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Foot & Ankle

BODY IMAGE PROBLEMS AND BODY DYSMORPHIC DISORDER

British Orthopaedic Foot & Ankle Society (BOFAS)



Abstract

Body Image is defined as our internalised sense of what we look like. For most of us, there is a relatively good match between what we think we look like and how we appear to other people. Body image can also be studied in terms of what you look like in the eyes of an observer and the pressures that occur to look a certain way. Body Dysmorphic Disorder (BDD) is the most extreme type of body image problem and consists of a preoccupation with one or more features that is not noticeable to others or the person's concern is markedly excessive. The preoccupation is associated with many time consuming rituals such as mirror gazing or constant comparing. It is associated with a poor quality of life, social isolation, depression and a high risk of committing suicide. Any part of the body may be involved but the foot is an uncommon focus for people with BDD. Such individuals often have needless dermatological treatment and cosmetic surgery. Body image problems and especially BDD is easily trivialised and stigmatised. People with BDD can benefit from cognitive behaviour therapy and certain types of medication.

Speaker

David Veale is Consultant Psychiatrist in Cognitive Behaviour Therapy at the South London and Maudsley Trust and The Priory Hospital North London and an Honorary Senior Lecturer at the Institute of Psychiatry, Kings College London. He runs a national specialist service for people with BDD and obsessive-compulsive disorder. He has published about 70 articles and co-authored five books including “Overcoming Body Image Problems (including Body Dysmorphic Disorder” published by Robinson and a treatment manual for BDD. He is a past President of The British Association of Behavioural and Cognitive Psychotherapies. His website is www.veale.co.uk