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The BDD Foundation
Приєднався 12 кві 2015
What Good BDD (CBT) Treatment Should Look Like with Dr Lauren Peile and Dr Katie Lang
Lauren and Katie will be facilitating a session for individuals and their carers, as well as professionals, which sets out what we know about what makes CBT for BDD effective.
This will include a summary of what we have learned by studying the measurable outcomes of therapy, in research and everyday therapy sessions, as well as information directly from those who have made use of CBT for BDD.
We hope that this session will be helpful for those wishing to access CBT for BDD or to advocate for themselves or their loved ones when navigating services. We anticipate that the session will also provide a space for both individuals with BDD and professionals supporting them, to discuss and reflect on how to get the most out of CBT when this is offered.
Dr Lauren Peile is a Principal Clinical Psychologist at the National
& Specialist OCD, BDD and Related Disorders Service for Children & Young People (South London and Maudsley NHS Foundation Trust). She has worked at the service since 2012 and provided assessment & treatment to young people diagnosed with BDD or experiencing appearance-based distress for around 10 years. Prior to this she worked in a number of other Child and Adolescent Mental Health Services and also at the NSPCC. Within the team she takes a lead in developing work with inpatient services and other enhanced treatment and overseeing the delivery of the NHS England Highly Specialist Services pathway for children and young people. She is involved in leading multi-disciplinary specialist assessments, and delivering weekly, intensive, home-based and inpatient treatment approaches, as well as consultation and joint work with other clinicians.
Dr Katie Lang is a Clinical Psychologist at the National and Specialist OCD, BDD and Related Disorders Service for Children and Young People (South London and Maudsley NHS Foundation Trust). Katie has worked at the service since 2020 and provides assessment and evidence-based treatment to young people diagnosed with BDD or appearance anxiety. Katie completed her doctorate in Clinical Psychology at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), and prior to this completed a PhD in Psychological Medicine also at the IoPPN. Much of her research has focused on improving existing or developing new psychological treatments
This will include a summary of what we have learned by studying the measurable outcomes of therapy, in research and everyday therapy sessions, as well as information directly from those who have made use of CBT for BDD.
We hope that this session will be helpful for those wishing to access CBT for BDD or to advocate for themselves or their loved ones when navigating services. We anticipate that the session will also provide a space for both individuals with BDD and professionals supporting them, to discuss and reflect on how to get the most out of CBT when this is offered.
Dr Lauren Peile is a Principal Clinical Psychologist at the National
& Specialist OCD, BDD and Related Disorders Service for Children & Young People (South London and Maudsley NHS Foundation Trust). She has worked at the service since 2012 and provided assessment & treatment to young people diagnosed with BDD or experiencing appearance-based distress for around 10 years. Prior to this she worked in a number of other Child and Adolescent Mental Health Services and also at the NSPCC. Within the team she takes a lead in developing work with inpatient services and other enhanced treatment and overseeing the delivery of the NHS England Highly Specialist Services pathway for children and young people. She is involved in leading multi-disciplinary specialist assessments, and delivering weekly, intensive, home-based and inpatient treatment approaches, as well as consultation and joint work with other clinicians.
Dr Katie Lang is a Clinical Psychologist at the National and Specialist OCD, BDD and Related Disorders Service for Children and Young People (South London and Maudsley NHS Foundation Trust). Katie has worked at the service since 2020 and provides assessment and evidence-based treatment to young people diagnosed with BDD or appearance anxiety. Katie completed her doctorate in Clinical Psychology at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), and prior to this completed a PhD in Psychological Medicine also at the IoPPN. Much of her research has focused on improving existing or developing new psychological treatments
Переглядів: 1 018
Відео
'Cheering on from the side-lines: the perceived impact of romantic partner's commentary & behaviour'
Переглядів 2069 місяців тому
'Cheering on from the side-lines: the perceived impact of romantic partner's commentary and behaviour on women's appearance anxiety' with Dr Gemma Lumsdale, DClinPsy Trainee, Surrey University.
