Dysmorphia Needs a Poster Girl

DYSMORPHIA NEEDS A POSTER GIRL!

(Let’s ignore the irony).

 I am submitting my blog as an application for the imaginary title of Body Dysmorphic Disorder Poster Girl. Now where did I stash my *pom-poms*?

Last Thursday morning, I received an email from a lovely feature writer asking me if I could come to their studio on Friday afternoon (less than 24 hours notice) to do a shoot for a national newspaper about me, my website (www.cosmeticsupport.com) and Body Dysmorphic Disorder.  He said that he wanted some photos of me in underwear as this would show that I have overcome my body dysmorphic disorder. I would be taken to a studio and would have control over copy and earn a few hundred quid in the process. It would give my site badly needed exposure to around about 3 million people as well as their online readership. What an amazing opportunity for the website that I have lovingly and voluntarily run for the last 12 years! 

What more could I possibly want?

The situation above illustrates the problems with Body Dysmorphic Disorder very well.  What more could I want? I could (and did) want my roots done, my fake tan done, my nails done and my weight to be on target before sliding into some new Agent Provocateur and standing in front of a camera.  I know this makes me sound like a diva but I believe there is a distinction between a diva and someone with Body Dysmorphic Disorder.  Or is there?  Perhaps all those women and men in the past that have been labelled as divas were really suffering from Body Dysmorphic Disorder without the benefit of the diagnosis.  Somehow I don’t think that really is the case.  Generally, a diva will have some sort of career success that allowed him or her to climb to a position where they believed they had earned the right to request or even demand certain things.  A patient with Body Dysmorphic Disorder will generally have spent a lifetime immobilized by the disorder and with very little to show in the way of career highlights or success. 

On the day I was contacted, I was in a ‘holding pattern’ with my highlights! I had not made the appointment to have the roots done although they were screaming to be done from the top of my head! That was last week. What a difference a day can make because the very next day after the shoot would have taken place, Saturday, I had my roots done. Had I been contacted today (5 days later) my roots would have been done and I would have been more equipped to face a camera with a smile. As my life is spent behind a screen, it does not seem to be as crucial as it once was to stay on top of the roots as stringently as I once did. If I was a regular in the media and an approved Poster Girl for Body Dysmorphic Disorder with a decent income, I would be photo-ready at all times! After all, grooming rituals are so much a part of Body Dysmorphic Disorder that it is a match made in heaven.  However, it should be said that not all Body Dysmorpic Disorder patients go overboard on the grooming rituals, some avoid them entirely.  There is a spectrum and I am pro grooming ritual!

 Provided I  am properly groomed - my highlights and roots are done, my nails are done, my botox is topped up, my weight is at target and my fake tan is all topped up - I am good to go! I will wear my underwear or bikini for a ‘shoot’ and let the world know about my website and how it can help others as well as my own personal struggles with Body Dysmorphic Disorder. Perhaps that reflects how far I have come with this life-long disorder or perhaps it is misleading the public to think that Body Dysmorphic Disorder is something that can be trivialized.  Either way, Body Dysmorphic Disorder requires a Poster Girlsomeone who others can relate to. 

Part of me is grateful that the media are paying attention to what is, for many, a life-time disorder but I wonder what the goals of this are? Do the media wish to help persuade others into believing that a glamorous photo in underwear/bikini shows someone who is cured? If I were the poster girl for this campaign, I would help to reflect the middle ground of Body Dysmorphic Disorder by helping others to find my website which is a safe haven for people to discuss their issues surrounding cosmetic surgery and Body Dysmorphic Disorder. A photo of a woman (or man) looking fabulous in their underwear or bikini does not equal the sight of someone who is cured from body dysmorphic disorder. As a poster child, I would like to make it clear that people who suffer with body dysmorphic disorder learn coping skills and how to live with the disorder but do not necessarily find themselves cured. 

