Many adults are dissatisfied with their appearance, leading them to turn to various cosmetic procedures like plastic surgery and liposuction. However, for those with body dysmorphic disorder (BDD), the issue goes much deeper. BDD is a condition where individuals are consumed by thoughts of their own perceived ugliness, causing them to put their lives on hold out of fear of judgment or offense from others. These individuals constantly seek reassurance from friends and family, unaware that the problem lies within their own perception of their bodies.
One common misconception for adults with BDD is that plastic surgery will solve their anxieties and boost their self-confidence. Unfortunately, this is only a temporary relief as they soon find something else that they believe needs correcting. It is not uncommon for BDD patients to undergo over 20 cosmetic procedures in their pursuit of satisfaction.
While there is no specific treatment for BDD, experts have found a link between this disorder and other mental conditions such as obsessive-compulsive disorder, depression, and anxiety. These conditions are often caused by low levels of serotonin, a neurotransmitter in the brain. Consequently, treatments for BDD typically involve addressing serotonin levels. Selective serotonin reuptake inhibitors (SSRIs) like Zoloft and Prozac are commonly prescribed to reduce the severity of symptoms, often in combination with psychotherapy. However, the doses required for BDD are significantly higher than those used to treat depression, which poses an increased risk of side effects.
Another way to increase serotonin levels is through the consumption of oily fish, which are rich in omega-3 fatty acids. Recent studies have shown that pure EPA from fish oil is as effective as Prozac in increasing serotonin levels, making it a powerful treatment for BDD without the side effects associated with medication.
In order to effectively treat body image issues, it is recommended that patients take EPA-only omega-3 supplements daily for a period of three months. The daily dose should be around 4,000 mg, but can be adjusted if improvements are seen. For vegetarians, there are alternatives available, such as supplements containing evening primrose oil and echium oil, which provide plant-based sources of omega-3 fats.
It is important for individuals with BDD to seek help and support, as this condition can have a significant impact on their quality of life. Therapy, medication, and a balanced diet can all play a role in managing BDD symptoms and improving self-perception. While the journey may be challenging, there is hope for those suffering from body dysmorphic disorder to find peace and acceptance within themselves.
Written by Dr. Yannick Pauli