'Supervised digital training of clinicians to assess and deliver CBT for young people with BDD...
Переглядів 1059 місяців тому
'Supervised digital training of clinicians to assess and deliver CBT for young people with BDD: a feasibility study' with Dr Martina Grumpert, PhD candidate, Karolinska Institute, Stockholm, Sweden.
'Maternal accommodation of Paediatric BDD: clinical correlates and implications for treatment...
Переглядів 1059 місяців тому
'Maternal accommodation of Paediatric BDD: clinical correlates and implications for treatment outcomes' with Dr Elizabeth Hogg, Trainee Clinical Psychologist, Kings College London.
'BDD in young people: prevalence, comorbidity and psychosocial impairment'
Переглядів 1479 місяців тому
'BDD in young people: prevalence, comorbidity and psychosocial impairment' with Dr Georgina Krebs, Associate Professor, University College London.
A systematic review of the similarities and differences...of BDD and eating disorders...
Переглядів 1549 місяців тому
A systematic review of the similarities and differences in aetiology and psychopathology of BDD and eating disorders: can both be classed as body image disorders?' with Hannah Lewis, PhD researcher, Queen Mary University of London.
'Effects of induced perceptual biases on body dissatisfaction... - an eye-tracking study'
Переглядів 1409 місяців тому
'Effects of induced perceptual biases on body dissatisfaction and attractiveness evaluation - an eye-tracking study' with Dr Anne Mollmann, Bielefield University Germany.
'Therapist-guided, internet-delivered CBT for adolescent BDD....
Переглядів 959 місяців тому
'Therapist-guided, internet-delivered CBT for adolescent BDD: A feasibility trial with long term follow-up' with Dr Daniel Rautio, Karolinska Institute, Stockholm, Sweden.
BDD Across the Lifespan with Scott Granet
Переглядів 7449 місяців тому
Given the significance placed on physical appearance during the teen and young adult years, it only makes sense that BDD would be thought of as just a young person’s problem. While much of the related literature does in fact concentrate on that demographic, BDD doesn’t somehow weaken as people age. If left untreated, it will in all likelihood just continue to worsen. This presentation will addr...
Shedding Light on Shame and it's role in BDD with Dr Georgina Krebs
Переглядів 6289 місяців тому
Over a century ago, early accounts of body dysmorphic disorder (BDD) described it as “an obsession with shame of the body”. This talk will discuss the nature of shame, positioning it as a powerful emotion that is intimately linked with an individual’s self-concept. The presentation will outline contemporary research, highlighting evidence for a connection between BDD and not just body shame but...
Fashion & BDD Panel with Alex Light, Nicholas Mazzei, Tilly Kaye, Jennifer Savin & Prof David Veale
Переглядів 2309 місяців тому
An explorative and insightful panel talk that will delve into the relationship between Fashion and BDD. Panellists discuss whether the way we market and sell fashion plays a role in the increasing prevalence of body dissatisfaction, with a conversation around the connections between consumerism, body image, and mental health. With insights around how clothing can sometimes become an unhelpful s...
Unfair to Compare with Prof David Veale and Dr Rob Willson
Переглядів 7709 місяців тому
A key process in maintaining the preoccupation and distress of Body Dysmorphic Disorder is that of comparing one’s perceived defect(s) against another person’ feature(s) (usually of the same age and sex). It is made worse by frequent comparing against others on social media and the internet. This sets in train the ranking of one’s feature(s) as being uglier than the other person’s. It strengthe...
Compassion as a Transforming Approach for Harsh Self-Criticism with Professor Paul Gilbert OBE
Переглядів 7199 місяців тому
This presentation will give a brief overview of the core features of compassion, how it is rooted in a particular evolved system with psychophysiological properties that are very useful for helping us with mental health difficulties. We will contrast that with the processes of harsh forms of self-criticism. A brief outline of some of the practises will be offered, and then depending upon volunt...
BDD Within the LGBTQIA+ Community with Chris Trondsen, LMFT.