The newspaper was actually offering me money for the shoot! Heaven knows I need the money to plough back into the site and the site needs some major advertising in order to promote patient support and information (www.cosmeticsupport.com).  My Macbook Pro is now about six years old and needs its screen replaced and to be honest, needs to be replaced by a newer, faster MBPro. It is old and splutters its way through its daily tasks.  There is a donation button on the site if anyone feels generous! 

I can’t remember the last time I went shopping for me for clothes (let alone shoes and bags and accessories). Shopping consoles me even though it activates my disorder by bringing out the perfectionist in me, subjecting me to those familiar feelings of unworthiness, loneliness, isolation and  unhappiness. Finding the right clothes (shoes, bags, make up, etc) often feels like mission impossible and another lesson in compromise with a capital C.  A good day is when I feel I look good enough but those days do not happen every day.  I have learned some coping skills and they work some of the time.  Those coping skills work so much better when I am relating to others in a supportive way via my website. 

The UK used to be known as the country with the worst teeth in the world. It feels like a dinosaur of a collective unconscious along with scientific breakthroughs in beauty technology have woken up together  to realize that their standards of grooming habits can be raised and that the benefits of so doing promises greater happiness.  Is there a problem with this idea? Some advertisers were quick to take up the exploitation of this idea and recently (BAAPS) cosmetic surgeons have called for a halt to this type of exploitation. As with any new goal, there will be adjustments to be made along the way and a collective consciousness waking up to new grooming rituals will be no different. It is not surprising that the media have misinterpreted these teething problems (excuse the pun) for Body Dysmorphic Disorder.  It is not just over-sell or misrepresentation that is in question over the changes in advertising cosmetic surgery, it is politics too. However, in all the upheaval of change, Body Dysmorphic Disorder seems to be at the mercy of ever-changing definitions. The exploitation of cosmetic surgery through advertising has certainly led to body image worries and blues, but did it really create new cases of Body Dysmorphic Disorder? It seems like the baby has been chucked into some deep bathwater here and can only be saved by the Body Dysmorphic Poster Girl! Vote here - leave a comment!

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The Review of the Regulation of Cosmetic Interventions led by Sir Bruce Keogh and an expert panel was published by the Department of Health on the 24th April 2013. Cosmeticsurgerycounselling.com together with Cosmeticsupport.com support this Review and note the central position of the emotional and psychological welfare of the cosmetic surgery consumer/patient. Cosmeticsupport.com is a partner of the APPG on body confidence, offering a non- profit voluntary and independent professional emotional support, psychology and counselling service specializing in cosmetic surgery patients and body dysmorphic disorder patients since Jan 2000. https://www.gov.uk/government/news/recommendations- to-protect- people- who-choose-cosmetic-surgery

As a consumer/patient and psychotherapist with a specialist interest in body image issues and cosmetic surgery counselling, I have been very concerned about the trivialization of cosmetic surgery and how this affects patients’ expectations. Regulation will offer greater physical and mental protection by reducing some of the greater anxieties suffered by patients.

The review addresses two main areas: 

1. Physical protection 
2. Emotional welfare

Physical Protection

It is easy to see from a selection of the recommendations below how much more protection will be afforded to patients who have been vulnerable in an unregulated industry:

1. A register for all medical devices including breast implants
2. Surgeons must be on the GMC Specialist Register and practicing in that field
3. Fly-in/Fly-out surgeons subject to UK standards
4. Patients can review meaningful data
5. Legislation to classify fillers/botox as prescription only 
6. Ban on incentive/special offers
7. Patients must see the surgeon and not a sales person 
8. Fund to help patients when companies go bust
9. Ombudsman for private health (including cosmetic surgery) 
10. Compulsory insurance

Emotional Welfare

The Keogh Review acknowledges the vulnerability of patients. Every elective beauty enhancement surgery contains a vast emotional component. Psychological questionnaires may create better-informed surgeons but, with the best of intentions, do not create well-informed, integrated (mind/body) patients.

