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WHY BDD IS UNDERDIAGNOSED: SECRECY AND SHAME
BDD is often a secret disorder. The BDD sufferer doesn’t reveal their appearance concerns, and the health professional doesn’t ask. Many people I’ve seen have never mentioned their appearance concerns to others. Many who’ve been in treatment with a mental health professional have never discussed their BDD symptoms, even though they were a serious problem. In the Minnesota inpatient study, all of the patients with BDD wanted their doctor to know about it but said they wouldn’t raise it with their doctor unless they were specifically asked, because they felt too ashamed. In a study of patients with anorexia nervosa, of whom 39% also had BDD, all of those who also had BDD said they wouldn’t reveal their BDD to their treater unless they were specifically asked because they were too ashamed. It takes courage to mention the concerns and discuss them. If they aren’t asked about, they may not be revealed. Reasons for secrecy and shame include the following:
Anti-Depressant• Worry that once the perceived defect is mentioned, others will notice it and focus on it more, causing even more embarrassment and shame;
• Fear that disclosure of the worry will be met with reassurance that the BDD sufferer looks fine. Many people with BDD interpret this response, although honest and well-meaning, to mean that they were foolish to have mentioned it, or that their emotional pain isn’t being taken seriously or understood. If they get this response, they may not mention it again.
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This entry was posted on Tuesday, November 3rd, 2009 at 11:33 am and is filed under Anti-Depressant. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.