BACKGROUND: RELATED DISORDERS

Finding Commonalties with Other Disorders

and Learning from Them.

Body Dysmorphic Disorder (BDD or B.D.D.)

Tammy: It might have been a teenager thing at that point cause you just don’t know how to handle the new hormonal changes that make your face break out?

M: True, but I knew I was hurting myself and did it anyway.

Tammy: The whole time, while picking it - it would be getting red - I would think I shouldn’t be doing this., but did it anyway. It wasn’t just like some kids who would pick if they got a whitehead, and you just get rid of the whitehead and put some clearisil on it and that’s it. I didn’t stop with just the whitehead…

M: You dug deeper?

Tammy: Yeh. And picking at blackheads that nobody would see. Except that when you look real closely in the mirror, you see it and I noticed that my girlfriends weren’t doing that. My girlfriends had beautiful skin, or if they had a zit it would just go away.

M: But you were so critical with your skin , you would go looking for something to mess with. Because that’s the way that I’ve been. Cause if I would leave it alone, no one would even know that it was there.

Health practitioners distinguish between organic or physical diagnosis and pyschiatric diagnosis. So when does acne or dry cuticles become a pyschopathologic skin disease? When do the exacerbations of an individual become more important than the actual symptoms of a dermatological condition?

Current hypotheses suggest that BDD is part of a spectrum of obsessive-compulsive disorders. The symptoms of BDD may be significantly blunted by serotonin reuptake inhibitors or behavior therapy

Body Dismorphic Disorder (BDD) has only just recently been looked at with close attention. Recent tests have been developed to measure the scale of severity and more research is just beginning to be done. It is also becoming increasing prevalent in our changing and demanding times.

Symptoms of BDD include most obviously unhealthy mental attitude towards and distorted view of the self, and acting out in accordance. Anorexia Nervosa and Trichotillomania are types of BDD as well as Dermatitis Factitia, the obsessive concern with slight or unimagined defect.

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