BDD Signs And Symptoms

The signs and symptoms of BDD can vary widely from person to person. Some of the most common signs and symptoms include:

  • Preoccupation with one’s physical appearance on a consistent basis
  • Strong belief that a major defect in appearance exists and is easily recognized
  • Frequent examination of features in mirrors/reflective surfaces or avoidance of mirrors/reflective surfaces altogether
  • The need to seek reassurance about one’s appearance from others
  • The need to seek out unnecessary cosmetic procedures
  • Excessive grooming, such as hair combing and plucking
  • Excessive picking or squeezing of the skin
  • The need to wear excessive makeup or clothing to camouflage perceived flaws
  • Refusal to appear in photographs
  • Extreme self-consciousness, especially in public
  • Comparison of one’s appearance with that of others
  • Avoidance of social situations and tendency to isolate from family and friends

Common Areas Of Concern

The features that BDD sufferers obsess on usually relate to the head and face, but may involve any body part. Some of the most common areas of concern include:

  • Acne and hyperpigmentation
  • Skin tone and color
  • Complexion (texture, pore size, and scars)
  • Facial wrinkles
  • Hair (color, style, and thickness)
  • Eyes (shape, size, and spacing)
  • Nose (shape and size)
  • Lips (shape and size)
  • Muscles (shape and size)
  • Breasts (shape, size, and symmetry)
  • Genitalia (shape and size)