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Support for those in Toronto and the GTA
How is everyone doing??
I hope well.

Yesturday I decided to get a frappacino from star bucks after my therapy.
Ends up an old friend of my mom works there...
Havnt seen her in a long time.

She saw me and asked me if I had gained weight.
I felt like crying.
The thing is I have actually lost weight since the last time I saw her.

I don't think I have ever walked out of a place as quickly as I did yesturday..

Current Mood: uncomfortable uncomfortable

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Just thought some of you would like to know.
In the April Issue of Fitness Magazine there is a 5 page article on BDD starting on page 89.

The issue is on news stands now!! 
Best place to find them would be at a Shoppers Drug Mart.

I havnt had a chance to read the article yet.
But I have glanced through it, and its looks promising.

If you cant get it, and are intrested in the article I will try and scan it and put it in a PDF format or any format that you would like.


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For those of you who might not have read or heard of this book I completley recomend it!
It has helped me understand the condition more.

From The Publisher:

In The Broken Mirror, Dr. Katharine Phillips draws on years of clinical practice, scientific research, and detailed interviews with patients to bring readers the first book on this troubling, and sometimes debilitating, disorder, in which sufferers are obsessed with perceived flaws in their appearance. Phillips describes severe cases, but also milder cases, such as Carl, a successful lawyer who uses work to distract him from his slightly thinning hair. Many sufferers function well, but remain secretly obsessed by their "hideous acne" or "horrible nose," sneaking constant peeks at a pocket mirror, or spending hours redoing makeup. BDD afflicts millions of people. It isn't an uncommon disorder, simply a hidden one, since sufferers are often embarrassed to tell even their closest friends about their concerns: one woman, after fifty years of marriage, still kept her appearance worries a secret from her husband. Besides the fascinating story of the disorder itself, The Broken Mirror is also a lifesaving handbook for sufferers, their families, and their doctors. Left untreated, the torment of BDD can lead to hospitalization and sometimes suicide. With treatment, many sufferers are able to lead normal lives. Phillips provides a quick self-assessment questionnaire, helping readers distinguish between normal appearance concerns and the obsession of BDD to determine whether they or someone they know have BDD. She includes common clues to BDD—such as frequent mirror checking, covering up with clothing, and excessive exercise. Other chapters outline treatments using medication and cognitive-behavioral therapy. Finally, Phillips includes a chapter for the friends and families of BDD sufferers. Profoundly affected by the disorder themselves, those who care about someone with BDD will find both helpful advice and reassurance in this indispensable book.

Current Location: work
Current Mood: cold cold
Current Music: Sleep To Dream - Fiona Apple

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Body Dysmorphic Disorder (BDD) – Fear of Imagined Ugliness


Body Dysmorphic Disorder (BDD) is characterised as an excessive preoccupation with an imagined or slight defect in appearance of a body part or parts. This preoccupation is distressing, the sufferer feels unattractive even though the defect is often non - existent. To alleviate the distress, time consuming rituals are performed that are without effect or paradoxically exacerbate the distress. Sufferers are convinced that their distress is warranted and the defects visible. Reassurance that there is indeed no visible defect is without effect in modifying their convictions.

BDD was first described as “dysmorphophobia” by the Italian Psychiatrist Enrique Morselli more than a century ago. At about the same time, it was recognised by the French psychiatrist Pierre Janet who stated that, "It was common if one looked for it". Today, BDD is categorised as a Somatoform disorder, the features of which are listed in Table 1.

TABLE 1 Features of BDD
  1. There is a preoccupation with an imagined defect in appearance. However, if there is a slight physical defect, excessive worry occurs.
  2. The Preoccupation causes significant distress or impairment in social, occupational, or other important areas of functioning.
  3. The preoccupation is not better accounted for by another mental disorder e.g., dissatisfaction with body shape and size in anorexia nervosa.



