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Ciara’s Story

At the end of the day beauty is deeper than people’s skin. It’s about personality.

I never felt pretty, even when people told me I was, or when a boy said he liked me. I always felt ugly. When I was younger I had no self-confidence. I remember my childhood friend telling me, when I was about 13, that I should straighten my hair and wear makeup, but I just couldn’t do it. It wasn’t until I started to gain more confidence in myself and see myself differently that others did too. But that came later. I remember one of my close male friends telling me I was pretty and I was devastated, because I thought he was poking fun at me. I don’t have a straight nose or full lips; the only thing I liked about my body was my eyes. When I got a little older I started to wear makeup and straighten my hair. I tried my hardest to look better, to wear nice clothes and smile, but it never made me feel good.

“I still go through phases where I feel disgusted by my face and body”

I’m better now than I was back then. I still go through phases where I feel disgusted by my face and body. I look in the mirror and notice all my flaws and punish myself for them. Whenever a guy comes up to me in a club I honestly think it’s because he’s picked me out as the ugly one, and therefore easy and desperate, and whenever I hear the word “ugly” in public I think the person must be talking about me. Of course, I know that there are worse things in the world than being unattractive, and I thank my lucky stars that I have good health and an amazing family and wonderful friends, but I still can’t help it. My mind goes back and picks out the people who may have said I’m ugly or who have looked at me oddly.

And the weird thing is that I wouldn’t change the way I look. I don’t think I’d like to be one of the gorgeous girls that all the guys like. What I really want is to stop caring. To just see myself in a consistent light, and not as ugly and worthless or as beautiful and superior, but as a human being just like everyone else. Body Dysmorphia is terrible and soul-destroying. Perhaps if we lived in a society that was not so focused on looks, that valued people’s hearts more, then there wouldn’t be such a disorder. Perhaps we need to rethink our values and stop making our lives miserable by thinking that we are not pretty enough.

I have never had a proper boyfriend. I never like the boys who like me, although I always give them a chance, and I have never felt good enough for the boys I do like. I spent my whole teenage life pining after this one guy but never actually made a move on him because I thought he would be repulsed by me. It turned out that he did like me but he was also shy. So I missed out on something that could have been really special, just because I saw myself as inferior.

I believe we need to raise awareness of Body Dysmorphia, otherwise people will spend their whole lives thinking they are something they’re not: ugly and unloveable. I have never met anyone truly ugly, so why do I see myself as such? I don’t care about appearance; never have and never will. It doesn’t matter to me whether someone is amazingly beautiful or disfigured, who cares? At the end of the day beauty is deeper than people’s skin. It’s about personality.

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Becki’s Story

At the end of the day beauty is deeper than people’s skin. It’s about personality.

My first memories of BDD symptoms are from when I was younger than 7 years’ old and at primary school. I had a fantasy that I would run again and again in my head that involved me playing in the playground at school and then suddenly dying. The other kids and the dinner-ladies would notice without being upset or bothered, as I was too ugly to care about. However, when they moved my body, the mask of ugliness that I had been secretly wearing all that time would slip off to reveal a pretty little girl underneath. At this point, the children and dinner ladies would become very upset and mourn my death, realising that all the time they had shunned me for being ugly, they had been wrong, and all the time I had been pretty underneath.

Other specific memories from that young age are rare, but the feeling that I was repulsive compared to the other children was always there. Playing kiss-chase with the other girls was never an option as it would put the poor boys in an embarrassing quandary where they were forced to either kiss some monster or humiliate me by not chasing me at all. I can remember being very young – I still had curly hair which I lost when I was 6 so I must’ve been 5 or less – and somebody in a shop commented to my mum that I had beautiful hair. I was eaten up with embarrassment and anger at the woman for saying something so obviously untrue and stupid. I couldn’t understand why she would be so cruel.

“I just knew that I was ‘very ugly’ and had horrid hair”

At that point my BDD was vague and undefined; I just knew that I was ‘very ugly’ and had horrid hair. Then, when I was about 11 years old, I started to get spots, and the BDD had something to really get hold of. By the time I was 14 I was spending an average of 4-5 hours getting ready to leave the house, with all my energy going into plastering on foundation and concealer and re-constructing my face as much as I could, using blusher and other makeup. I was getting though a concealer stick each week. If I heard anyone coming towards my bedroom during this process I would have to lock the door and pretend I was getting undressed to make them go away. I just couldn’t allow anyone, including family, to see me without full makeup, so it was always a stressful rush to get it all on before anyone caught me with a naked face!

