I relate to this a lot. I gave up years of my life to body image struggles.
Shortly after college, I came down with Body Dysmorphic Disorder, which started off moderately distressing and progressed to extremely severe. What I perceived as my appearance, which suddenly had gone from fine to disgusting, disastrous, and appalling, became my whole life. My looks suddenly became all I could think about. I won't go into the details too deeply in this post but, in short, as the disorder progressed, I wound up not being able to work for about 4 years. I wound up being severely depressed, housebound, unable to function, suicidal, and even stopped speaking for a period of time. At my worst, I laid in the dark on a old mattress in our (finished) basement, sleeping most of the day, and in immense emotional pain.
I’m not trying to scare you, but I want you to know that BDD is merciless. When I thought mine couldn’t get worse, it showed me that I had no idea how wrong I was.
That period of my life is a dark one, and I had no idea how long the period of feeling worthless, hideous, depressed, and unmotivated would last and if there even was a coming out of it. I feared recovering wasn't possible and that the state I was in was permanent
If the struggles you’ve described in your post are just developing for you, I urge you to look up the diagnostic criteria for BDD online right now. If you think it’s a fit, starting treatment before doing anything else is paramount.
Like OCD, BDD is extremely unlikely to improve on its own or through traditional talk therapy.
I discovered that Cognitive Behavioral Therapy was the best possible treatment and thankfully, there was a BDD clinic at Massachusetts General Hospital, which was close to where I lived at the time.
It took a lot of work and time, but BDD can be overcome with a good CBT therapist. ERP is part of treatment, but not the whole treatment module.
If you can’t find a good CBT therapist, I’d encourage you to get some CBT workbooks and guidebooks. Let me know if you’d like the titles of the ones I have. CBT for BDD books can provide pretty close to what you learn and do in session with a CBT therapist.
The best thing you can do in your daily life is to realize that when you seek reassurance, you’re reinforcing the disorder. This allows it to progress and get stronger. Reassurance needs to come from within.
I hope this is helping you and not scaring you; everybody with BDD has a different experience.
If you’d like to ask more questions, get more tips, get book recommendations, or hear more of my story, let me know. =]