Tag Archives: body dysmorphic disorder

Eating Disorder Pro Podcast Show Notes: Overcoming Body Dysmorphic Disorder with Brian Cuban

Body Dsymorphic Disorder Brian Cuban

This week we had great conversation with Brian Cuban, author of “Shattered Image: My Triumph Over Body Dysmorphic Disorder“. Brian described what it is like to suffer from Body Dysmorphic Disorder (BDD) from the male perspective. His experiences, especially his recovery is inspirational. If you or your loved one suffers from Body Dysmorphic Disorder, you’ll definitely want to listen in!

Popular Health Internet Radio with Eating Disorder Pro on BlogTalkRadio

What We Covered:

2:50 – About Brian Cuban

4:00 – Caller Question: How do you get people to not think you are ‘crazy’ when you tell them you have Body Dysmorphic Disorder (BDD) or an eating disorder such as anorexia, bulimia, bulimarexia, or binge eating disorder?

11:30 – What advise would you give to other men suffering from eating disorders and/or Body Dysmorphic Disorder (BDD)?

13:58 – What are the symptoms of Body Dysmorphic Disorder (BDD)?

16:12 – Brian Cuban’s story.

24:18 – When did you begin your recovery from Body Dysmorphic Disorder?

25:03 – What inspired you to recover?

37:27 – Why is society so much less receptive of eating disorders in males?

43:20 – Caller Question: As a teacher, what should I do if I suspect a student is suffering from and eating disorder?

51:14 – Brian Cuban’s advice to parents of a child with an eating disorder

Links We Discussed

The Four Agreements

www.briancuban.com

Shattered Image by Brian Cuban

The Maji and Mongo Books

Our FREE ‘Lifestyle’ Handbook

Dr. J. Renae Norton is a clinical psychologist, specializing in the outpatient treatment of obesity and eating disorders such as anorexia, bulimia, bulimarexia, and binge eating disorder (BED) and the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio. She is the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio.

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship. This information is not necessarily the position of Dr. J. Renae Norton or The Norton Center for Eating Disorders and Obesity.

©2013, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2013, Dr J Renae Norton. http://edpro.wpengine.com’.

Eating Disorder Pro Podcast: Overcoming Body Dysmorphic Disorder with Brian Cuban

Body Dsymorphic Disorder Brian Cuban

Join us on WEDNESDAY December 11 at 7:30 pm EST as we speak with Brian Cuban, author of “Shattered Image: My Triumph Over Body Dysmorphic Disorder“. Brian will describe what it is like to suffer from Body Dysmorphic Disorder (BDD) from the male perspective. His experiences, especially his recovery is inspirational. Be sure to tune in if you or your loved one suffers from Body Dysmorphic Disorder. You can tune in here!

A bit of information about Brian Cuban:

“Brian Cuban is an author whose Amazon best-selling book Shattered Image: My Triumph Over Body Dysmorphic Disorder, chronicles his first-hand experiences living with, and recovering from eating disorders, drug addiction and Body Dysmorphic Disorder (BDD). Brian speaks regularly about his recovery, childhood bullying, fat shaming and breaking the male eating disorder stigma. He has spoken at prestigious locations such as the University of North Carolina Center For Eating Disorder Excellence. He has keynoted prestigious events such as the Entertainment Industries Council 3rd Annual Media And Mental Health Awards. Brian has appeared on national talk shows such as the Katie Couric show discussing the above issues. Brian also writes extensively on these subjects. His columns have appeared on CNN.com, Foxnews.com, The Huffington Post and in online and print newspapers around the world.

Based in Dallax, Texas, Cuban is also the segment host for “Brian Cuban’s Legal Briefs” on EyeOpenerTV, and founder of his blog, The Cuban Revolution. Additionally, Cuban is a lawyer and activist specializing in 1st Amendment issues and hate speech and has lectured on the topic in major media outlets and conferences around the world. For more information, visit www.briancuban.com

Dr. J. Renae Norton is a clinical psychologist, specializing in the outpatient treatment of obesity and eating disorders such as anorexia, bulimia, bulimarexia, and binge eating disorder (BED) and the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio. She is the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio.


Let’s Connect!
Like me on Facebook

Twitter @drrenae

Contact Dr Norton by phone 513-205-6543 or by form

Inquire about booking Dr Norton for a speaking engagement

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship. This information is not necessarily the position of Dr. J. Renae Norton or The Norton Center for Eating Disorders and Obesity.

©2013, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2013, Dr J Renae Norton. http://edpro.wpengine.com’.

Body Dysmorphia and Anorexia

Body Dysmorphic Disorder treatment

Systems theory tells us that in order to solve a problem we have to use the right set of assumptions. Further, it tells us that if we use the wrong assumptions, the problem will continue to get worse. Suffice it to say, the underlying assumptions of those suffering with eating disorders are incorrect. One good example is the role that body dysmorphia plays in driving disordered eating – Body Dysmorphic Disorder (BDD) is not the same thing. I should point out that not all individuals that suffer from Anorexia suffer from body dysmorphia, but many do.