It is easy to think that counsellors should only be involved when cosmetic surgery goes wrong or if a surgeon believes a patient to be unsuitable for surgery. This dated concept of counselling creates a lost opportunity to increase patient safety and negate surgical risks. Specifically trained cosmetic surgery counsellors would make a valuable addition to the forthcoming patient safety regulations resulting from the Keogh Review.

The counselling conversation is a unique experience where patients can feel safe enough to explore their issues. This is not the same as talking to a friend, although the best counselling sessions will feel that way.

Counselling (as part of the consent process) pre-operatively creates a preventative measure against rogue traders in the industry. A cool-off period is more productive when patients are referred to counsellors who understand what constitutes a well-informed patient according to new regulation.

Mind and body in cosmetic surgery have become alienated from one another and must be re-united if safety is to remain centre stage. The person-centred relationship built up in pre- and post-operative counselling becomes the intermediary between beauty shopping and medical procedures. Patients benefit from the opportunity to safely reintegrate internal (mind) and external (body) aspects of their needs. This delivers a more relaxed, realistically-grounded patient to the surgeon.

Every fibre of my being believes that counselling should be an integral part of the consent process: even more so in the cases of patients who wish to keep their surgery secret. At the very least patient support sites and support groups would benefit from the professional skills a cosmetic surgery counsellor brings to the experience. 

The quest for beauty is equally a quest for health, happiness and well-being. As consumers/patients, the false belief has been that the path to beauty, health and well-being is always safe and pretty. Regulation from the Keogh Review will go a longer way toward making this a reality if the path to well-being is clearly integrated.

The disjunction between pressurizing commercial interests of the surgery industry and the self-critical anxieties of credulous patients is where insight through counselling creates well-informed patients.

Patients who once were insecure about their looks as well as ill-informed about their choices can take pride in joining a cultural shift towards better knowledge and better outcomes both practically and emotionally.

Consultations with a surgeon are a time to concentrate on what can and cannot be done through surgery. It is not the time or the place to discuss personal psychological issues.

Consultations can create confusion in patients. Many patients may need more than one consultation with a surgeon. We are not easily able to look objectively at our bodies the way a surgeon can. Often, we are unable to picture how the discussed changes will really look. Some surgeons offer 3-D imaging but even with that it is not always easy to imagine the predicted reality. Additionally, we may think we need one thing and a surgeon may suggest something else. Sometimes we may need more than one surgery to achieve our goals. Patients may feel anxious about asking for a second consultation.

Patients need time and freedom from pressure to consider everything after a consultation. Patients may say they do not need counselling but experience shows that they spend countless hours online searching for support groups to talk about their needs and experience. Whilst these online relationships are helpful for patients, they often compound mis-information and cannot replace the benefit of conversation with someone suitably qualified to understand the sensitive issues involved. This need to talk has been exploited by sharp operators online who take referral fees or have other exploitative agendas that they keep concealed. Genuine, non-exploitative counselling sessions online through specifically tailored support groups keep patients safe in many ways.

Physical patient safety will benefit from the Keogh review. A specifically trained independent cosmetic surgery counsellor will help a patient shield themselves against the twin arrows of hype and dismissal. A safe conversation has no exploitative agenda. A more frivolous conversation about beauty and fashion can be helpful to while away the hours before and after surgery but will not enhance patient safety.  Where advertising in medical procedures exists, so too remains the need for demystification. 

Please sign the Marie Claire - Take A Good Look Campaign

http://www.marieclaire.co.uk/news/health/541929/the-scary-truth-about-the-cosmetic-surgery-industry-how-can-you-help.html

DYSMORPHIA NEEDS A POSTER GIRL!

(Let’s ignore the irony).

 I am submitting my blog as an application for the imaginary title of Body Dysmorphic Disorder Poster Girl. Now where did I stash my *pom-poms*?

