So what are the symptoms to look out for in your teen? Sudden or ongoing preoccupation with one or more body parts is a telltale sign, says Deibler, noting that the most common areas someone might fixate on include the face and skin , the hair , or the nose. In males, it can manifest in muscle dysmorphia and genitalia preoccupation.
Of course, you're not exactly living in your teen's brain, so you have no real way of knowing what they might be worried about on a daily basis. But with BDD, behavioral changes often follow that make it easier to spot, says Stalzer. "Adolescents may begin focusing on their appearance or comparing themselves to peers. Often individuals with body dysmorphia will display other
BDD can be difficult to recognize both in oneself and loved ones, says Deibler, because the thoughts and worries can be so intense and all-encompassing. The disorder "is often accompanied by feelings of shame and embarrassment," she says, and "those with BDD may not disclose their beliefs to others and may go to lengths to hide ritualistic behaviors related to their bodily misperception.
"Due to the persistence and intensity of symptoms and/or attempts to avoid their own distress, they may begin to struggle to carry out activities of daily living ," adds Deibler. "They may begin to avoid social situations and isolate themselves, which may worsen their distress and lead to additional problems with anxiety, disordered eating, skin picking, depressed mood, or suicidal thoughts as well as maladaptive coping behaviors, such as substance abuse.
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