People would make comments within earshot about wearing too much foundation, but I would much rather that than reveal the true horror of my face! High School was difficult, as my friends and I grew into young adults. They were all pretty, and would peer into mirrors to check their skin and have a moan about the odd black head. I would hang back; I couldn’t go anywhere near the mirror as I knew they would’ve been secretly watching me to see how I coped with looking at myself and my ugliness. In my head, my hideousness was recognised by all my friends but they were kind enough to never mention it, and to play along with the farce that I was normal. I could never figure out why they hung around with me, but I was fairly sure it was because they would look prettier to the boys if they stood next to me!

“Every waking moment and everything I did was shadowed by an intense self-consciousness and awareness of my looks.”

Of course, it was a different story with mirrors when I got home. I had one in my bedroom that I spent most of my time in front of, putting on makeup, staring unbelievingly at my gargoyle features, crying, asking why me, hitting and scratching and clawing at my face for hours on end. The only day of the year I looked forward to was Halloween, when I could wear a mask and blend in with the other people, and experience for one night what it was like to be normal. Every waking moment and everything I did was shadowed by an intense self-consciousness and awareness of my looks. I was so repulsive that I wanted to hide away forever, and not put others in the embarrassing position of having to look at me. I felt sorry for anyone that came into contact with me. When I was out I had an overwhelming urge to walk up to passers-by and apologise for my face, and let them know that I was fully aware of what I looked like but there was nothing I could do. I wanted to beg them to forgive me for being so ugly. Every fibre of my body just yearned to disappear.

The only thing I can liken it to is being forced to walk down a street and go about your business completely naked, feeling vulnerable and exposed and knowing that it is unacceptable and wrong for you to be naked, that everyone is staring at you but is too shocked or polite to say anything. So there is this overriding belief in every social interaction that the person you are speaking to knows you are naked and they know that you know they know, and they are horribly embarrassed about it and so are you, but neither one of you is going to mention it. The worst thing was that it could never be talked about. In my head, everyone knew how hideous I was, but it was never mentioned and I could certainly never bring it up as I was so excruciatingly embarrassed by the whole situation. Unfortunately in the ‘real’ world, this meant nobody would’ve known the reasons I was behaving oddly. I avoided leaving my bedroom, as it was the only place where I didn’t feel like I was about to explode with the stress of it all.

During my later teenage years the darkness of night and the dim lights of nightclubs provided a certain amount of disguise, where I thought my skin and layers of makeup were less obvious. So I was able to participate in a basic social life with my friends, especially as getting drunk dampened the feelings of self-hate a little bit. I would know, down to the last minute, what time it got dark during the summer, and only then would I leave my bedroom. It meant missing out on all the summer day activities and early-evening fun, but there was absolutely no choice. I would start getting ready at about 5pm, but still not be ready by the time the pubs were closing at 11. My friends grew increasingly annoyed with my lack of reliability. It wasn’t just a case of not ‘being ready’ to go out – it was more a case of not having done a good-enough job to conceal the terrible secret that was my face. There was no way I could leave the house and let people find out the true extent of my grotesqueness. That would mean disaster.

Obviously I didn’t have boyfriends. Now and again I would drunkenly snog someone in a club, but I knew they were only doing it because they were drunk and that they would wake up the next day ashamed, with their mates taking the piss out of them. Now and again someone would say they fancied me, and my world would spin with anger at their cruelty. I wanted to push them up against a wall and scream in their face that I knew what I was, I wasn’t stupid, and that I knew they were taking the piss out of me, and how could they be so spiteful? All of this was accompanied by the huge amount of other neuroses that you would expect someone under great psychological and emotional strain to display. The OCD symptoms, general anxieties, phobias, depression, self-harm and thoughts of suicide all kept my BDD great company.

But there is hope, and good news. I am now 30 years old, and have considered myself ‘recovered’ for about 5 years. I only realised there was something to ‘recover from’ at the age of 22, when I stumbled across Katharine Phillips’ book The Broken Mirror, in the course of my psychology degree. If I had been as ill as I was during the rougher years, I think I could have read that book from cover to cover and never realised that it was describing something I might have, so convinced was I that I looked like a 100% genuine freak.