Last Thursday morning, I received an email from a lovely feature writer asking me if I could come to their studio on Friday afternoon (less than 24 hours notice) to do a shoot for a national newspaper about me, my website (www.cosmeticsupport.com) and Body Dysmorphic Disorder.  He said that he wanted some photos of me in underwear as this would show that I have overcome my body dysmorphic disorder. I would be taken to a studio and would have control over copy and earn a few hundred quid in the process. It would give my site badly needed exposure to around about 3 million people as well as their online readership. What an amazing opportunity for the website that I have lovingly and voluntarily run for the last 12 years! 

What more could I possibly want?

The situation above illustrates the problems with Body Dysmorphic Disorder very well.  What more could I want? I could (and did) want my roots done, my fake tan done, my nails done and my weight to be on target before sliding into some new Agent Provocateur and standing in front of a camera.  I know this makes me sound like a diva but I believe there is a distinction between a diva and someone with Body Dysmorphic Disorder.  Or is there?  Perhaps all those women and men in the past that have been labelled as divas were really suffering from Body Dysmorphic Disorder without the benefit of the diagnosis.  Somehow I don’t think that really is the case.  Generally, a diva will have some sort of career success that allowed him or her to climb to a position where they believed they had earned the right to request or even demand certain things.  A patient with Body Dysmorphic Disorder will generally have spent a lifetime immobilized by the disorder and with very little to show in the way of career highlights or success. 

On the day I was contacted, I was in a ‘holding pattern’ with my highlights! I had not made the appointment to have the roots done although they were screaming to be done from the top of my head! That was last week. What a difference a day can make because the very next day after the shoot would have taken place, Saturday, I had my roots done. Had I been contacted today (5 days later) my roots would have been done and I would have been more equipped to face a camera with a smile. As my life is spent behind a screen, it does not seem to be as crucial as it once was to stay on top of the roots as stringently as I once did. If I was a regular in the media and an approved Poster Girl for Body Dysmorphic Disorder with a decent income, I would be photo-ready at all times! After all, grooming rituals are so much a part of Body Dysmorphic Disorder that it is a match made in heaven.  However, it should be said that not all Body Dysmorpic Disorder patients go overboard on the grooming rituals, some avoid them entirely.  There is a spectrum and I am pro grooming ritual!

 Provided I  am properly groomed - my highlights and roots are done, my nails are done, my botox is topped up, my weight is at target and my fake tan is all topped up - I am good to go! I will wear my underwear or bikini for a ‘shoot’ and let the world know about my website and how it can help others as well as my own personal struggles with Body Dysmorphic Disorder. Perhaps that reflects how far I have come with this life-long disorder or perhaps it is misleading the public to think that Body Dysmorphic Disorder is something that can be trivialized.  Either way, Body Dysmorphic Disorder requires a Poster Girlsomeone who others can relate to. 

Part of me is grateful that the media are paying attention to what is, for many, a life-time disorder but I wonder what the goals of this are? Do the media wish to help persuade others into believing that a glamorous photo in underwear/bikini shows someone who is cured? If I were the poster girl for this campaign, I would help to reflect the middle ground of Body Dysmorphic Disorder by helping others to find my website which is a safe haven for people to discuss their issues surrounding cosmetic surgery and Body Dysmorphic Disorder. A photo of a woman (or man) looking fabulous in their underwear or bikini does not equal the sight of someone who is cured from body dysmorphic disorder. As a poster child, I would like to make it clear that people who suffer with body dysmorphic disorder learn coping skills and how to live with the disorder but do not necessarily find themselves cured. 

The newspaper was actually offering me money for the shoot! Heaven knows I need the money to plough back into the site and the site needs some major advertising in order to promote patient support and information (www.cosmeticsupport.com).  My Macbook Pro is now about six years old and needs its screen replaced and to be honest, needs to be replaced by a newer, faster MBPro. It is old and splutters its way through its daily tasks.  There is a donation button on the site if anyone feels generous! 

