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The Perfect Imperfection
Body Dysmorphic Disorder
By Carma Haley Shoemaker
"When a young woman is worried more about what she ate than anything else, it is a warning sign," says Jessica Weiner, a motivational speaker and author of A Very Hungry Girl. "Other important signs to watch for related to BDD are: a withdrawal from friends; severe mood swings; a determined preoccupation with exercise, losing weight and with dieting; preoccupation with body size (both their own and others, often comparing). Basically if your body and your food is all you think about from the moment you wake up to the moment you go to sleep, all of your 'worth' is based on body image and weight, your life has become unmanageable – there is a problem or warning sign there to pay attention to."
It is important to remember that all teens – especially preteen and teen girls – have some natural preoccupation with their bodies, as they are changing, growing and developing in many ways. "Being aware of your body as it changes with the onset of the teen years and puberty is healthy," says Weiner. "However, a person struggling with BDD will begin to put their preoccupation ahead of all other things, although secretly at times. The presence of BDD usually develops after some type of dramatic or tragic events but can also be a learned behavior. In addition, events at home can also trigger BDD."
According to Weiner, the effects of BDD do not just limit themselves to one area of a teen's life; it spans to each and every area, creating difficulty and sometimes totally preventing any type of "regular" activity. Below are the most common effects of BDD on various areas, according to Weiner:
Social: Preteen and teen times are already awkward, but those with BDD will feel especially inhibited and isolated from the group.


