Treatment Options for BDD
Body Dysmorphic Disorder (BDD) is highly treatable with the right approach. The most effective treatment plan usually includes a combination of psychotherapy, medication, and supportive interventions. Treatment options for BDD aims to reduce obsessive thoughts, stop harmful behaviours, and improve quality of life.
1. Cognitive Behavioural Therapy (CBT)
- CBT is the gold-standard treatment for BDD.
- It focuses on:
- Challenging distorted beliefs about appearance
- Reducing compulsive behaviours (mirror checking, comparisons)
- Improving coping skills and self-worth
- A specialised form of CBT, called CBT-BDD, targets the unique thought patterns and behaviours seen in BDD.
2. Exposure and Response Prevention (ERP)
- Often part of CBT, ERP involves gradually confronting appearance fears (e.g. being seen in public without makeup) and avoiding compulsive responses.
3. Medication
- SSRIs (Selective Serotonin Reuptake Inhibitors) such as fluoxetine, sertraline, or escitalopram are commonly prescribed.
- These help reduce obsessive thoughts, anxiety, and depression.
- May take several weeks to work and should be monitored by a doctor or psychiatrist.
4. Group therapy and support groups
- Peer support can reduce isolation and provide validation.
- Online and in-person groups can help individuals share coping strategies and build confidence.
5. Family therapy
- Educating family members about BDD reduces criticism, enabling, or misunderstanding.
- Encourages healthier communication and support systems at home.
6. Avoid cosmetic procedures
- Cosmetic treatments do not improve BDD symptoms and may worsen obsession or disappointment.
- Professionals should screen for BDD before offering surgery or aesthetic interventions.
7. Mindfulness and stress management
- Mindfulness, breathing techniques, and meditation can help manage anxiety and reduce rumination.
- Regular physical activity and sleep hygiene also support recovery.
In South Africa:
- CBT and psychiatric services are available through public and private systems, although waiting lists may be long in some public facilities.
- NGOs like SADAG (South African Depression and Anxiety Group) offer helplines, referrals, and online resources for people struggling with BDD or related issues.
Treatment Options for BDD
Recovery takes time, but with consistent care, people with BDD can regain freedom from obsession and reconnect with the world in healthier ways.
👉 [Next: Living with BDD – Self-Compassion and Recovery]
