression, anxiety, and even suicidal thoughts. Individuals with BDD might engage in avoidant behaviors to hide their perceived flaws, which can lead to social isolation. The condition can be incredibly distressing and challenging to manage without appropriate treatment. Treatment options for BDD often include cognitive-behavioral therapy (CBT), medication, or a combination of both. Early intervention and proper treatment can significantly improve an individual’s quality of life and well-being.

FIND FREEDOM FOR EAST DISORDERS FOR WOMEN IN BROOKLYN & MANHATTAN, NEW YORK

At Manhattan Wellness, we understand that your relationship with food can be complicated. With all the messages and images we are bombarded with on social media, it can be difficult to navigate a positive relationship with food.  That’s why our female therapists want to support you in tackling your eating disorder with compassion and care. Let us help you create an empowering narrative that will benefit all aspects of your life. If you are interested in beginning counseling for women:

  1. Submit a Contact Form or Email Us at hello@manhattanwellness.org
  2. Learn More About Our Team and Our Areas of Expertise
  3. Prioritize Your Maternal Mental Health!

OTHER THERAPY SERVICES AT MANHATTAN WELLNESS IN MANHATTAN, WESTCHESTER, BROOKLYN & THROUGHOUT NEW YORK

Our therapists understand that life in New York City is not always easy, and that other issues can come up along the way. To better support you, we offer a variety of services to cater to your individual needs. The therapy services we offer are Therapy for Self Esteem, Anxiety Treatment, and therapy for dating and relationship issues. As well as therapy for college students, support for maternal mental health, body image therapy, and so much more. Are you feel like you’re not living the life you want and need to make changes? Let’s talk about it.

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