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HOW IS BDD DEFINED: DISTRESS OR IMPAIRMENT IN FUNCTIONING – TYPES OF DISTRESS
Nonetheless, if a person experiences at least moderate distress because of their perceived defect (as opposed to none or only mild distress), this is compatible with a diagnosis of BDD. More severe distress—or extreme and disabling distress—is clearly indicative of BDD. Regarding impairment in functioning, if a person avoids anything—for example, dating, school, or any social situations—that’s consistent with having BDD. Even if the person doesn’t avoid anything, they may still qualify for BDD if their appearance concerns interfere with their functioning in other ways—for example, if their work or school performance are impaired to at least a moderate degree. This might occur because their concentration is poor, their work or schoolwork is interrupted by BDD thoughts or behaviors, they’re late for things, etc. And in cases of moderately severe or severe BDD—like Jennifer’s, Chris’s, and Andrew’s—it’s crystal clear that the impairment is significant and, therefore, the diagnosis applies.
People with BDD commonly experience interference in areas such as the following. They may avoid these situations partially or completely, or they may experience other types of interference in these areas:
• Spending time with friends
• Dating
• Intimate relationships
• Attending social functions and events
• Doing things with their family inside and outside of home
• Going to school or work each day
• Being on time for school or work
• Missing school or work
• Focusing on school or work
• Productivity at school or work
Anti-Depressant• Daily activities
• Maintaining a household, doing errands, going shopping
*28/204/8*