The underlying assumptions of those Anorexics suffering from body dysmorphia include:

  • Imagined defects in appearance. “My thighs are fat.” Or  “My belly sticks out too much.” (In an individual weighing 70 pounds)
  • Preoccupation with weight – I weigh too much. I would be more attractive if I lost weight. No one can respect me if my weight goes over 100 pounds.
  • Obsessive compulsive behavioral patterns – “I must try on every pair of jeans to make sure that they still fit.”
  • Social Isolation – “I know when they look at me, they think I’m fat. It’s better if I just avoid them.”

Obviously these are all incorrect underlying assumptions that will drive more disordered eating. If you have had a patient or a family member with anorexia, then you probably know how useless it is to try and convince the sufferer that the assumptions are wrong. They will assume that you are trying to fool them or trick them into changing so that they will be “fat” like you.  I find that it works better to focus upon behavior and the medical necessity of eating.  It also helps if they have people depending upon them to be well. Family support, instead of judgment is critical.

On my blogtalk radio show The Eating Disorder Pro, which airs every Wednesday at 7:30 pm EST and comes to you from Cincinnati, Ohio, my guest Brian Cuban, talked about his book  Shattered Image.  On December 11, Mr. Cuban will describe what it is like to suffer from BDD from the male perspective. His experiences, especially his recovery is inspirational, so be sure to tune in if you are traveling that road yourself. What was so interesting is the fact that his false underlying assumptions were not very different from what we think of as a female perspective when it comes to body image. Like many people with eating disorders, he had some pretty painful experiences as a child, not the least of which was a weight problem along with a mom that fat-shamed him. Ouch! He was also the victim of bullying.  Obviously, this was a recipe for disaster.

Check out Brian Cuban’s book to get a good sense of the incorrect underlying assumptions and how he eventually dismantled them for his own recovery. Be sure to tune in on WEDNESDAY December 11 at 7:30 pm.

Dr. J. Renae Norton is a clinical psychologist, specializing in the outpatient treatment of obesity and eating disorders such as anorexia, bulimia, bulimarexia, and binge eating disorder (BED) and the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio. She is the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio.


Let’s Connect!
Like me on Facebook

Twitter @drrenae

Contact Dr Norton by phone 513-205-6543 or by form

Inquire about booking Dr Norton for a speaking engagement

Read About Dr Norton

View video about Dr Norton

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship. This information is not necessarily the position of Dr. J. Renae Norton or The Norton Center for Eating Disorders and Obesity.

©2013, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2013, Dr J Renae Norton. http://edpro.wpengine.com’.

Eating Disorder Pro Podcast: How Eating Disorders are Changing with Maria Rago

Dr. Maria Rago

Join us on TUESDAY July 23 at 7 pm EST as we talk with Dr. Maria Rago, Executive Vice President of Anorexia Nervosa and Associated Disorders (ANAD) and clinical director and founder of Rago and Associates Counseling Services. We’ll be taking your questions LIVE at 646-378-0494. You can tune in HERE.

“Dr. Maria Rago is a licensed clinical psychologist for the last 20 years working as a specialist in eating disorders.  She was clinical director of the Eating Disorders Program at Linden Oaks hospital at Edwards in Naperville IL for over 10 years, helping to make the program a national leader, including the creation of the innovative Arabella House, a residential group home for eating disorders treatment.  Dr. Rago is also the founder of Rago & Associates Counseling Services, specializing in eating disorders and other important issues that people need help with.  Dr. Rago loves to travel across the country to speak to college students and other groups about loving their body and eating without fear, and she is the author of, a book that speaks out against the literature that promotes restrictive eating and acceptance for only the thin.  Dr. Rago is also proud to be the Executive Vice President of Anorexia Nervosa and Associated Disorders (ANAD) the nation’s first eating disorders foundation, created in 1976.”

Dr. J. Renae Norton is a clinical psychologist, specializing in the outpatient treatment of obesity and eating disorders such as anorexia, bulimia, bulimarexia, and binge eating disorder (BED) and the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio. She is the Director of The Norton Center for Eating Disorders and Obesity in Cincinnati, Ohio.

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

©2013, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2013, Dr J Renae Norton. http://edpro.wpengine.com’.

News You Can Use – May 4-11 2013

News You Can Use

“As an Eating Disorder Professional, I know that many of my clients that are in treatment for Anorexia, Bulimia, Bulimarexia, Binge Eating Disorder or Obesity are overwhelmed by all the information in the news about our health. In hopes of relieving some of the stress this can inflict on both my patients and readers, I’ve highlighted some of the weekly health news that was of particular interest to all of us at The Norton Center for Eating Disorders and Obesity. From my eating disorder and obesity treatment center in Cincinnati, here is your weekly news update for the week of May 4 – May 11 2013!”

Were there any news articles that you saw this week that really grabbed your attention? Leave a comment with a link. If the article helped you, it will likely help some of my other readers!

Let’s Connect!

Take my new Eating Disorder survey!

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Contact Dr Norton by phone 513-205-6543 or by form

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2013, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2013, Dr J Renae Norton. http://edpro.wpengine.com’.

