Understanding Body Dysmorphic Disorder (BDD)

Body Dysmorphic Disorder (BDD) - Support for Individuals Struggling with Body Image Concerns in Sydney.

At Blue Fig Clinic in Sydney, we recognise that concerns about physical appearance can significantly affect a person’s mental wellbeing. For some individuals, these concerns become overwhelming and persistent, often interfering with daily functioning. In these cases, a condition known as Body Dysmorphic Disorder (BDD) may be present.

What Is BDD?

Body Dysmorphic Disorder is a mental health condition characterised by a preoccupation with perceived flaws in one’s appearance. These perceived flaws may be minor or not observable to others. Individuals with BDD often experience significant distress and may engage in repetitive behaviours, such as mirror checking, grooming, or seeking reassurance, in response to their concerns.

BDD can affect people of all genders and age groups and may focus on any part of the body. The impact of the condition can range from mild to severe and may interfere with work, social relationships, and quality of life.

Signs That May Be Associated With BDD

Common features that may be observed in individuals experiencing BDD include:

• Ongoing concern or distress about physical appearance

• Repetitive behaviours related to perceived flaws (e.g., checking mirrors, skin picking, hiding features)

• Avoidance of social situations due to appearance concerns

• Difficulty concentrating or functioning due to preoccupation with appearance

It is important to note that these features can also be present in other conditions, and a comprehensive assessment by a qualified health practitioner, such as a psychiatrist, is essential for accurate diagnosis and treatment planning.

What contributes to BDD?

BDD may develop as a result of a combination of biological, psychological, and social factors. Some individuals report experiencing appearance-related teasing or bullying during childhood or adolescence, while others may have underlying traits such as perfectionism or high sensitivity to perceived judgment.

Social influences, including unrealistic appearance standards portrayed in the media, may also contribute to the development or maintenance of the condition.

Evidence-Based Treatment Options for BDD

Treatment for BDD should be tailored to the individual's needs and based on current clinical evidence. Psychological interventions such as Cognitive Behavioural Therapy (CBT) have been shown to be effective in reducing symptoms in many individuals. CBT may focus on addressing unhelpful thoughts, reducing compulsive behaviours, and building healthier patterns of thinking and behaviour.

In some cases, referral to a medical practitioner may be appropriate to consider whether medication could be part of a broader treatment approach. 

Self-management strategies may also support wellbeing, such as reducing time spent on appearance-focused behaviours, learning stress management techniques, and setting realistic goals for recovery.

The Importance of Early Support

Individuals experiencing symptoms of BDD are encouraged to seek support early. A health professional can assist with assessment and guide individuals toward appropriate care options. Left untreated, BDD can contribute to significant emotional distress, functional impairment, and, in some cases, co-occurring mental health challenges.

How Blue Fig Clinic Can Assist

Blue Fig Clinic provides psychological assessment and therapy for individuals experiencing a range of mental health concerns, including body image-related distress.

We offer:

• Assessment and formulation of appearance-related concerns

• Psychological therapy using recognised approaches such as CBT and ACT

  
  

All services are provided in a supportive and respectful environment, with a focus on patients' choice and autonomy.

Seeking Help

If you or someone you care about is experiencing persistent distress related to appearance, we welcome you to contact Blue Fig Clinic to learn more about available support.

We do not diagnose or treat BDD based solely on appearance concerns — all care is based on a comprehensive clinical assessment and guided by best practice standards.

Please speak with your GP or mental health professional if you would like to discuss concerns related to BDD and explore appropriate treatment pathways.

This article is for general informational purposes only and does not constitute medical advice. Individuals seeking care should consult a registered health practitioner for a personalised assessment and support.