Many people do not like something about the way they look. Indeed it would be a rare person who is totally happy with everything about their looks. It is only when this becomes an obsession that it is a problem.
Body dysmorphia is the proper name for a belief that our body looks different to how it actually is. Most commonly people think they are fat when in fact they are not. If you tell someone who has body dysmorphia and who believes they are fat that they are not. They might think it is you who are deluded. Similarly, they may have a barely noticeable blemish or ‘defect’ which to them is the only thing that is noticeable about them.
Body Dysmorphia
People with body dysmorphia do not always recognise they have it – a bit like the addict or alcoholic in denial. They therefore disbelieve the person who tries to reassure them they are not fat, ugly etc – and so they begin to distrust everything they say. The can become so obsessed with their perceived problem that they will try to hide it at all costs – with make up, clothes, plastic surgery etc. However, even after something so extreme as plastic surgery they will not be satisfied as the problem is in the mind, not the body. The surgeon might be able to admire his handiwork. The patient will not as he or she will always be disappointed. Even ‘before’ and ‘after’ pictures will be unconvincing.
Treatment
Treatment for body dysmorphia therefore needs to be directed at the mind and not the body. However medication will not solve the issue – anti-depressants, for example, might make the patient feel happier for a short while but if the underlying issues have not been treated they will remain a problem. anti-depressants themselves can be addictive. A tolerance can be built up meaning that higher doses are required – or a different anti-depressant medication is required.
Treatments such as stomach-stapling, jaw wiring, intestinal shortening, liposuction etc will never solve the problem of the cravings. People may be desperate for these procedures and extremely grateful to the surgeons carrying them out but they will not solve their problems which are in their minds.
Perception Is Incorrect
What can actually work is to make the person with the eating disorder realise that it is their perception of themselves that is wrong and not their bodies. It takes someone who has experienced exactly the same problem to help them. They realise they are not alone and can recognise their own thinking in the beliefs and experiences of others. Can see that other people’s thinking is distorted and therefore that their own is. They can see themselves in the mirror afforded by the group.
Fellowships such as Overeaters Anonymous, Anorexics Anonymous and Bulimics Anonymous will help people to change their perceptions and hence their behaviour.
The Haynes Clinic offers residential treatment for dependency on alcohol, drugs and prescription medication. We can also help with other addictions such as gambling and with eating disorders.
If you have an addiction or experience addictive behaviour, please call The Haynes Clinic on 01462 851414 for free and confidential advice and help.