Anorexia Nervosa & Body Dysmorphia

photo used under a creative commons license, flickr user Ken Doerr

Many patients with anorexia nervosa experience body dysmorphia; they feel that they are much larger than they actually are. Recently, a study was published that investigated whether this overestimation of body size is a symptom of the eating disorder or if it is a general impairment in perception.

The study involved fifty participants; 25 of the participants had anorexia nervosa, 25 participants were control participants. Participants were well-matched based on age and level of education. Within a test room, each participant was presented with a door. The participant had to judge whether the door was wide enough for them to pass through. Presented with the same door, the participant then had to judge whether the door was wide enough for another person in the test room to pass through.The participants with anorexia nervosa significantly overestimated their ability to pass through the door in comparison to the control group, suggesting that overestimation of the passability ratios in participants with anorexia nervosa are likely to be caused by an overestimation of their own body size and shape.

The study concluded that the overestimation in participants with anorexia nervosa occurred because the central nervous system had not yet registered that the participants body was emaciated; the central nervous system had an outdated image of the participants body in it’s pre-anorexic state.


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Contact Dr Norton by phone 513-205-6543 or by form

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible. Please credit ‘© 2012, Dr J Renae Norton. http://edpro.wpengine.com’

Source: Guardia D, Conversy L, Jardri R, Lafargue G, Thomas P, et al. (2012) Imagining One’s Own and Someone Else’s Body Actions: Dissociation in Anorexia Nervosa. PLoS ONE 7(8): e43241. doi:10.1371/journal.pone.0043241

iTherapy – Integrating the iPhone into Therapy

iPhone Therapy

photo used under creative commons license

I recently read an article by Dr. Weissman of the Chicago Institute of Psychoanalysis that introduced the concept of using an iPhone in the treatment of anorexia and body dysmorphic disorder.

Times are changing faster than ever. Technological advances, such as the introduction of the iPhone, have drastically changed the way we communicate and perform everyday activities. We can easily observe our everyday lives via the video and photo component of the iPhone. Weissman believes that this component of iPhone technology could be an effective tool in the treatment of the body dysmorphia that often accompanies anorexia.

Many of my patients that are in treatment for anorexia also experience some level of body dysmorphia; they see an obese person looking back at them in the mirror even though they are drastically underweight. Today, body dysmorphia is typically treated through psychotherapy, nutritional support and medication. For some patients, these approaches have limited success rates.

When a patient talks to me about the “obese person” that they see in the mirror, I often introduce a body image exercise involving “photo-therapy”. I ask the patient to take a photograph of themselves and bring it to their next treatment session. Oftentimes, when the patient returns and we talk about the photograph, the same body that was once described as being “fat” and “obese” is now described as being “underweight” and “malnourished”.

Weissman explains that when an anorexic patient looks in the mirror, their self perception is instantly fused with a distorted body image. The brain is so overwhelmed by this distortion, that it cannot process the image of the “real” body. The brain becomes trapped in this optical illusion, this distorted view. In contrast, when an anorexic patient sees his or her self in a photograph, the brain first acknowledges that there is a person in the photograph, it then focuses on the physicality of the photographed person. The brain then sends the message to the patient that they are the person in the photograph.

Integrating iPhone Therapy into the treatment of anorexia could definitely be a powerful tool in overcoming the body dysmorphia associated with anorexia. Based upon psychotherapy techniques developed by Frieda Fromm-Reichmann in Principles of Intensive Psychotherapy I, the steps below are Weissman’s suggested approach to integrating the iPhone into treatment:

  1. Patient and therapist look at patient in the mirror. Patient describes what they see.
  2. Therapist takes a photograph of the patient with iPhone. Patient describes what s/he sees.
  3. Therapist and patient discuss the differences between the description of the patient in the mirror and the patient in the photograph.
  4. A photograph of the patient standing beside the therapist is taken. Patient describes the image of the therapist. If the patient see distortion in the therapists image, the therapist and patient develop a jointly shared description of the therapist.
  5. Patient describes image of self. If patient sees distortion, the therapist and patient develop a jointly shared description of the patient.

Weissman points out the importance of the therapist not correcting the distorted view of the patient. If the patient does experience distortion in the photograph, the therapist should remind the patient that they both agreed on the description of the image of the therapist in the same photograph. It is necessary that the therapist and patient try to come to an agreement on the description of the patient.

Weissman predicts that utilizing this iPhone exercise will lead to an eventual reduction in the amount of distortion that the patient experiences when looking in the mirror. A combination of iPhone Therapy, Cognitive Behavioral Therapy (CBT) and nutritional counseling may lead to the patient gaining the important ability to maintain a healthy weight with little outside assistance. If the therapist successfully teaches the patient to be able to independently perform this exercise on a regular basis, there could be a drastic drop in relapse rates.

Sources: “Photo-Therapy: A Promising Intervention in Anorexia Nervosa?”

Let’s Connect!

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Contact Dr Norton by phone 513-205-6543 or by form

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Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2012, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2012, Dr J Renae Norton. http://edpro.wpengine.com’