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Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Hi there,

I'm a 31 year old male and I've been receiving treatment for a combination of orthorexia, exercise addiction and Body Dysmorphic Disorder for the last 2 years. I have come a long way in my journey and am now at the point of preventing relapse 🤞

If you want the full story (skip these next 2-3 paragraphs if not) I was overweight during my formative teen years and got the usual bullying you'd expect, which damaged my self-confidence and self-esteem. I am also a perfectionist by nature, and my parents had a rocky marriage and separated as soon as I finished high school. So when I hit 18 and, like many boys do, found the gym, it became a solace in that it was something I could 'control' and I could craft my body into the socially desirable image I craved. So naturally it quickly became an obsession that carried over into very strict dietary rules as per the bodybuilding culture so prevalent in gyms even today.

As is often the case when it comes to gym culture, I was completely unconscious to this being a problem and thought it was normal. Then, at 21, I met my now wife. For years in our relationship she bore the brunt of my obsessive and perfectionist standards of diet and exercise which of course she couldn't meet and slowly ate away at our relationship despite our love for each other. It was only 3 years ago that we discovered the term 'othorexia' and realised my views on exercise and eating were not normal and that I needed help, for both myself and to save our marriage.

Through my therapy and recovery I have discovered that Body Dysmorphic Disorder was at the centre of a lot of my behaviour. I particularly had an obsessive focus upon the stomach area, as this is what I was most self conscious about as a child. I would compulsively check my stomach area very regularly and subconsciously, touching my stomach to make sure the amount of fat was 'acceptable' and checking in the mirror when I showered too. If the amount of fat was more than I was comfortable with (i.e. I couldn't see some abdominal definition) then I would punish myself with HIIT cardio at the gym to get back to an 'acceptable' body. This has been the toughest thing to recover from of all as it was an ingrained subconscious thought pattern built over two thirds of my life.

Again, my wife unfortunately suffered the brunt of this judgement too. With my obsession with the stomach area, I found myself often subconsciously checking her stomach area too. In a perfect storm of circumstances, it just so happens that this is where her body tends to deposit her fat stores and she is highly self-conscious about it. She has also been unable to exercise anywhere near as much as she would like in recent years due to chronic pain, and last year we also went through three IVF cycles which did lead to some weight gain given all of the hormones her body withstood. Several times she has been asked by strangers if she has been pregnant when she of course is not, something which as you can imagine, is about as hurtful, painful and as psychologically damaging as you can imagine.

So of course, this perfect storm has been majorly traumatic in our relationship. Last year on the verge of our 2nd IVF cycle, she had gained some weight as a result of the 1st cycle and I was suffering through depression and feelings of a lack of control (on top of the IVF, both my parents had cancer at the time).

So, I had a relapse in my orthorexia, exercise addiction, BDD and BDDBP (see below), which led to me saying unforgivable judgmental things about my wife's body to her. I can't repeat them here even in an anonymous post, such is the shame I still feel about it. This of course led to her not wanting me in the room for the hormone injections and she opting to do them herself. This was the same for the 3rd cycle, and the memory is still so traumatic for her, that when we eventually try our first transfer, she is not at the stage where she feels like she can be vulnerable around me with seeing and touching her bare stomach and isn't sure if she ever will be.

Our love is strong and my wife is incredible for sticking by me despite what I have put her through. She does understand that the judgmental thoughts and words I have cast upon her have come from a very disordered place. To that end, one thing which had helped us enormously lately is the discovery of the clinical term for what I've put her through - Body Dysmorphic Disorder By Proxy, or BDDBP. To be able to actually LABEL it and know it's clinically diagnosable condition has been enormously helpful for her in making sense of the experience.

However, one thing that's still enormously tough is how alone she (and we) still feel in this experience. BDDBP appears to not be a very well researched condition and it isn't that well known. So my wife feels very alone in her experience which is of course very painful.

I am therefore posting this in the hope that others have gone through similar, or at least relatable, experiences. Have you either been the perpetrator, or the victim of BDDBP in a relationship? If so we would love to hear your story.

We believe that, like us, it's possible that many who have BDD also demonstrate symptoms of BDDBP and it's just not known well enough to be diagnosed.

4 replies

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In response to: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Re: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

I think you're barking up a very correct tree right there. Body dismorphia has genetic components to it but it's also heavily subjected to body image culture. You really can't seperate them because we all get caught up in it one way or another. I would even wonder who doesn't have at least a noteable degree of the proxy effect you describe. In that context, it can be a real challenge to work out when enough is enough. I don't think anyone can beat it without conscious effort, and that includes how we program ourselves and each other.

Speaking of conscious effort, I really like the work you're putting in. When it comes to these things knowing is much more than half the battle. It's basically the whole freakin' game.

In response to: Re: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Re: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Hello @MS6

I agree with @wellwellwellnez and love the way she put it!

I have felt a lot of things you mentioned personally, but somehow they managed not to be the most obvious problems in my life, so skipped under the radar, and I never discussed them. I only found out about them by recent general research and dealing with my children, and trying to prevent those issues becoming extreme in them.

I am glad your relationship still has some legs in it. Good Luck with it all.

In response to: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Re: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Hi and welcome, @MS6 , it's good you've joined. May I say, you write extremely well and show a high level of self-insight and willingness to change. This is highly admirable.


@MS6 wrote:

I am therefore posting this in the hope that others have gone through similar, or at least relatable, experiences. Have you either been the perpetrator, or the victim of BDDBP in a relationship? If so we would love to hear your story.