A slow onset is the norm, the illness increasingly restricting the life of the sufferer and compromising life chances. Onset may be at any age, however, the mean age is sixteen. The sex ratio is controversial, some studies suggesting a female prevalence, others a male. Tragically, for most, the illness is chronic, unremitting and often goes undiagnosed and unrecognised in clinical settings.

Any body part, parts or the whole body may become the focus of the preoccupation. The most common sites of preoccupation are listed in Table 2. Gender differences have shown that females focus more on hips and weight; males on hair thinning, genitalia and body build. Muscle dysmorphia, a preoccupation with being inadequately muscular, is far more common in men. Insight into the preoccupation varies; some recognise their concerns as unrealistic and exaggerated, others have overvalued ideas and 50% are delusional. The distress and preoccupation is over size, shape, texture, colouring markings and symmetry.

TABLE 2 The most common sites of ugliness in BDD
  • Skin
  • Nose
  • Legs, Knees
  • Stomach, Waist
  • Lips
  • Face
  • Hair
  • Eyes
  • Chin, Jaw
  • Breast, Chest and Nipples
  • Body build
  • Penis

BDD is a time consuming illness with preoccupation a daily concern. Thirty - five percent of sufferers spend up to eight hours each day consumed by their illness. The content of the preoccupation is about their ugliness, its visibility to others and the conviction that others will view their ugliness unfavourably, even though it may be non - existent. Common time consuming behaviours are listed in Table 3.

TABLE 3 Time consuming behaviours undertaken by the BDD sufferer
  • Self examination


  • Comparing
  • Camouflaging
  • Skin - picking
  • Questioning
  • Grooming

Comparing is undertaken by 90% of BDD sufferers. This involves secretly comparing the unattractiveness of their body part with the same body parts of others, hoping to reinforce their own normality. Comparing rarely brings relief; most in fact feel worse, their perception of ugliness confirmed. Some compare using personal photos or photographs of others in magazines.

Checking is undertaken by 83% and is motivated by the desire to demonstrate that their ugliness is non - existent, has improved or is not visible to others. Checking occurs using mirrors and other reflective surfaces, the whereabouts of which are often well known. Some carry mirrors or have their favourite mirrors, which they may spend hours in front of, checking their appearance. Despite those with BDD being secretive as to their condition, they often persistently question others about their appearance.

Camouflaging and grooming the site of the perceived ugliness with clothing, hats, scarves, combs and make - up is common. Cosmetics are used by male and females with brands names often being important; hours are spent, daily, applying make - up. Touching or palpating the site or sites is undertaken by 33%; the purpose behind this behaviour is to determine if the site feels right or to manipulate the site so that it looks "just right".

Skin picking and other forms of self - surgery are undertaken by 27% of sufferers. These behaviours aim to improve the appearance of the body part or parts. Self - surgery is often detrimental, the remaining wound, lesions and scar tissue often exacerbating the feelings of unattractiveness. For some, the scarring becomes permanent.

BDD dominates the life of most sufferers. Up to 98% report restriction of their social lives, 76% never marry or experience a heterosexual relationship and many live alone or with family members. Up to 75%, report restriction of their educational choices, 42 to 50% are unemployed and one - third housebound, at sometime.


Other concurrent psychiatric conditions are the norm in BDD with over 80% having a lifetime prevalence of major depression; onset of which occurs after the onset of BDD. The anxiety disorders are also common, 38% suffer social anxiety disorder and 30% have a lifetime prevalence of Obsessive Compulsive Disorder (OCD). Substance and alcohol abuse is high, the abuse is often an attempt to minimise the distress arising from the preoccupation.


Current Location: Work
Current Mood: busy busy
Current Music: Bleak - Opeth

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Welcome to the new Community for us who live in Toronto and the GTA area who suffer from BDD and other forms of eating disorders.

Membership is currently moderated as I do not want trolls comming in and make this an unhealthy place to be.

Please be patient with me as I work on the layout and community info and rules.

Also please feel free to promote this community.

Also if you have any graphics/icons that we can use let me know.

Current Location: Work
Current Mood: busy busy
Current Music: When I Grow Up - Garbage

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