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Anti-Depressant
Anti-Allergic/AsthmaTo return to BDD’s definition, noting that the degree of distress and impairment in functioning varies considerably. This criterion is very helpful; requiring significant distress or impaired functioning for the diagnosis helps guard against overdiagnosis of BDD. Not everyone who dislikes his or her appearance has BDD. After all, concern with appearance is very common, especially during adolescence. Studies have shown that most of us dislike at least some aspect of how we look. And this concern is no doubt amplified by the messages that bombard us in fashion magazines, clothing advertisements, and makeup commercials. Magazines, television, billboards, and movies are filled with beautiful and glamorous people who, intended or not, set a certain standard for how we should look.
So this criterion (along with the requirement for preoccupation in criterion 1) draws a line between normal and excessive concern, and it indicates that people with normal appearance concerns shouldn’t be considered to have a psychiatric disorder. A problem with this criterion, however, is that it isn’t clear exactly where to draw this line. How much distress is required for the diagnosis? And how much impairment? While this issue of how to distinguish between “normal” and “abnormal” also applies to other psychiatric and medical disorders, it’s particularly complicated with regard to BDD, because BDD echoes the very common concern so many of us have with how we look. Where normal concern leaves off and BDD begins is sometimes a difficult judgment call.
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