News

This Week Only: Support Us in The Big Give

It’s donation week!

From 3–10 December, every donation (up to our £5K target) made to our Big Give campaign will be doubled thanks to The Big Give #ChristmasChallenge. That means your generosity can go twice as far in making a real difference to the BDD Foundation. 

We’re raising funds to relaunch the Beating BDD Podcast, a project that has been a lifeline for so many in our community. By tackling the isolation, shame, and stigma of BDD, the podcast shares recovery stories to offer hope and connection to those suffering. 

Campaign Aims

  • Funds raised will cover costs for hosting, equipment production, publishing & marketing, ensuring high-quality content.
  • The podcast will provide ongoing support, hope, comfort and guidance to those struggling with BDD, seeking connection and understanding.
  • We aim to expand the podcast’s reach through marketing efforts to all who need it, across the globe.
  • The podcast will also amplify the voices of those with lived experience BDD, empowering them to overcome the shame often experienced due to BDD.

Every donation up to £5K, no matter the size, gets us closer to our goal – and closer to bringing the podcast back to life🎙️✨

Let’s make twice the impact together. Donate today and help us relaunch this very important resource 💙 #DoubleTheDifference

Donate Here

BDD Collection of Poetry

We are honoured to introduce a powerful collection of poetry exploring the complex realities of BDD, written by contributors from our creative community. Each piece offers an honest, authentic glimpse into the journey of living with BDD, from the darkest struggles to moments of profound healing. These writers, at various stages of their recovery, share their voices with courage and vulnerability, creating a collection of shared experience that we hope will resonate with you. It is our honour to present their work, and we invite you to connect with these words, finding comfort, understanding, and hope on your own journey of healing.

We would love for this collection to continue growing. If you are interested in contributing to the poetry collection, please email us on volunteers@bddfoundation.org 📩

See Emily Play Releases Song in Partnership with BDDF

See Emily Play shares her new song release ‘WHAT THE HELL IS BDD’ alongside her BDD recovery story



We’re thrilled to announce our partnership with See Emily Play on the release of her brilliant new song, WHAT THE HELL IS BDD. Through the power of songwriting, Emily joins us in our mission to improve awareness of BDD as a condition. We are sure you will agree WHAT THE HELL IS BDD is a relatable and validating depiction of what it can feel like to experience BDD. Alongside this release, Emily has bravely opened up about her personal journey with BDD and the resilience she’s built through recovery. Her story, shared below, offers inspiring and relatable insights, and we’re honoured to support her in spreading awareness and hope to others who may be struggling.

Emily’s Story

The human brain is a wonderous and terrifying thing. Last week I released a song called WHAT THE HELL IS BDD. The song is a frank, uncensored snapshot of a difficult period of my life. While preparing for the release I’ve thought more about that period than ever before, and I have realised how much of it my own brain has censored out. I can’t remember, for example, writing WHAT THE HELL IS BDD. I fished my old phone out of a drawer and scrolled back through hundreds of voice memos of sketches of songs in various states of completeness. WHAT THE HELL IS BDD appears, fully formed, on the 24th January 2021, but I suspect I’d been working on it for some time before then. I know I wrote it while I was living in a flat in Adelaide, almost certainly during lockdown, but I have no specific memory of the song forming. I have very little memory of that period altogether.

I do remember the shame, though. By January 2021 I would have been experiencing very distressing, intrusive thoughts about my body for around three and a half years. I cried the first time a therapist asked me if I’d heard of body dysmorphic disorder. I had read about BDD online. I’d even gone as far as to match some of the repetitive thoughts that preoccupied my mind with the symptoms of BDD, but something about it seemed ridiculous. I had worried that on telling the therapist my deepest shame- that I felt unbearably anxious and completely preoccupied with my own appearance- that I would be diagnosed with vanity or, worse, being a bad person.

Maybe this sounds hard to believe, but for me it was never really about what I looked like. Yes, the distress was about whether my body was the wrong shape, but what really troubled me was the idea- to me an unassailable truth- that if my body was the wrong shape that would mean I was completely unlovable. I’ve never had a great sense of self-worth. Most of how I value myself comes from seeking the esteem of others. Most of the messages you get about how society values you as a young woman, from the people you meet to the media you consume, is based on what you look like. It was probably inevitable that these separate things would amalgamate and form into something unhealthy for me at some stage.

The thoughts themselves were a bit like picking at a scab or wobbling a baby tooth: An irresistible, strangely comforting, addictive kind of pain. I would scroll through old photos of myself on social media, panic at the subtle changes to my face, hair, and body that were magnified to horrendous, gargantuan size in my mind’s eye, and completely derail the next few hours. I did this habitually, going back to the same picture multiple times a day, just in case I had gained a new perspective in the interim and maybe it wasn’t as bad as I’d feared. Nothing ever changed. I could distract myself for short intervals, but then I would repeat the exercise, sending myself into a spiral of acute anxiety over and over.

