Serving the community since 1999

Specializing in OCD and related conditions

In-Person and Online Therapy
Individual & Group Therapy

Body Dysmorphic Disorder (BDD) and Teens

    

Increasing numbers of teens are having elective cosmetic surgeries to address body image issues, without fully considering the physical and psychological risks involved. Part two of our three-part series on Body Dysmorphic Disorder (BDD).

BDD - Body Dysmorphic Disorder
Teens are increasingly seeking cosmetic surgery

Our last post focused on Body Dysmorphic Disorder (BDD), body image issues, and cosmetic surgery in the entertainment industry.  While I can appreciate that movie stars and models to some extent depend on their appearance for their livelihoods, I worry about the message that stars’ cosmetic surgeries send to the public, particularly young women who see these stars as role models.  One recent news story focused on the increasing numbers of teens seeking cosmetic surgeries.  The article noted three problematic issues specifically related to this growing trend of teens looking to surgically enhance their bodies:

  • Teens’ bodies are still changing and growing, so having surgeries before their bodies have fully grown is ill-advised;
  • Teens seeking cosmetic surgeries may be suffering from depression and would be better advised to address their feelings about themselves in a non-surgical manner
  • Teens often don’t understand the significant risks involved in having any surgery, including the risk of disfigurement and death.

On this last note, readers should be reminded that people can and do die as a result of complications from what are considered “routine” cosmetic surgeries.  Many will remember the publicity generated by the November 2007 death of Kanye West’s mother from complications related to having a tummy tuck and breast augmentation.  In fact, many people die each year following cosmetic procedures.  One recent study found the mortality rate for those undergoing liposuction was approximately one death for every 5000 patients, while approximately one out of every 350 patients undergoing this supposedly “routine” procedure experienced “significant complications”.

(more…)

Body Dysmorphic Disorder (BDD) and Body Image in the News

    

Heidi Montag
Heidi Montag after recent cosmetic surgeries

Recently, there have been a number of stories in the media that have touched upon the topic of Body Dysmorphic Disorder (BDD).  These stories suggest the unfortunate extent to which women (and a growing number of men) appear to be internalizing extremely distorted ideas of beauty.

Will BDD become known as Heidi Montag Syndrome?

Perhaps the most public illustration of this growing problem is the case of Heidi Montag.  Until a year ago, I had never heard of Heidi Montag, and I still have no idea why she is famous.  Apparently, she is on a reality TV show called “The Hills”, which Stylite blogger Linda Ripoll describes as an “amazing exploration into self-hatred, body dysmorphic disorder, and addiction to plastic surgery”.

And while I have never seen her show, I would have to live in a cave to avoid hearing about the highly publicized cosmetic procedures she has had in recent months, including one day in which she reportedly had the following ten procedures performed at one time:

  • brow lift
  • botox in her brow
  • Revision of previous nose job
  • fat injections in cheeks, nasolabial folds and lips
  • chin reduction
  • liposuction on neck
  • ears pinned back
  • breast augmentation revision
  • liposuction on waist, hips, and thighs
  • buttock augmentation.

(more…)

Treatment of OCD and OC Spectrum Disorders in Children

    

“If I knew then what I know now.”

Chances are, if you’re reading this, you’ve found yourself saying the same thing at some point in your adult life.  Nowhere is this more relevant than from the perspective of someone looking back on a childhood with Obsessive Compulsive Disorder (OCD) or an Obsessive Compulsive Spectrum Disorder.  When I meet a new client under 18, there is a powerful sense of traveling through time.  I think, “If only I had someone like me to go back and talk to me when I was someone like this.” How much time might I have saved being able to resist repetitive, unnecessary rituals?  How many more events, relationships, and simple moments of peace might I have been able to enjoy if only I had known what was really happening to me? (more…)

Trichotillomania, Skin Picking Disorder, and the Resistor’s High

    

My wife and I recently became vegetarians.  Well, she started using the word “vegetarian” to describe already never eating meat.  For me it required more of a lifestyle change.  I grew up on a small beef cattle farm, so I was used to the idea that you could grow meat the same way you grow vegetables.  Throughout my life it always felt as if meat was how one defined the difference between a “snack” and a “meal”.  So as part health experiment and part social consciousness attempt, I have given up meat for the time being.

At first I felt like I was denying myself something purely enjoyable.  I’m used to it, I like it, so why don’t I just do it?  Saying, “I want to change” or “I’m not happy with the consequences” doesn’t seem to be much comfort.  However, nearly 4 months into this experiment, I now get what can only be described as a “resistor’s high” – an addictive satisfaction derived from choosing not to eat meat. (more…)

Memory Hoarding in Obsessive Compulsive Disorder (OCD)

    

I was surprised to discover that Webster’s dictionary defines “hoard” as a kind of temporary fence put up around a structure being built, presumably with the intention of protecting it in a fragile state.  Dictionary.com had a more familiar definition: “to accumulate for preservation, future use, etc., in a hidden or carefully guarded place.”  Both definitions refer to the behavior of creating certainty around an uncertain state.

Squirrels hoard acorns to make sure they don’t starve during the winter.  Armies hoard weapons to ensure they never run out.  And some people with Obsessive Compulsive Disorder (OCD) hoard objects of uncertain value, usually with the belief that the object’s value may be revealed at an important point in the future. (more…)

OCD and the Law – Part 3

    

Our two most recent entries discussed a Scottish case and an American case in which criminal defendants claimed that the crimes for which they were being prosecuted were a function of their having Obsessive Compulsive Disorder (OCD). This week, we examine a case of an Australian professional boxer who claims his assault on 70-year-old man came about as a result of his having OCD.  Part three of a three part series examining OCD and the law.