Переглядів 2639 місяців тому
Individuals suffering from BDD all experience appearance fixations. However, people with BDD who are also members of the LGBTQIA community are impacted by additional and unique challenges when suffering from this condition. BDD's impact is more pronounced in LGBTQIA individuals, with research showing higher BDD, body dissatisfaction, eating disorder rates, and increased substance use disorder a...
Dr Rob Willson's Welcome Introduction to the 10th Anniversary Conference
Переглядів 2019 місяців тому
Dr Rob Willson's Welcome Introduction to the 10th Anniversary Conference
Visual Processing and Distorted Perception of Appearance in BDD with Dr Jamie Feusner.
Переглядів 1 тис.9 місяців тому
Visual Processing and Distorted Perception of Appearance in BDD with Dr Jamie Feusner.
Ep29 Arie Winograd - Treating body dysmorphic disorder
Переглядів 4,6 тис.Рік тому
Ep29 Arie Winograd - Treating body dysmorphic disorder
Ep28 Tilly Kaye - recovering from body dysmorphic disorder
Переглядів 1,4 тис.Рік тому
Ep28 Tilly Kaye - recovering from body dysmorphic disorder
Ep27 Eva Fisher - recovering from body dysmorphic disorder
Переглядів 4 тис.2 роки тому
Ep27 Eva Fisher - recovering from body dysmorphic disorder
Ep26 George Mycock - recovering from muscle dysmorphic disorder
Переглядів 6912 роки тому
Ep26 George Mycock - recovering from muscle dysmorphic disorder
Scarlett Bagwell - Parenting a child with BDD.
Переглядів 1,1 тис.2 роки тому
Scarlett Bagwell - Parenting a child with BDD.
Dr Fugen Neziroglu - Application of the CBT Model to BDD treatment
Переглядів 2,3 тис.2 роки тому
Dr Fugen Neziroglu - Application of the CBT Model to BDD treatment
Kimberley Quinlan It’s a beautiful day to do hard things
Переглядів 8972 роки тому
Kimberley Quinlan It’s a beautiful day to do hard things
Dr Nicole Schnackenberg Writing Because the Page Listens An Exploration of Narrative Approaches
Переглядів 6702 роки тому
Dr Nicole Schnackenberg Writing Because the Page Listens An Exploration of Narrative Approaches
Harnessing peer support from lived experience of BDD The BDD Foundation’s Structured Support Group
Переглядів 4612 роки тому
Harnessing peer support from lived experience of BDD The BDD Foundation’s Structured Support Group
Georgina Krebs ‘The devil is in the detail’ Detail focussed processing in BDD & anorexia
Переглядів 1 тис.2 роки тому
Georgina Krebs ‘The devil is in the detail’ Detail focussed processing in BDD & anorexia
Elias Marchetti Living the Exposure Life
Переглядів 1 тис.2 роки тому
Elias Marchetti Living the Exposure Life
Dr Elif Gökcen - Understanding and treating BDD in young people
Переглядів 6022 роки тому
Dr Elif Gökcen - Understanding and treating BDD in young people
when Omari said give me something else why this, and then pointed out the fact anyone with mental health will always feel like what they have or going through is the worst, really resonated with me. been through tinnitus anxiety thought that was the WORST, then went thru Eye freckle insecurity/obsession, was severely DEPRESSED wanted to cry every day. then lastly went through BDD which was focused on my Hair, more so anxiety/paranoia around balding...now this nearly took me out. Now I laugh at all these obsessions and think back to why I thought these were so important lmao. but it goes to show you whatever you are going through at the time will always seem like the worst thing
God...all are so handsome :)
I destincly remember a strnger coming up to me at the train station in highschool and saying " you know my best friend is an eye model. You could br an eye model...she has a fucked up nose aswell"... also my step mums friend saying to her " id love to see what briony looks like when shes older and has grown into her face..." but i dont remeber lot of my life lol
I hate that b i am doing something like normal and then i get a glanse in the mirror or reflection of mysel. And i see how disgusting i am. Like i kinda forgot for a minute. And the reminder is such a horrible shock!!!. Its so cruel
Even if you dont look at the small stamp of yourself, you know everyone lse has a full profile portrait view of you No way!!! Havent done a photo or video for about 5 yrs a still shot of my ugliness that people can look at whenever how horrifying!!!