I developed the same pattern with looking at my own reflection, with pictures of women who, in my head, posed some kind of threat- exes of partners, for example- and with strangers I saw in the street. I felt deeply uneasy at social gatherings. Even going to the supermarket became difficult. I couldn’t stop the urge to compare myself, unfavourably, of course, to every person I saw. I simply had to keep upsetting myself. My brain liked to keep things fresh to maintain the panic, so my focus shifted around- one day it would be my nose, the next my hair, the next my physique. People no longer looked like people but a collection of features to be fearful of. It was exhausting, but somehow it felt more exhausting, if not physically impossible, to resist. 

My recovery was slow and not entirely linear. Therapy helped a lot, though not immediately. For a long time I felt like I understood the assignment but lacked the strength to complete the task. Eventually, I was able to implement the techniques I learnt. A turning point came when I decided to run a marathon. I spent four months running six days a week and my relationship with my body changed entirely. My body started impressing me in ways that were nothing to do with how it looked. It became a powerful machine that I needed to look after. It felt great. I ended up running four marathons in four years.

Turning thirty was a defining moment, too. Something about escaping my twenties felt liberating. However, I don’t want to attach too much significance to the number itself. I’d moved closer to home and my work was going well. It was easier to believe that I was loved and worth something than it had felt previously. A few months after my thirtieth birthday my parents popped in to see me on the way to a gig. At the very last minute I decided I wanted to join them. I didn’t have time to get changed or put any make-up on, but I didn’t mind. On a rainy Tuesday evening I finally understood that nobody would notice and nothing bad would happen. Instead of feeling anxious about other people, I happily stood in my newly-discovered anonymity and enjoyed the show.

There are still relics of the misaligned, circular thoughts that used to accompany my every waking minute. I haven’t been to a proper hairdresser for eight years because I’m scared of what will happen if I look at my reflection for an extended period. I’m not connected to my partner on any social media because I’m scared that I’ll lose the plot and fall down a Facebook-stalking-rabbit-hole and never return. I still enter rooms sometimes and feel like I’m not worthy of being there because of my appearance. Writing about BDD has been surprisingly uncomfortable. I’ve become aware of how fragile I feel my mental state still is, and how terrified I still am of regressing back to the upsetting, repetitive thoughts. But, there’s also a lot to celebrate. When I wrote WHAT THE HELL IS BDD I would have found it hard to imagine that I would ever perform it on stage, that I would pose for photographs for the single cover, that I would make videos to post on social media to accompany the release. These were impossible feats for me in 2021. In 2024 it hasn’t just been achievable, it has been fun, and I have felt, very much, like me.

Announcing our new Mission, Vision & Values

We’re thrilled to share our newly defined Mission, Vision, and Values that will guide our work at the BDD Foundation

These statements have been put together with invaluable input from our community, and we’re grateful to everyone who participated in the process. As a community led charity, it meant a lot to us to have such a big response, ensuring that our direction reflects the voices and needs of those impacted by Body Dysmorphic Disorder.

We are the leading charity for Body Dysmorphic Disorder. We shine a light on a condition that is misunderstood by raising awareness, providing support and fostering community to shatter stigma and shame. We alleviate suffering and inspire hope – because we know recovery is possible.

We envision a world where Body Dysmorphic Disorder is truly understood, and everyone impacted has timely access to support, care, and treatment.

Finally, our values – Hope, Community, Compassionate, Dedicated & Pioneering. 

Thank you again to our community for being part of this journey. Together, we’re making a difference and creating a better future for everyone impacted by BDD. 

Webinar Series – Unfair to Compare

A key process fuelling the preoccupation and distress of BDD is the tendency to compare perceived flaws to others’ features. This habit leads to ranking one’s appearance as inferior, reinforcing self-criticism and constant checking in mirrors. In this session, Professor David Veale and Dr Rob Willson explore the motivations behind comparing, whether it truly serves us, and practical strategies to break this cycle, including alternatives to comparison.

Meet the Speakers

Professor David Veale is a Consultant Psychiatrist in Cognitive Behaviour Therapy at the South London and Maudsley NHS Trust, where he directs a national specialist service for people with BDD & The Nightingale Hospital London in Marylebone. He is a Visiting Professor at the Institute of Psychiatry, King’s College London. He has co-authored a self-help book on Overcoming Body Image Problems including BDD and a treatment manual for BDD for professionals. He has been researching BDD for nearly 30 years and has published about 40 scientific and teaching articles in BDD. He was motivated to improve the care of people with BDD after the suicide of one of his in-patients with BDD in 1991. David is a long standing and highly valued Patron of the BDD Foundation.

