Body Dysmorphia Disorder vs Myopia

I have horrible vision. Not like, “I have to squint to see the lower lines of the eye chart from 20 feet away” type of vision. More like, “from 20 feet away I may be able to tell you there is a white blur that is the eye chart” type of vision. Thank God for corrective lenses!

Without my contacts I cannot trust my eyes are telling me. I could not do my job, drive my car, or reliably take care of my children without some sort of vision correction.

People with body dysmorphia disorder (BDD) do not see themselves as they are. They hyperfocus on a perceived imperfection, like a nose that’s too big, lips that are too thin, or a belly that’s to flabby. Their brain sees it as more of a problem than it is. There is something in their mind that is convinced that their “imperfection” is painfully obvious. This can lead to excessive plastic surgery, unnecessary procedures or injections, or extreme and unhealthy dieting and exercise.

Just as I cannot trust my vision on its own, people with BDD cannot trust the mental vision they have of themselves. Sometimes they need to be reminded of this. If you know someone who suffers from body dysmorphia disorder help them by reminding them that what their brain “sees” is not reality. Help them by taking their focus off of whatever it is that they can’t see past. Try not to point out your own or other people’s imperfections. Most importantly, be supportive. You may get frustrated that they can’t see right, but until we figure out a corrective mental lens, just accept that they can’t.

If you have BDD remind yourself when you start to hyperfocus that you don’t see your nose, your lips, or your belly (or whatever it is for you) the right way. Your mental vision is blurry and you cannot trust it. If the urge to modify becomes too strong, seek help. A qualified counselor can help you work through whatever it is that is bothering you and maybe help you improve your vision a bit.

Suicidal Ideation vs The Stomach Bug

It’s 2:37 am and you already know you’re not making it to work tomorrow. For the last six hours you have been alternating between a fetal position on the couch and an animalistic, hunched-over position above the toilet. There is no force on this planet strong enough to keep any food inside your body for longer than a standard commercial break. You’re tired and exhausted. Muscles you weren’t even aware of before today cry out in pain. And your stomach, your poor stomach, can hardly stand to take in the lukewarm ginger ale you’ve been sipping since your last visit to the bathroom. Your whole body screams out, “I am dying!” And you wonder if you’ll survive to see the 5th hour of BBC Pride and Prejudice.
Thankfully, your brain, though starting to get snippy, is not sick. “You’re not dying,” brain says. “It’s just a stomach bug.” And you stop imagining your imminent death and start awaiting your favorite scene with Mr. Darcy.
Now imagine it’s your brain that’s sick. And for weeks or months or even years you have not been able to function the way you normally would. You feel like you’ve been curled up on your couch watching the world pass you by. Only you don’t realize you’re sick. You just know that you’re struggling.
And one day you think, “I’m dying.” And your brain, which is not functioning properly, says, “Yeah I think you might be.” And there is no voice of reason to suggest that this may be temporary or that there may be a treatment for what you’re experiencing.
You don’t want to admit that you’re depressed because you never thought that could happen to you. You feel like you can’t go to friends or family because you’re afraid they won’t understand. Or they’ll tell you it’s somehow your fault.
Your brain keeps saying, “You’re dying.” And all you can think about is your death.
Depression can happen to anyone. And if left untreated can bring on suicidal ideation. If you or someone you know is experiencing this, seek help. Your brain is sick and there are treatments that can help it get better.

National Suicide Prevention Lifeline:
1-800-273-8255
https://suicidepreventionlifeline.org/