Therapy for Body Image Concerns and Body Dysmorphia
Body image is the way we perceive, think, and feel about our bodies. It can be influenced by personal experiences, societal standards, social media, and cultural messages about appearance. Many people struggle with body dissatisfaction from time to time, but when negative body image becomes overwhelming, distressing, or begins to interfere with daily life, it may indicate a more significant issue.
For some, body image concerns are linked to low self-esteem, anxiety, depression, or disordered eating behaviours. Others may experience Body Dysmorphic Disorder (BDD), a condition where preoccupation with perceived flaws in appearance leads to significant distress and compulsive behaviours aimed at “fixing” or hiding those flaws.
At The Victorian Psychology Clinic we recognise that body image concerns and BDD require a tailored, evidence-based approach. In line with our values, we aim to work collaboratively with our clients, referrers and other professionals involved in our clients care including general practitioners, other allied health professionals and psychiatrists.
Signs and Symptoms of Body Image concerns and Body Dysmorphia
Body Image Concerns:
Struggling with body image can involve:
- Constant self-criticism or feeling dissatisfied with appearance
- Comparing oneself to others, especially on social media
- Avoiding mirrors, photos, or certain clothing due to discomfort with appearance
- Engaging in extreme dieting or excessive exercise to change body shape
- Tying self-worth to weight, shape, or perceived attractiveness.
- Preoccupation with a specific feature or flaw, often minor or unnoticeable to others
- Frequent mirror-checking or avoiding mirrors entirely
- Compulsive behaviours (e.g., excessive grooming, skin-picking, seeking reassurance)
- Avoiding social situations due to fear of being judged for appearance.
BDD is not about vanity – it is a mental health condition that often coexists with anxiety disorders, depression, or obsessive-compulsive traits.
Treatment for Body Image and Body Dysmorphia
Support for body image concerns and BDD often involves psychological therapy aimed at improving self-perception and reducing distressing thoughts and behaviours. For individuals experiencing severe distress a multidisciplinary approach involving psychological therapy, medical support, and dietician guidance may be beneficial. Psychological evidenced based approaches include:
- Cognitive Behavioural Therapy (CBT): Helps identify and challenge unhelpful thoughts about appearance while reducing compulsive behaviours.
- Exposure and Response Prevention (ERP): Often used for BDD, this therapy helps individuals reduce avoidance and compulsive checking behaviours.
- Acceptance and Commitment Therapy (ACT): Encourages self-acceptance and values-based living, rather than focusing on appearance.
- Mindfulness and Self-Compassion Approaches: Help develop a more balanced and kind relationship with one’s body.
How we can support you
At VPC, we understand that body image concerns and BDD can deeply impact self-esteem, relationships, and overall wellbeing. Psychologists at VPC work with individuals to:
- Explore the underlying thoughts and beliefs contributing to body image distress.
- Reduce compulsive behaviours and avoidance patterns.
- Develop self-compassion and a more balanced perspective on appearance.
- Work towards a life driven by values, rather than preoccupation with looks.
If you or someone you know is struggling with body image or BDD, we are here to help.
We have a number of clinicians who work with eating disorders. To learn more, please refer to our Psychologists page for clinician details.
If you are currently experiencing eating difficulties or body image concerns and would like to begin your journey to recovery, get in touch with us. We are here to help.