People with body dysmorphic disorder (BDD) worry about their appearance. They worry, for example, that their skin is scarred, their hair is thinning, their nose is too big, or something else is wrong with how they look. They think a lot about their perceived appearance flaw, generally for at least an hour a day. Some say they are obsessed. Most find that they don’t have as much control over their thoughts about the body flaw as they would like.

In addition, the appearance concerns cause significant distress (for example anxiety and depression) or significant problems in functioning. These concerns and behaviors can lead to low self-esteem, social isolation, problems with work or school, anxiety, depression, and even suicidal thinking. Some people experience manageable distress and are able to function well, although not up to their potential. Others find that this disorder ruins their life.

Opportunities for free evaluation and treatment
Butler Hospital's BDD program has achieved national recognition and is conducting research studies to enhance the understanding and treatment of BDD. Adolescents and adults (ages 12 – 65) who qualify for the studies may receive a free evaluation and treatment. We are also offering an interview study for which participants are paid.

Any body part may be the focus of concern. Common examples include a preoccupation with:

• Nose shape or size
• Thinning hair
• Acne

People with BDD may frequently:

• Check or avoid mirrors
• Compare themselves with others
• Spend excessive time in grooming activities
• Pick their skin
• Ask others for reassurance about their appearance

Other body image concerns include:

• Fear that one emits an unpleasant body odor
• Skin picking

Confidentiality
Treatments and the identity of patients are confidential as stipulated by the Rhode Island Mental Health Law.

Additional information on Butler Hospital's Body Image Program.