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HOPE FOR PEOPLE WITH BDD
In many ways, we’re only beginning to understand BDD, and much more research is greatly needed. At this time, there are still many questions. What causes BDD? Is it rooted in a person’s genes, life experience, or societal pressures? Is it a disorder of the brain, the mind, or society? Why do some people get it but others don’t? Is it related to eating disorders, like bulimia and anorexia nervosa?disorders that also involve distorted body image? Or is it related to obsessive compulsive disorder, a disorder characterized by obsessive thoughts? for example, about contamination or harm?and compulsive behaviors that, like those of BDD, often involve checking and reassurance seeking?
How is BDD related to , a disorder in which men fear that their penis is disappearing into their abdomen and will kill them? And where exactly should we draw the line between BDD and the normal concern with appearance that so many people have? Is BDD simply an exaggerated version of this normal, common concern?a more intense, problematic variant of it? Or is it something different?
While continued research is essential, we aren’t totally in the dark. There’s a lot that we do know?what people with BDD experience, what other problems and disorders they commonly have in addition to BDD, how BDD affects peoples’ lives. We know that this disorder often responds to certain psychiatric treatments. The suffering of many people with BDD?including Jennifer, Chris, and Keith?has been significantly alleviated by these treatments. Some are completely free of their tormenting concern.
Jennifer’s symptoms were alleviated by clomipramine (Anafranil), a certain type of antidepressant medication known as a serotonin-reuptake inhibitor. After several months on this medication, she began to notice that she thought about her skin much less often?only an hour a day instead of most of the day. It became much easier to resist extra peeks in the mirror. Her preoccupation no longer tormented her. She also felt better about how she looked. She still thought that she had “some pimples?, but she realized they weren?t particularly noticeable. They were no longer devastating. As she explained, “This is more of a normal dislike?it isn’t taking over my life anymore. I’ve put this problem in perspective. I don’t love my skin, but I can accept it. It no longer ruins me.” She stopped asking her mother about her appearance, and she’s been able to leave her house, go into stores to shop, and look for a job.
*17/204/8*