Dr Rob Willson is a CBT therapist based in North London, with a special interest in BDD, OCD and Health Anxiety. He currently divides the majority of his work time between seeing patients, conducting research, writing and teaching. He is chair of the BDD Foundation. Rob has co-authored several books, including the bestselling ‘Cognitive Behavioural Therapy for Dummies’ and ‘Overcoming Obsessive Compulsive Disorder’. His main clinical interests are anxiety and obsessional problems, and disseminating CBT principles through self-help. He has featured in numerous newspaper and magazine articles and had made several TV and radio appearances.

Webinar Series – Accessing NHS Services for Young People with BDD

Dr. Amita Jassi, has provided her expert guidance on treatment and referral pathways for young people seeking specialist care for BDD within the NHS. In this session, Dr. Jassi outlines the steps involved in accessing appropriate treatment, discuss key elements of specialist BDD care for young people, and offers practical advice for families, caregivers, and professionals supporting those affected. 

Meet the Speaker

Dr Amita Jassi is a Consultant Clinical Psychologist and lead for the National Specialist BDD service for young people at South London and Maudsley NHS Trust. She has worked with young people with BDD, OCD and related disorders since 2006. In her clinical role, she leads multi-disciplinary specialist assessments and develops and delivers individually-tailored treatment packages. Amita has taught and trained nationally and internationally and engages with media to help increase awareness and understanding of BDD and related disorders. She has authored several books on OCD and BDD and published peer-reviewed papers in this field.

Chairman Dr Rob Willson on Fearne Cotton’s Happy Place

We are encouraged to see mainstream platforms like Fearne’s raising awareness of our mission and the realities of living with BDD

We’re thrilled to share that our Chairman, Dr. Rob Willson, recently joined Fearne Cotton on her Happy Place podcast series, What is? How to?, for an episode devoted to understanding Body Dysmorphic Disorder (BDD). In this insightful conversation, Dr. Willson dives into the impact of BDD on daily life, explores the signs and symptoms, and offers valuable strategies for coping. This discussion is an incredible opportunity to shed light on a condition that often goes unrecognised, and we’re encouraged to see mainstream platforms like Fearne’s raising awareness of our mission and the realities of living with BDD.

Watch the full episode below! 👇

Webinar Series – Coping with Lapses & Relapses in BDD

After making progress in overcoming BDD, it is common to feel nervous about relapse. In this webinar Dr Georgina Krebs and Kitty Wallace discuss strategies that can be used to help prevent relapse. They will also discuss how it is common to experience setbacks, and what can be done when these occur. Although lapses and relapses can be demoralising, it is important not to lose hope. With the right techniques and support it is always possible to get back on track.

Meet the Speakers

Dr Georgina Krebs is an Associate Professor at University College London (UCL) and co-leads the Anxiety, self-Image and Mood (AIM) Lab, focusing on body dysmorphic disorder (BDD) research in young people. She has published around 90 peer-reviewed papers and book chapters, primarily on BDD. As an Honorary Consultant Clinical Psychologist, she co-leads the AIM Clinic, an NHS service specialising in BDD for young people. Trained at King’s College London, Georgina worked over 15 years in a specialist clinic for youth with obsessive compulsive and related disorders, where she also led clinical trials in cognitive behaviour therapy.

Kitty Wallace is Head of Operations for the BDD Foundation and has been in this role since 2018. Kitty has lived experience of BDD, receiving a formal diagnosis at the age of 19. After a period of treatment and recovery, Kitty worked in the wholesale designer fashion industry, working in a managerial role for the largest fashion agency in the UK. However, in her late 20s she suffered a devastating relapse in her BDD, which sowed the seeds of her passion for becoming involved in the Foundation, first as a fundraiser, then as a trustee and finally in the role she is in today. She feels passionately about raising awareness of this disabling condition, and building a sense of community for those suffering. 

BDD, Shame and Childhood Trauma

New research uncovers links between BDD symptoms, shame and negative experiences in childhood

BDD symptoms and shame are clearly linked, finds a new study led by UCL researchers.

The study, led by Dr Laura Pattison as part of her Doctorate in Clinical Psychology, explored the relationship between BDD symptoms, shame and childhood trauma.

342 adults from the community – some with BDD symptoms and some without – participated in the study. The sample was ¾ female, 2/3 heterosexual, and included adults aged 18-30 from a broad range of ethnic backgrounds.

The survey included standardised questionnaires capturing BDD symptoms1, as well as lived experiences of shame2, anxiety 3, low mood 4, and adverse childhood experiences, including abuse, neglect5, and difficult relationships with others, such as bullying6.

After reviewing the responses, results showed that BDD symptoms were strongly associated with shame. Strikingly, the relationship between BDD symptoms and shame was evident even when other negative emotions (anxiety and low mood), were taken into account. This shows us that shame is important in BDD in and of itself.

