A symptom checklist to help clients reflect on signs of body dysmorphic disorder (BDD) and explore whether a professional assessment may be beneficial.
Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.
Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.
Body dysmorphic disorder (BDD) is a mental health condition characterized by persistent preoccupation with perceived flaws in appearance – flaws that are either not observable or appear minor to others. Drawing on recognised diagnostic frameworks (DSM-5 and ICD-11) this symptom checklist offers clinicians and clients an accessible way to consider whether a person’s experiences may reflect features of BDD. It is not intended to provide a formal diagnosis or measure severity, but it can support early discussions about whether further assessment is warranted.
This symptom checklist provides a structured way to begin meaningful conversations:
For clients who experience persistent concerns about perceived physical flaws, often accompanied by distress or impairment.
For individuals distressed by specific aspects of their appearance, regardless of diagnostic status.
Gently introduce the possibility of BDD using the suggested therapeutic prompt.
Work through the checklist together to reflect on preoccupations and their impact.
Consider the pattern and severity of responses in relation to diagnostic criteria.
Use the responses to guide next steps, such as further assessment, referral, or psychoeducation.
Body dysmorphic disorder is a psychological difficulty marked by intense focus on perceived flaws in physical appearance – flaws that are either unnoticeable or minor to others. According to the DSM-5, diagnostic features include preoccupation with appearance, repetitive behaviors (such as mirror checking or grooming), and clinically significant distress or functional impairment. ICD-11 also highlights excessive self-consciousness, avoidance of triggering situations, and impairment such that considerable effort is required to maintain functioning.
This symptom checklist is informed by both DSM-5 and ICD-11 criteria. It is not intended to provide a formal diagnosis or assess severity but may support early recognition and therapeutic exploration. Clinicians can use it to validate a client’s experiences and facilitate conversations that may lead to further assessment.
