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WHY BDD MATTERS: THE PHYSICIAN, A PSYCHIATRIST, A CLINICIAN, AND A RESEARCHER ABOUT BDD
I am a physician, a psychiatrist, a clinician, and a researcher. I’ve been studying BDD and working with people who have this disorder for 15 years. BDD sufferers have come out of hiding; I haven’t had to search for them. They’ve thought that their face is too wide, their stomach is too fat, or their eyes look ugly. Or that their facial muscles are sagging, their skin has marks or scars, their penis is too small, that? The list goes on. Some search endlessly for an elusive
physical cure for what actually is a psychiatric disorder. Many go to doctor after doctor?dermatologists, surgeons, and others?without obtaining relief. Some have surgery after surgery without ever being satisfied with how they look.
Many suffer in silence. People with BDD often feel as though they’re harboring a burdensome secret no one will ever understand. Many haven’t ever told a single soul about their appearance concerns?not even relatives, spouses, or close friends. They feel too embarrassed and ashamed. “I feel foolish talking about my concern,” one man told me. “The usual reaction is ‘What?!’ ” Or they fear others will think they’re vain. And when they finally divulge their secret, and the people they confide in can’t see the “defects” or consider them minimal, they feel miserable, isolated, and misunderstood.
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