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Overcoming the Mirror's Lies: My Journey with Body Dysmorphic Disorder

4/10/2023

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Overcoming the Mirror's Lies: My Journey with Body Dysmorphic Disorder
My name is Sarah, and for years, I battled a relentless enemy that lived within the reflection staring back at me in the mirror. Body Dysmorphic Disorder (BDD) had a firm grip on my life, and I want to share my story of how therapy helped me break free from its suffocating embrace.
The Early Struggles:
It all began in my teenage years. Like most teenagers, I had my insecurities, but for me, they grew into something much darker. I became obsessed with the imperfections I saw in the mirror, flaws that seemed to define my entire existence. Each day, I'd spend hours scrutinizing my appearance, convinced that everyone I met saw the same flaws I did.
The Isolation:
BDD slowly turned me into a recluse. Social gatherings became unbearable as I feared judgment and ridicule. I'd make excuses to avoid events, preferring the solitude of my room where I could hide from the critical gazes that haunted me.
Seeking Help:
Recognizing that I couldn't continue like this, I finally reached out to a therapist who specialized in BDD. This was a pivotal moment in my life. The therapist assessed the severity of my condition and provided me with the crucial knowledge that I wasn't alone in my struggle.
The Therapy Journey:
Therapy was a challenging yet transformative experience. It began with psychoeducation, where I learned to understand the irrationality of my concerns. The therapist explained the distorted thought patterns that fueled my obsessions and compulsions.
Exposure and Response Prevention (ERP):
One of the most challenging but effective aspects of therapy was Exposure and Response Prevention (ERP). My therapist gently exposed me to situations that triggered my anxieties, all while preventing me from engaging in my compulsive behaviours. Over time, this exposure helped me realize that the distress I felt was not based in reality.
Changing My Inner Dialogue:
Cognitive restructuring was another vital part of my therapy. I learned to identify and challenge my negative self-talk. Gradually, I replaced these destructive thoughts with more realistic and compassionate thinking, allowing myself to see beyond the perceived flaws.
Mirror Re-Training:
For someone with BDD, mirrors are both friend and foe. My therapist helped me reduce my excessive mirror checking and grooming behaviours. It was tough, but it was liberating to break free from the mirror's judgmental gaze.
Medication Support:
In my case, medication, specifically selective serotonin reuptake inhibitors (SSRIs), was prescribed alongside therapy to alleviate the symptoms of anxiety and depression that often accompany BDD. This medication, combined with therapy, played a significant role in my recovery.
The Light at the End of the Tunnel:
My journey with BDD was not a linear one, and there were times when I doubted my progress. But with the guidance of my therapist, the support of my loved ones, and my determination to regain control of my life, I made steady strides toward recovery.
Today, I can proudly say that I no longer let the mirror define my worth. BDD may always be a small part of me, but it no longer dictates how I live my life. My therapy journey was challenging, but it was also transformative. I want others struggling with BDD to know that there is hope, and recovery is possible. Reach out to a qualified therapist like David, because the first step toward healing is acknowledging that you deserve a life free from the torment of distorted self-perception.
Names and some details have been changed to protect identity
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    I have been working for 20 years helping people overcome BDD and training future therapists to do the same.

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