“I still fail to comprehend that someone might fancy me or fall in love with me”

BDD caused me to drop out of my A-Levels (in the end I couldn’t face leaving the house). It cost me a ‘normal’ childhood and adolescence, and left me with a persistent underlying suspicion of anyone who compliments me or wants to hang out with me. I still fail to comprehend that someone might fancy me or fall in love with me, but I hope this will change as time goes by, and at least I can be rational about these things now, and recognise that it’s probably the BDD whispering doubts in my ear, rather than the way things really are. Life is liveable and I can function. I can look at myself in a mirror with other people present. and I can walk down the street without wanting to apologise. I feel very positive about the fact that I can now recognise I had a disorder. In my mind that is the definitive sign that you are on the road to recovery, because then you can start to see and accept the outside world’s perspective. Things get a lot easier from that point onwards!

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Emma’s Story

At the end of the day beauty is deeper than people’s skin. It’s about personality.

I was at primary school when I first started thinking that I was too skinny and awkward-looking. Somebody teased me in the playground, someone else insisted that I needed feeding or tidying up… But I was already an insecure little girl. Life at home was unstable. I needed reassurance and security. I wanted so much to feel loved and accepted. I had a quirky mother, to whom I never felt as close as I wanted. I lacked a father figure but had an older brother who was adored and preferred over me. I spent my childhood years feeling depressed, and started to believe that the key to happiness lay in my looking a certain way.

I would fan out my hair on the pillow at night, hoping my mother would pop her head around the corner and think what a beautiful daughter she had. In fact I felt anything but. I was angry inside. I wet the bed, and had terrible nightmares. I suffered from panic attacks. I felt like a disappointment. I felt weird. As I got older school became a struggle. I was stuck in a rut of negative thinking about myself, and consequently my development suffered. Despite positive attention, friends, aptitude for some subjects, I became entrenched in my conclusion that I was not good enough. I was allowing myself to be ruled by an ideal of unattainable perfection.

“The mirror was my best friend and my worst enemy”

I looked to the mirror to help me cope with my difficult feelings. If I could only make myself appear a certain way then I would be okay. So my thinking went. I wore thermals underneath my clothes to bulk me out; I hid behind layers of make-up. I wore my hair a particular way to disguise all that I saw wrong with me. The mirror was my best friend and my worst enemy. I gazed in it secretly, because the monster was always gazing back; keeping me locked in a cycle of preening and face pulling. I couldn’t look in it in front of anybody. I would become quietly hysterical at the sight of a photograph of me.

I believed I was a monster. I had to conceal my true identity from the world, at any cost. So, at the age of fifteen, when life should have been exciting and full of a sense of beginnings, of character-building experiences, I dropped out of school and, for an entire year, became a recluse. I lost touch with the world and life grew cold and lonely. All my time was spent gazing into the mirror, wondering what was wrong with me and why I couldn’t look and be normal like everyone else.

At sixteen I finally met someone, moved to London, and started working. People would offer up compliments and even tell me that I should be modelling. But, although I thrived on positive attention when I was with others, later, alone at home, my hellish reality would dawn on me again. I felt like a fraud. I’d spend hours naked, just looking at myself, poking and prodding bits, preening, exercising, worrying that every additive in the food I ate was conspiring to make my skin uglier. I’d check my reflection from every angle, under every kind of light, always ending up back with my self-loathing and tears. My life was not so much about living as surviving. I didn’t feel worthy of happiness. So many times I ran away, only to find that, funnily enough, I couldn’t get away from myself. With each new home, new area, new job, I’d vow that things would be different. I’d be different. But nothing changed.

“As I started to read I had a sense of revelation, because I saw myself in this horrendous illness. Suddenly I wasn’t alone, I wasn’t crazy.”

I remember the day I first heard about Body Dysmorphic Disorder. Flicking through a magazine I came across an article with the heading, ‘I Feel Too Ugly to Live.’ It spoke directly to me. As I started to read I had a sense of revelation, because I saw myself in this horrendous illness. Suddenly I wasn’t alone, I wasn’t crazy. I know some people struggle to believe they have this disorder but for me there was no mistaking it. I went to get a professional opinion at the Priory in North London and walked away determined that I’d kick arse with this disorder.

I tried various medications, eventually some counselling; I even visited a spiritual healer and tried prayer. I read up on the illness, I talked with others who were suffering, I created a website, ‘BDD Help’, to raise awareness and reach out to other sufferers. Yes, some days I struggle and cry and get frustrated because I don’t feel good enough or presentable. It’s to be expected; you pick yourself up and brush yourself down. I have found ways to keep my BDD demons under control, and to get enjoyment out of things I never could before. What I most want to say to you is this: there is light at the end of the tunnel. It’s a slow process reprogramming your brain to think differently so you eventually feel differently, but it’s worth it! And it can even be fun getting to discover who you really are from the inside too, to see yourself changing for the better by developing new ways of thinking and being. Life is an adventure and that is the only way to look at it.