I'm afraid I am no help in this matter, but I hope others will come along who are. I am alos wondering if there might be support groups out there who focus on BDD? Maybe googling for them, or searching for a Facebook group on it, might help? Even if they are online groups based overseas somewhere, it might help.

I hope you can find others in your and your wife's situation...lots of best wishes.

In response to: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Re: Has anyone experienced BDDBP? (Body Dysmorphic Disorder By Proxy)?

Hi @MS6

I just wanted to reach out and offer you some support

Thank you so much for sharing your story

It can take an enormous amount of courage for us to share some of our most intimate and painful experiences especially when this process stands to evoke so many overwhelming and distressing memories and emotions.

I’m so sorry to hear that people bullied you as a child It makes so much sense in terms of how these experiences may have increased your vulnerability and contributed to the mental health issues that you’re living with.

I’m also really sorry to hear about the distress that you and your wife have experienced in relation to IVF treatments and that both of your parents were diagnosed with cancer Given the enormity of these issues, it’s just so understandable that you experienced a ‘relapse.’

As I read your story, I could really hear what sounded like a deep sense of shame, remorse and sorrow. I also heard what sounded like an overwhelming sense of anguish and grief in terms of some of the changes that have occurred in your relationship with your wife - especially when you shared your experiences in relation to IVF treatments and how your wife feels vulnerable in relation to you seeing and touching parts of her body

This part of your story really resonated with me, as some years ago, I was also diagnosed with body dysmorphic disorder Out of all of the mental health issues that I’m currently living with, this is by far the most excruciating, not only because of the devasting impacts that this has had (and continues to have) upon my life, but also because of how this has impacted the lives of the people that I love

As such, there have been numerous times when I feel completely overwhelmed by the distress that I’ve caused and I would do anything to be able to change this Although none of us can turn back time (it would be fantastic if we could) I just wanted to say that I’m really impressed by the way in which you and your wife are working to repair your relationship The more I read about this part of your life, the more I got a sense of the strength of your relationship and it’s just so apparent that you’ve both worked incredibly hard to achieve and maintain this.

Similarly, I also just wanted to acknowledge and congratulate you on reaching this point in your recovery and although I haven’t personally walked in your shoes, I can really appreciate the enormity of what you’ve achieved!

Although I haven’t experienced body dysmorphic disorder (by proxy) in the way that you’ve described, I can certainly relate to how the cognitive distortions (that are an inherent part of this mental health issue) have impacted those around me and contributed to changes in some of my relationships.

I was just so pleased to read that it’s been helpful for your wife to be able to attach a name to this particular mental health issue Sometimes, when something has impacted us so profoundly, being able to name it can provide us with a sense of relief and a starting point from which we can begin to understand our experiences

However, although there can be a sense of relief that comes with being able to name the specific mental health issues that we’re living with, this often provides little compensation in relation to the profound sense of loneliness that so many of us feel As such, I can only imagine how incredibly isolated your wife may feel at this time - especially as from what you’ve shared, there's very little literature available about body dysmorphic disorder (by proxy).

With that in mind, I just wanted to share some resources, in the hope that these may be helpful for you and your wife

The first is an organisation called the Butterfly Foundation. Basically, they provide support, information, resources and referrals for people who are living with an eating disorder or a body image issue. They also provide support for family members and friends who are caring for and / or who are concerned about someone they love.

I’ve just included the link to their website in case you would like to explore this further:

https://butterfly.org.au/

In addition to a variety of resources, they also provide support via a helpline. Basically, the helpline is staffed by qualified counsellors who also have specialist training in eating disorders and body image issues.

Their telephone number is: 1800 33 46 73 and you can contact them 7 days a week from 8.00am until midnight AEST.

They also provide online chat as well 😊

I’ve contacted the helpline on numerous occasions and in my experience, the counsellors have always been really compassionate and helpful.

In addition to the telephone helpline, they also provide a variety of online support groups Some of the groups have been created to support people who are living with an eating disorder or body image issue and other groups have been created to provide support for family members and friends. As such, I just wondered if this may be something that’s helpful for you and your wife, as the opportunity to connect with other people may reduce your sense of isolation.

I’ve just included the link about support groups in case you would like to explore this further:

https://butterfly.org.au/get-support/online-support-groups/

Also, if you or your wife felt that some additional support may be helpful for you, you’re both more than welcome to contact the SANE Help Centre Basically, the Help Centre is staffed by qualified mental health professionals who provide support to people who are living with complex mental health issues and also to the people who support them

I’ve contacted them on several occasions and I’ve always had a really positive experience where I felt supported and understood

If you would like to contact them, their telephone number is: 1800 18 7263.

They operate Monday to Friday from 10.00am until 10.00pm AEST.

In addition to telephone support, they also provide support via web chat and email

Sometimes it can be difficult to get through on the telephone, but if this is something that you’re interested in you’re more than welcome to schedule an appointment via their website - that way you can guarantee that you’ll be able to talk with someone on a day that best works for you

I’ve just posted the link for you below, in case this is something that you would like to explore further:

https://www.sane.org/counselling-support

Also, just while I remember, one of the things that really helped me when I was new to the forums and still finding my way around, was that if you would like to chat with another forum member, or reply to one of their posts, place @ in front of their username just like I did at the start of my post to you i.e. @MS6 that way, they will receive a message that you have contacted them

Please remember that you’re always welcome to reach out here whenever you need Nothing is too big or too small and you’re welcome to share whatever feels safe and comfortable for you (as long as what we share adheres to the community guidelines )

Thinking of you both at such a difficult time

ShiningStar

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