Thank you!
This disorder has ended my life, I want to commit suicide, I can't leave the house, I'm devastated every day, I use medication, I was using Lustral 200 mg for 1 month, but it didn't work, now I switched to Anafranil, they don't work for 1 week, is there any other treatment, medications don't work.
What do you do if you are actually ugly though
Thank you so much for this.
I have bdd and have recently been diagnosed with ADHD are there any significant links between the 2?
I wish more people were dedicated to BDD. I struggle with it on a daily basis
My experience has taught me that there is no hope. If you're a skin picker, learn to live with it.
Thank you for doing this ✨
Not sure if this is the exact problem I have but basically I'm a 36 year old straight male but 20 years ago when I was 16 I was mistaken for a girl which has had a severe effect on the way I feel as a man to this day, sometimes I think about it more than I do other times but now I always worry about going out somewhere in case it happens again, the only time I don't worry about this is when I have a full beard, if I am completely clean-shaven I worry that I look too feminine, has this happened to any other men out there, or does any other man have this feeling?
I got the same condition as omari... My eyes. Whenever I hopefully sees my self as OK in the mirrors, I see myself looking stressed, panda eyes, hard to breath, panic. Worried bout how others sees this and being judged as sick or stressed. When avoiding the mirror or reflection, it's on my mind how I will look and when the opportunity comes to look myself, I'm disappointed and drowning my mood and repetition of scared being judged sick or looking stressed
‘Go with somebody else’ exactly. Gps went to Med school didn’t they, they should know what BDD is
Possibly you might like to update the title to include rumination given most of the talk is about that . As Prof. Veale himself says it cuts across a lot of different disorders as well as within the individual differences of most people. A fascinating topic really broken down in depth, its interesting for me personally to see some of my own ideas about the nature and definitions of rumination reflected in this lecture , thank you
Wow, I'm reading this man's book at the moment. I didn't expect to come across this. Brilliant
What is the name of the book? ty
❤❤ super helpful 👌
Could I ask question?
Hi Saif, if you have any questions please email support@bddfoundation.org and our trained volunteers will get back to you.
in the world of Zoom BDD has become my nightmare , I hate to look at myself through cameras , or videos . I cant remember the last time i took a selfie . Every time i see myself through a camera its just a lot of self hate , not wanting to be the person who I am , because i feel unattractive . I feel so raw and exposed , as if im opening myself up for everyone to see ...
I can relate all too well with your stories. Thank you for sharing
Simon you seem like a really lovely human, we're very lucky to have you here ♥♥♥
Very helpful lecture. But I have a very important question and it keeps annoying me trickily which is How do you distinguish if your concern about your appearance is an actual problem or just dymorphic problems in your mind? How to decide if it is a really existed facial flaws or a psychological problem?
Hi Zihan, thank you for the question. A BDD related concern about appearance is characterised by the level of anxiety and distress around the perceived flaw rather than the severity (or otherwise) of the flaw itself. For example, are your concerns impacting your quality of life, ability to study, work or socialise? Are you worrying about that aspect of your appearance for more than an hour every day? If the answer is yes, then it could be an indication that this is BDD. You could try our 'Do I have BDD? questionnaire: bddfoundation.org/information/do-i-have-bdd-test/ For a more detailed answer please contact our e-helpline and one of our trained volunteers will get back to you. Email: support@bddfoundation.org
After LASIK and hair replacement, I can say the improvement is very mild. And both come with their own NEW bdd challenges with maintanence. Better to tackle the source of the problem with Cbt rather than patching the symptoms.
Rob is a genius in this area. His videos are massively helpful thank you so much Rob.