I can’t remember the last time I went shopping for me for clothes (let alone shoes and bags and accessories). Shopping consoles me even though it activates my disorder by bringing out the perfectionist in me, subjecting me to those familiar feelings of unworthiness, loneliness, isolation and  unhappiness. Finding the right clothes (shoes, bags, make up, etc) often feels like mission impossible and another lesson in compromise with a capital C.  A good day is when I feel I look good enough but those days do not happen every day.  I have learned some coping skills and they work some of the time.  Those coping skills work so much better when I am relating to others in a supportive way via my website. 

The UK used to be known as the country with the worst teeth in the world. It feels like a dinosaur of a collective unconscious along with scientific breakthroughs in beauty technology have woken up together  to realize that their standards of grooming habits can be raised and that the benefits of so doing promises greater happiness.  Is there a problem with this idea? Some advertisers were quick to take up the exploitation of this idea and recently (BAAPS) cosmetic surgeons have called for a halt to this type of exploitation. As with any new goal, there will be adjustments to be made along the way and a collective consciousness waking up to new grooming rituals will be no different. It is not surprising that the media have misinterpreted these teething problems (excuse the pun) for Body Dysmorphic Disorder.  It is not just over-sell or misrepresentation that is in question over the changes in advertising cosmetic surgery, it is politics too. However, in all the upheaval of change, Body Dysmorphic Disorder seems to be at the mercy of ever-changing definitions. The exploitation of cosmetic surgery through advertising has certainly led to body image worries and blues, but did it really create new cases of Body Dysmorphic Disorder? It seems like the baby has been chucked into some deep bathwater here and can only be saved by the Body Dysmorphic Poster Girl! Vote here - leave a comment!

 Follow Dysmorphic Discussions on Twitter

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Dysmorphia needs a  (funded)  Poster Girl  

(Wish me luck)

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Today I participated in a meeting about branding for a campaign promoting body confidence in conjunction with the All Party Parliamentary Group on Body Image. This is a campaign aimed at all ages and genders to help improve body confidence. The recent call for change by BAAPS in the way that cosmetic surgery is advertised is one way to help re-build negative self-image by stopping the trivialization and commodification of serious surgery.  The meeting was upbeat and constructive offering refreshments including my current biscuit of choice: the jammie dodger! I was there to represent my website: www.cosmeticsupport.com but, quietly in attendance and invisible to most, was my alter-ego  the Body Dysmorphic Disorder Poster Girl

.

After the meeting, we were all invited to retire to the pub for a milk stout (make mine rosé) and there I discovered that many of the groups were receiving funding and awards for the work they do. My ears twigged but my heart sank and my spirit felt demoralized in response to what I was hearing about funding.  If it were not for my Botox, my supportive smile would have slipped right under the table. It was yet another reminder that I have been voluntarily running a website for elective cosmetic surgery patients for nearly 13 years. Yup, that’s right, voluntary, nearly 13 years, no money:  harsh! 

 Neil Young once sang: ‘there’s a shadow running through my days, like a beggar going from door to door’.  Could this shadow be my old compadre, Body Dysmorphic Disorder? How does this much-confused disorder impact on my ability to be taken seriously by either myself or the (funding, etc) powers that be? If Body Dysmorphic Disorder inhibits my ability to recognize either my own value or the value of my projects, how can I expect to be recognized as valuable by others? Isn’t it the case that unless I value myself, others will not, cannot recognize and/or value me? Have I become so good at deflecting attention away from me that when I need to gain attention, I am no longer able to operate the tools required for the job? Does this mean that having Body Dysmorphic Disorder precludes me from successfully receiving funding? Quelle horreur. 

