Rosacea: An Introduction

Rosacea & Body Dysmorphic Disorder

People with rosacea may also develop Body Dysmorphic Disorder (BDD) -- the most difficult of the psychological problems related with the skin disease.

The essential feature of Body Dysmorphic Disorder is a preoccupation with a defect in one's appearance no matter how slight, or an imagined defect.

Telangiectasia (distended and/or broken facial veins) and papules, both of which are frequent rosacea symptoms, are often reasons for rosacea patients to become distressed.

They often describe their findings of facial imperfections as:

  • tormenting
  • devestating
  • crushing

Or, they may just refer to themselves as generally ugly.

Many rosacea patients find their preoccupation with their physical findings difficult to control, and make little or no attempt to resist spending hours per week, or even per day, thinking about their "defect" to the point where these thoughts dominate their lives.

Significant impairment in many areas of functioning generally occurs. For example, these rosacea patients may be unable to go out on short notice because they feel they need to prepare their skin for public exposure well in advance.

Rosacea patients with body dysmorphic disorder frequently ask for reassurance about their appearance. Such reassurance is often heavily criticised and probed, and if it offers any relief, it can only be temporary.


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