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Originally Posted by Kaitin
My roommate read this thread (more than me) and we talked. Now I wonder about BIID and anorexia. Doesn't people with anorexia think they are too fat? But no surgeon would do gastric bypass or give diet pills. Isn't anorexia a problem about body images? Are anorexia and BIID similar?
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There are many differences between anorexia, which is generally accepted as a form of Body Dysmorphic Disorder and BIID. One of them, as I explained earlier, that someone with anorexia perceives their body as being "wrong", when in fact their body is fine. People with BIID know their body is "normal", but the mental "body map", or body image is not aligned with the actual body. In a perfect world, we'd be able to align the mental map to the reality, but it doesn't work. While some treatment works for people who have anorexia (although very few actually do work, it's always an exercise in management), there are no non-surgical treatment that works for BIID.