Nice video. Your breath is directly related to your mind [brain] causing anxiety-stress. For a relaxed life without anxiety-stress sit on a chair, back erect, hands on lap with palms upwards, eyes closed, be still and observe your natural incoming--outgoing breath for around 10-15 minutes. Be as still as possible. Many thoughts will come which is ok--slowly negative thoughts will reduce and your mind will relax. During your daily activity keep observing your breath consciously. Best part is mood swings also reduce. Do the above meditation daily to feel relaxed. For more relaxation enter the following on google search and listen before sleep repeating the affirmations in your mind. -“52Hz affirmations for health and healing you tube”. This could be life transforming. Best wishes. Shyaaam Sir. -Counsellor.
Im 38 years year and in the last couple of days come to realise I probably have bdd . I can relate to all you guys but mostly callum... my whole life I've struggled like this
The pandemic has made mine so much worse. I've tried everything. What to do when nothing has worked?
Thank you so much!!!!
he is adorable
Practicing mindfulness has helped. The mindfulness book "30 Days to Stop Obsessing" by Harper Daniels has good exercises and lessons. Share it with anyone who might be struggling. The fight is real, but it doesn't have to be long term.
The techniques you picked up, are they still useful and has it maintained your healing process?
I'm having a bad spike atm these videos are helping me feel grounded
When are you getting back to posting?
Getting enough sleep has absolutely no impact on my BDD. My BDD has been severely affecting me in so many negative ways for 40 years, so no amount of sleep, CBT, or anything else would change the negative ways in which I view myself. Maybe if I had some kind of severe head trauma that would erase some negative events in my life from a part of my brain or affect my brain in a way which made me view myself completely differently, then I may be able to rid myself of this awful disorder. I have been on SSRIs, SNRIs, benzodiazepines, and atypical antipsychotics, and none of these medications has even put a dent in my BDD. Also, the limiting time in front of the mirror thing wouldn't help me either. When I feel adequately presentable to leave the house, that's when I will leave the house. If I don't get the time to make myself look even remotely presentable, I will not leave the house...period. My BDD is so severe that it has caused me to be late to school, jobs, and important events over four decades. I have been fired from good jobs due to being constantly late as a result of my BDD. It is a wicked condition from which to suffer. The only way that I could ever have a possibility of being "cured" of this disorder is for major changes to occur in my body (i.e. if my skin and hair miraculously got darker, among other major bodily changes). I am turning 54 years old in a few days, and I have suffered with BDD for 40 years, so I don't foresee myself ever being rid of this awful devastating disorder. I guess I will just have to hope to be reincarnated as a more "normal" looking human being. :(
I completely understand everything you're saying and resonate with most of the things you're saying as well. I feel to completely accept myself I must permanently change the things I hate.
Hi John-I know this was awhile back, but wondering if you have ever heard of EMDR? EMDR may be able to help with underlying problem/s that started you on this journey.
Thank you all for taking the time to have this discussion. I believe by shining a light on this... and having these types of discussions... it actually helps to tame the wild animal (that is BDD) a bit more. Thank you again... and know that your work is vitally important to help save people's lives (figuratively and literally).
He fails to apply a social model to this research. The fact that online dating plays a significant role in how one looks. He has not fully incorporated the social aspects of BDD which, in my view, is important.
Very helpful, I have never come across “rumination”, it describes the ‘loop” I feel I have been stuck in for a while, I can observe it but cannot seem to exit it...I’m glad its an actual thing, one less possibility that I’m actually just crazy.