On November 16, 2009, John Edward Lane, a 70-year-old retired Australian television executive boarded a ferry boat in Sydney harbor.  Also on board was Grant Brown, a 31-year-old Tasmanian boxer who had previously held the Australian lightweight title for three years, as well as six Tasmanian boxing titles and four Golden Gloves titles. (more…)

OCD and the Law – Part 2

    

Last week we wrote of a case in Scotland in which a man accused and ultimately convicted of possessing child pornography claimed that his crimes were a result of having Obsessive Compulsive Disorder (OCD).  This week we examine the case of a Kentucky man whose lawyer claimed that he murdered his wife due to OCD.  Part two of a three part series examining OCD and the law.

In March of 2010, the lawyer for Jerry Seidl of suburban Louisville, Kentucky claimed that his 68 year-old client murdered his wife of 47 years as a result of Obsessive Compulsive Disorder (OCD).  The couple had separated in 2008, and his wife Dorene had moved out of the family home.  On August 7th of that year, after filing for divorce, Dorene sought a protective order on the grounds of domestic violence.  In the petition, Dorene claimed that her husband had previously put a gun to her head, and on a separate occasion had told her “I’m just going to kill myself and get it over with. Do you want to go with me”.  Despite this, the request for a protective order against her husband was rejected by a local judge on August 20th. (more…)

OCD and the Law – Part 1

    

Recently, there have been a number of legal cases in which criminal defense lawyers have claimed that Obsessive Compulsive Disorder (OCD) was the cause of their client’s illegal behavior.  This is part one of a three part series that examines these cases.

In March 2009, the Edinburgh Evening News of Scotland reported the case of Iain McKinlay, a father of three who claimed that the huge amount of child pornography that he had amassed on his computers was a result of his suffering from Obsessive Compulsive Disorder (OCD).  McKinlay was caught after he used his personal credit card to access child pornography web sites.  When the local police raided his home in April 2008, they found 3,557 illegal pictures on two separate computers. (more…)

OCD Stockholm Syndrome

    

The “Stockholm Syndrome” is a term used to describe the phenomenon of hostages defending their captors. As a psychotherapist specializing in Cognitive Behavioral Therapy (CBT) for the treatment of Obsessive Compulsive Disorder (OCD), I have seen something akin to the Stockholm Syndrome many times. Clients struggling with this issue often have a mysterious internal debate that goes something like this:

“If I hate OCD so much, why do I fight so hard to keep it around? Maybe my OCD is a good thing. Maybe I need my OCD. After all, If I am not my OCD, then who am I?”

This scenario typically (although not always) presents itself several months into therapy, long after the client has gained some autonomy from their OCD through the use of Cognitive Behavioral Therapy.
(more…)

Athletes With Anxiety

    

Last week, we discussed recent news reports about professional baseball players struggling with Social Anxiety.  This week, we broaden the topic to cover athletes in numerous sports with various anxiety disorders.  Second of a two-part series.

As we noted last week and in prior posts, the past few years have seen a significant increase in the number of professional baseball players going on the disabled list due to Social Anxiety.  This trend is remarkable for numerous reasons, the most noteworthy being that the issue of mental health in baseball is being openly discussed at all.  The overall issue of mental health has long been shrouded in secrecy and shame, leading many public figures to go to great lengths in order to ensure that their mental health issues remain private.  So when professional baseball players not only acknowledge their psychological issues, but actively seek help for them, this is a sign of cultural progress. (more…)

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    1 Comment
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    No Comments
  • OCD and the Law – Part 2
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    4 Comments
  • OCD and the Law – Part 1
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    1 Comment
  • OCD Stockholm Syndrome
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    2 Comments
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    1 Comment
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    No Comments
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    3 Comments
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    4 Comments
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    18 Comments
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    2 Comments
  • Proposed DSM-5 Changes for OCD and Anxiety Disorders
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    7 Comments
  • Reassurance Seeking in OCD and Anxiety
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    92 Comments
  • Phobia Treatment in Unconventional Settings
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    No Comments
  • Body Dysmorphic Disorder (BDD) and Cosmetic Surgery
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    No Comments
  • OCD & Anxiety: The Year 2009 in Review
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    2 Comments
  • Bizarre, Disturbing, Weird, and Unwanted Thoughts in OCD
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    26 Comments
  • Emetophobia treatment at the OCD Center of Los Angeles with Cognitive Behavioral Therapy (CBT)Emetophobia and Cognitive Behavioral Therapy (CBT)
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    85 Comments
  • OCD and Mental Checking
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    186 Comments
  • Cyberchondria: Health Anxiety in the 21st Century
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    8 Comments
  • Is Compulsive Overeating OCD?
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    No Comments
  • Cy Young, Zack Greinke, and Social Anxiety
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    No Comments
  • Exposure Therapy for OCD and AnxietyExposure Therapy for OCD and Anxiety
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    46 Comments
  • Social Anxiety Research
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    No Comments
  • OCD Awareness Week
         […]
    No Comments
  • CBT and Evidence Based Psychotherapy
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    No Comments
  • OCD, Mental Health, and the National Health Care Debate
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    No Comments
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    No Comments
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    No Comments
  • 2009 Obsessive-Compulsive Foundation Conference
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    No Comments
  • New Trichotillomania Research
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    No Comments
  • Parenting a Child With OCD
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    No Comments
  • Social Anxiety in Baseball
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    No Comments
  • Michael Jackson and Body Dysmorphic Disorder (BDD)
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    No Comments
  • OCD and the Swine Flu
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    No Comments
  • Meet the OCD Center of Los Angeles Staff
    Meet the OCD Center of Los Angeles Staff […]
    No Comments
  • Welcome to the OCD Center of Los Angeles Blog
    Welcome to the OCD Center of Los Angeles Blog […]
    No Comments

    
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