Everyone needs a raison d’etre in life and seeking funding is just not mine. I suspect that even people in the funding world might argue that raising funds is not their passion either. Most of the meeting’s participants worked in organizations with more than one person, which may make the process of seeking funding a tad easier, I have no real idea.  Some organizations pay experts  to raise funds for them. When it comes to understanding funding I feel like a child trying to climb over a very tall wall, bewildered, confused and unequipped for such a climb. Yes, I am aware of my limitations but that only offers me a possible explanation when I really require a solution. Funding is crucial when your Macbook Pro is threatening to stop spluttering through its daily grind of website maintenance and social interactivity.  Yikes!

The disability inherent in Body Dysmorphic Disorder has a great impact on the sufferer’s life. It is not always easy to recognize who suffers with it. It’s not an obvious disability in the way some physical disabilities can be. I am highly aware that due to the confusion around Body Dysmorphic Disorder, the sufferer is often patronized and mistaken for being somewhat mentally retarded. This is not the case at all.  In fact, many people with Body Dysmorphic Disorder suffer with high IQ and/or being over-qualified as it will often prove easier to interact with inanimate objects like books and computers than to interact with human beings.  Pets often make great therapy and my own sweet Maltese dog Amy now has her own Twitter-feed! (www.twitter.com/amypup)and no doubt will have a photo on my blog in the future too. Amy is my sherpa as I am hers although she sometimes forgets this!

I feel wounded, damaged and down-trodden from Body Dysmorphic Disorder but I must clarify that it is not fair to blame everything on that label as my background contains an interesting smorgasbord of other emotional traumas.  As a result, I can only ever talk of my own personal experience of Body Dysmorphic Disorder, but am aware that in so doing, I touch on what might be considered generic traits of the disorder and therefore can help others by allowing them to identify with a fellow traveller. My own experience certainly gives me important insights, but my experience online enables me to have a broader view of the sufferings of other people and offer support. It is a very positive and supportive stepping-stone for anyone wishing to participate. 

 I am neither for nor against cosmetic surgery although I have had some procedures myself. I have had good experiences with it and bad. As a result of the way I am, my remit is to reach out from online to offer clarity in the fields of elective cosmetic surgery patient support and Body Dysmorphic Disorder support. I am able to separate these categories in the same way that the official UK plastic surgery charities can separate cosmetic and reconstructive surgery, whilst still having (more or less) the same surgeons subscribe to their charities.Perhaps, I too, should have changed the ‘l’ in clarity to an ‘h’! 

Wishing alone will not bring about funding but the site’s intentions are truly honourable and spring from that healthier part of me which has had to find a way to circumnavigate my circumstances.  I sometimes think of myself as a sherpa or even the human equivalent of a disability guide dog who offers information and support to both the cosmetic and/or reconstructive surgery patient. I am equally interested in those patients who want another way of dealing with their issues other than elective surgery.  

I will post a separate blog on the history of www.cosmeticsupprt.com for anyone who is not familiar with it; it has changed over the years although it still remains the same. It is a straight-forward, friendly, informative site which welcomes anyone who is interested in cosmetic surgery at any level whether it is cosmetic or reconstructive or general curiosity for emotional or physical reasons. Each visitor will have his or her own personal reasons for joining the site and some will share similar views, creating the online community that it is.  Dysmorphic Discussions may resonate with the reconstructive patient although the surgery may equally be considered cosmetic. I make videos covering various subjects such as ‘realistic expectations from surgery’ etc. 

I am aware that there are many reasons for patients to choose either cosmetic or reconstructive surgery.  Some patients have reconstructive surgical needs for medical reasons (such as trauma, disfigurement, illness etc) and may not consider their surgery in any way cosmetic even though ultimately the surgeon and the patient both desire an aesthetically pleasing outcome.  All surgeries are therefore (at some level) cosmetic. Both of my sites, at all levels, are non-judgmental, informative and supportive.  A welcome retreat from advertising at any level.