So where am I now? Well you know what, with my hand on my heart I could look back on my life so far and either feel regret and sadness, or take out of it valuable insights to carry me forward. I choose the latter. As I get older I realize that it’s the world I live in that is messed up, not me. I see through the media and the beauty industry, all the ignorant and shallow grand illusions that we’re sold. I appreciate that beauty lies in imperfections and uniqueness. Yes, really! But I also see how sensitive and vulnerable we are as children, and how important it is to nourish and nurture every spirit.

I would like to end by saying a big Thank You to all of you that have contacted me since BDDHELP was created. For me it has been wonderful getting to know other sufferers, and to get back support and encouragement from you.

Onwards and upwards with love,

Emma x

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Tim’s Story

At the end of the day beauty is deeper than people’s skin. It’s about personality.

When I was a teenager and had my first encounters with the opposite sex, some remarks were made publicly about how my genitalia looked. It was humiliating and triggered a 14-year obsession with my physical appearance. The symptoms of BDD I displayed were checking myself physically, sometimes measuring myself 40-50 times a day. I put padding in my underwear which I often had to adjust so that it didn’t fall out. This resulted in all sorts of awkward social situations!

I would also spend long periods of time staring into mirrors. Being disgusted and ashamed of what I saw, I would then spend long periods avoiding mirrors altogether. Believing that everyone could see what I saw, I began isolating myself. I moved away from home under the guise of going ‘travelling’. I did travel but found it very difficult to function. Without family around, I was homeless after four months and without work. Favouring to sleep on park benches, shop front windows or out-of-the-way office fire escape stairwells, and having no family around, job, or friends to keep me in check, I disappeared into my mind which compounded my obsessive compulsive thought and behaviour patterns. I lost four stone in weight during this time, ate out of bins, and stole food from shops and cafes in the hour or so window between when deliveries were made in the morning and when staff opened shop. I also developed problems with alcohol and drugs which fuelled my already distorted views about myself and other people.

“My identity was caught up in my physical appearance”

My identity was caught up in my physical appearance. I believed adamantly that I was defective and abnormal, an object to be ridiculed or pitied. I replayed the humiliating events again and again in my mind and convinced myself that I was inferior, inadequate and unlovable. I believed that no woman would ever want me, no man would ever respect me and therefore there was no possibility of forming relationships. I felt utterly hopeless. There being no possibility of relationships also meant that I would never get married and never have children. I convinced myself that even if by some miracle someone did see past my defect, my inferiority, my inadequacy and my unmanliness that having a family would be selfish. What If I had a son and he was inflicted with the same defect? I would be responsible for ruining his life and I could not do that.

“I spent hours on the internet reading unhelpful comments on forums and researching medical procedures.”

I did come home from travelling and I did recover somewhat from my experiences, I graduated from university and stayed employed in a good career as a housing officer for local government and, later, a housing association. My BDD, however, was still very much present. I spent hours on the internet reading unhelpful comments on forums and researching medical procedures. I bought every product and pill that promised to make me ‘a real man’. I spent thousands of pounds over a 10-year period. Of course, I knew intellectually that these were bogus but I just wanted to be normal and these products were offering me a solution to my abnormality, to my unloveableness.

I was caught up in a million thinking errors and distortions. Yet, with the help of family, friends and trained professionals, as well as my own desire to be well, I have challenged my beliefs. I have had, therefore, so many positive experiences that counter the negativity of my teenage years and early 20’s. I do still have anxiety about my body and forming relationships, particularly intimate relationships, but I understand now that I am okay and I am loveable.

I look at BDD as an infection or some sort of virus that took over me. I have realised not just on an intellectual level but on an emotional and, without getting to wish-washy, spiritual level that I am not my body, I am not my thoughts, I am not even my life experiences. I have these things but I am not them. For me, communication has been the main tool in reducing the hold BDD has had on me. I don’t suffer in silence, I reach out to people and I confront the beliefs and emotions that get in the way of me living positively. It’s scary but it’s so worth it

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The Body Dysmorphic Disorder Foundation. Charity no. 1153753.

Online BDD Conference

An opportunity for professionals, researchers, students, and those with lived experience to find community and to learn more about BDD.

Join this virtual event on Saturday, May 31, 2025!