What’s more, this was true even when all questions about body shame were excluded from analyses – suggesting that a general sense of shame is connected to BDD symptoms. This was perfectly described by someone with lived experience of BDD*, who said:

“Even when you remove the appearance based, body stuff, that shame is still really, really present. It just takes over you – the ‘I’m not good enough’, ‘I’m not worthy’… BDD just tells you you’re a horrific, horrific person”.

The results of the study also showed that BDD symptoms were also connected abuse, neglect, and difficult relationships experienced in childhood (including bullying).

Researchers also found that there could be a potential link from these experiences in childhood to BDD via shame. This means shame could be an important link in the chain from childhood experiences to BDD.

This study is not without limitations: for one, it only examined symptoms of BDD rather than diagnosed BDD. Furthermore, it was based on self-report data from one group of people in one moment in time. This tells us very little about the long-term trajectory from childhood experiences to BDD, so cannot give us definite answers about causal pathways.

Despite its limitations, the findings do give us some important insight into what could cause BDD symptoms to develop. It also sheds some light on areas that could be useful to target in interventions. For example, clinicians offering assessments or treatments for BDD may need to be aware of the ways in which shame can show up.

“There’s a big element of shame in even admitting you think you might have [BDD]”. *

Helping people with BDD to feel safe enough to access treatment, when they may be living with so much shame, is crucial.

Treatments may also need to target shame directly. Compassion Focused Therapy (CFT), for instance, aims to reduce shame and build self-compassion.

“For me in my recovery, self-compassion was the biggest thing.” *

“When I first started [CFT], I thought it sounded like it wasn’t going to be very impactful, but … It saved my life.” *

Self-compassion interventions have been shown to be effective in treating mental illnesses such as anxiety, depression and eating disorders7, and there is emerging evidence that they may be helpful for BDD8. Larger-scale trials are now needed to fully evaluate how effective compassion-focused interventions can be in treating BDD.

* With thanks to our advisory group of people who have lived experience of BDD, for their input on this project and quotes about their own experiences.

References

1- Veale, D., Ellison, N., Werner, T. G., Dodhia, R., Serfaty, M. A., & Clarke, A. (2012). Development of a Cosmetic Procedure Screening Questionnaire (COPS) for Body Dysmorphic Disorder. Journal of Plastic, Reconstructive & Aesthetic Surgery, 65(4), 530–532.https://doi.org/10.1016/j.bjps.2011.09.007

2 – Andrews, B., Qian, M., & Valentine, J. D. (2002). Experience of Shame Scale. https://doi.org/10.1037/t39071-000

3 – Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection. Annals of Internal Medicine, 146(5), 317–325. https://doi.org/10.7326/0003-4819-146-5-200703060-00004

4 – Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003). The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener. Medical Care, 41(11), 1284. https://doi.org/10.1097/01.MLR.0000093487.78664.3C

5 – Grabe, H. J., Schulz, A., Schmidt, C. O., Appel, K., Driessen, M., Wingenfeld, K., Barnow, S., Spitzer, C., John, U., Berger, K., Wersching, H., & Freyberger, H. J. (2012). [A brief instrument for the assessment of childhood abuse and neglect: The childhood trauma screener (CTS)]. Psychiatrische Praxis, 39(3), 109–115. https://doi.org/10.1055/s-0031-1298984

6 – Angelakis, I., & Gooding, P. (2020). A novel tool showing that perceptions of adverse social relationships in childhood were linked with mental health problems and suicidal experiences: Validation of the English version of the History of Social Punishment (HoSP) scale. Psychiatry Research, 285, 112807. https://doi.org/10.1016/j.psychres.2020.112807

7 – Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: A meta-analysis of RCTs. Mindfulness, 10(8), 1455–1473. https://doi.org/10.1007/s12671-019-01134-6

8 – Linde, J., Luoma, J. B., Rück, C., Ramnerö, J., & Lundgren, T. (2023). Acceptance and Compassion-Based Therapy Targeting Shame in Body Dysmorphic Disorder: A Multiple Baseline Study. Behavior Modification, 47(3), 693–718. doi.org/10.1177/01454455221129989

Research Participants Needed

Participate in a research study with University of Prince Edward Island exploring the relationship between mental contamination and Body Dysmorphic Disorder symptoms

Interested? Participation will involve…

  • Completing a short survey (15 – 20 mins)
  • Completing an online interview (~60 mins)

Participants who…

  • Have personal lived experience of BDD
  • BDD diagnosed or self-diagnosed
  • Live in Canada, UK or US
  • Aged 18+

Participants who complete the interview will receive a $50 (CAD) gift card for compensation

To register your interest, follow the link below or contact Dr Martha Girlado O’Meara/ Mr Dan Mackinnon on omearalab@upei.ca

Take Part Here

The Body Dysmorphic Disorder Foundation. Charity no. 1153753.