For me, it started at around 10 years of age. My mother would tell me I'm getting fat and would withhold food from me during meals. My brothers and friends would make fun of me while they would eat all the food they wanted. School mates and friends started giving me fat nicknames. I then started starving myself and finally reached a weight where my family and friends stopped calling me fat. At that point, I decided I needed to look even better and so I continued to starve myself and began to lift weights. I hated being around food and would feel a lot of anxiety. In high school, I started gaining lots of positive attention from school mates and girls as a result of having a lean body. By the time I was in college, I was an avid fitness guy. Then I got married and became depressed and I stopped caring about my appearance. I gained 130 pounds and started to avoid public places and hated being around people. After about 6 years of this, I began to notice the disgust on people's faces everywhere I went. I decided I needed to care again so I started dieting and exercising. I have now lost 130 pounds began to once again feel anxiety every time I am around food or if I have to go to an event that involves food. I now receive a lot of positive attention but I don't believe it. I think those people are just "being nice" and don't really believe I look good. These days I realize I am old (54), half bald and my body is lumpy (disgusting). I hate the feeling of food in my body but I love eating food. So I exercise 2 hours a day, 7 days a week. I try not to be around high-calorie foods because I can't seem to help myself and end up binging. After a day of binging, I add to my exercise routine to try and burn it off.
I have a family history of mental illness ( my mother has schizophrenia ) . received a year of therapy to deal with this but towards the end I began ruminations profusely, now I need my life back.
Really helpful. I have been ruminating on the same thought for 2 years now, and its gathering other ruminations unrelated to my appearance. Its so easy to know the principles but to apply them is another story.
In terms of core values,its probably something most bdders have entirely lost focus on due to their preoccupation.Its a key component of both compassion focussed therapy and behavioural action therapy.I was treated at ADRU which david oversees almost 3 yrs ago now.I had very severe BDD for 28ys ,completely decimated my life.During the 20 weeks at ADRU I came to not see myself as defined by appearance and consequently less emotionally reactive to actual physical appearance and mental image also.What worked for me was attentional training daily and mirror retraining also with an overall focus on tolerating and sitting with distressing emotions.The patients who improved most were the ones willing and motivated to function with those very emotions and do the therapy while you feel terrible until you dont.For an update David Im now in my second year of Medical school at 48 yrs old having wasted my entire adult life on BDD, ADRU was the pressure cooker that made me confront my shame about appearance once and for all and I still use what I learned there everyday of my life.Thank you to you and youre team,its a lifesaving service youre providing ,Ive no no doubt Id be dead now if it werent for my experience at ADRU.
thank you very much for your testimony. i feel close to you scarred10, i'm 43 years old french man (my english is not super good) and i had very severe BDD for 23 years, unfortunately the BDD topic is unrecognized in France (compare to england or USA), we can find only one or two book about it and BDD's psychologist are hard to find, i'm lucky to understand english, i could read some good books about BDD and the BDD foundation brings so much helps and supports for us (thank you so much !!) i think i'm almost succeed to treat myself (with books) about BDD but it tooks around 13 years ( i still not cured). what worked for me was also attentional training, mirror retraining, many many exposures (with responses preventions), self compassion, mindfullness meditation and all CBT explanations and Effexor traitment. this illness is very crazy, i fought against BDD for 13 years, today i think i'm almost win the battle and even during the last months, i had regularly despair thoughts but don't give up !! we can do it !!! if you tried a too big step in your exposure list, find a smaller one, divide it until you master it.
Wow the slide about mental planning and false hope.... I really wish I didn't hear that bc those are the only moments when I don't want to kms
I am sorry that this section was upsetting. Please know, there is HOPE, you can get better. David is trying to explain that rumination such as hours in the mirror, googling cosmetic treatments or planning for future cosmetic procedures etc feeds the BDD thoughts. The more time you spend actively thinking about your appearance and planning how you will fix it, the more your brain will go back to those thoughts creating a loop of rumination. These behaviours increase the obsessional thoughts and time spent on them. By beginning to redirect attention away from these behaviours your brain will begin to adjust and give less priority to worries about appearance.
Hi, I don't know what to say, my partner made me come onto your page. I have an anxiety disorder as it is. I actually find the lockdown good. I dont want to leave the house. He thinks I have BBD and I know I don't. I am ugly and I am fat.
This needs more attention
That was so enlightening and informative! I myself as a man has BDD. Although it is not as severe. This was much needed. Keep men and BDD topics coming! I missed this live stream though. Hopefully I’ll catch the next one. 🤗
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Thank you this was very informative,
Thanks for giving this inspiration to remove more darkness.
brilliant breakdown