It is ironic that I offer support from all my websites and yet receive very little in return from those organizations who are in a position to support what I do.  I am still not properly recognized, understood or supported, let alone funded. In fact, if anything, I am either ignored, criticized, viewed with suspicion or seen as a threat by the very organizations that I take up the slack for.  Communications with these organizations over the years has left me feeling belittled or unworthy but I have never questioned the value of my website.  May I suggest to these organizations that they clean their glasses and their grapevine and let some sunlight in. 

Lately I’ve had to clean my own glasses in order to watch all the celebrities competing with one another in glossy magazines to share their own personal history and struggles with body image issues and alleged Body Dysmorphic Disorder.  The media is now displaying celebrities and PR gurus stepping out of their perfectly crafted image into a less perfect image in an effort to persuade us that ‘not ok’ is the new ‘ok’.  Lined up, as they are, for their photo shoot, what are these celebrities and PR gurus doing? Are they confessing to Body Dysmorphic Disorder?  Are they sharing their body image blues? Are they self-publicizing under the banner of a new world order? Does it matter who is buying the drinks as long as someone else is paying? Photoshop is so amazingly good at manipulating photos and we love the results and buy them in magazines. It surely couldn’t be that this type of software can also make someone look fatter or less perfect? We wouldn’t fall for that old chestnut again now, would we? Uh oh. 

 I also wonder what is happening when ‘independent’ PR gurus hired by the big beauty companies are attempting to help us with empowerment by making positive statements in bold letters? What are they doing when they link their product to the message of the campaign? In what way is a PR guru qualified to release statements about the psychology of self-confidence?  Perhaps I am confused, but isn’t self-worth something that someone in the psychological field is better trained to help others with?  When I have self-worth issues, I generally do not race to Twitter for a 140 character rush of confidence or google with Paypal an appointment with a PR guru.  I don’t remember PR being a module in my post grad dip in existential psychotherapy syllabus. I should have gone for a degree in PR.  Who knew? 

I agree with BAAPS that cosmetic surgery should never be trivialized or commodified (that was less than 140 characters, wasn’t it?) Patients deserve more than to be patronized by a constant stream of short sharp pseudo-scientific sensationalist soundbites pretending not to be an advertising slogan or advertising through the back door. It cheapens the call to change the way cosmetic surgery is advertised. 

Patients deserve better when they are spending so much money on elective surgery. If this service I offer were not required, I would not have survived nearly 13 years alone on the internet. Sometimes I even get to go for a dinner break! 

The lack of reality in the media and lack of recognition from the organizations my site complements is in complete contrast to the positive outcomes and experiences that visitors enjoy on my site, blogs and twitter feeds. Subscribers on my site are delighted to find an empathetic, constructive, interactive forum with a real human at the other end of the screen or by email offering to share information and experience. Reality-based issues are key concepts on my website with real people and real patients exchanging real photos and real experiences with one another. It is a great service even if I say so myself. It is my therapy as much as it is theirs. Social media can never replace the beauty of a fully functional forum dedicated to a particular topic. 

Around the conference table at the meeting I mentioned at the beginning of this blog were intelligent, educated people all contributing to a campaign to help boost body confidence. The job itself is something akin to turning an elephant around in a small room. Some of these people are employed by organizations to do the job they do. I do not know if any of them are voluntary and independent as I am.

Anyone who mistakes Body Dysmorphic Disorder for a type  of body image blues is either kidding themselves or attempting to kid us. I would suggest they might need to re-visit the definition in the DSM-IV or make it their mission to meet someone who suffers from the disorder for some first-hand descriptions. I have often suspected that understanding Body Dysmorphic Disorder from the perspective of a non-sufferer is a bit like two people trying to speak to one another using different languages. I can’t understand them but I try my hardest to do so. Reaching out to them is my best hope for survival and relief.  Let’s hope they find a way to do the same for us in return. 

The mission in under 140 characters is still the same: 

Dysmorphia needs a Poster Girl

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