Muscle Dysmorphia: Men Whose Muscles Are Never Big Enough

• Do you feel depressed or anxious if you have to miss a workout?
• Do you feel like you’ll never be muscular enough to feel good about yourself?
• Do you go to extreme measures to gain muscle, such as exercising to the point of exhaustion, using steroids, and/or missing out on social events or appointments in order to workout?

 

If you’ve answered “yes” to these questions, it’s possible that you are suffering from muscle dysmorphia.  It’s a mental illness that primarily affects men, and it’s characterized by the persistent preoccupation that one isn’t muscular enough, which results in distress and the inability to function normally.

What Causes Muscle Dysmorphia?

Although the exact causes are unknown, experts believe a few different factors might contribute in some cases.  For example:

• Genetic predisposition
• Internalization of what society considers the “ideal” male image
• Traumatic experiences, such as being teased as a child
• Low self-esteem

How Can I Tell If I Have Muscle Dysmorphia?

If you believe you may be suffering from this disorder, you may wish to complete this survey.  Select 1, 2, or 3 for each statement depending on how well it describes you.

1 = Doesn’t describe me at all.

2 = Describes me somewhat.

3 = Describes me well.

1 – 2 – 3            I skip social events in order to workout.

1 – 2 – 3            Even though others tell me I’m in good shape, I still think I look scrawny.

1 – 2 – 3            I’ve used (or plan to use) steroids or other drugs in order to increase my muscle mass.

1 – 2 – 3            I spend a lot of time worrying about my muscles and body shape.

1 – 2 – 3            I keep a rigid diet, and eat according to my diet plan rather than according to my hunger and/or food preferences.

1 – 2 – 3            If I have to miss a workout, I feel irritated and distressed.

1 – 2 – 3            I don’t give myself days off from exercise.

1 – 2 – 3            My appearance causes me a lot of distress and/or shame.

1 – 2 – 3            I avoid showing others my body (by wearing baggy clothes, keeping my shirt on at the beach, etc.).

1 – 2 – 3            I’m afraid if others see my body they’ll make fun of me for being too small.

1 – 2 – 3            I prioritize working out above all other things – such as work, dating, friends, family.

1 – 2 – 3            I examine myself in mirrors constantly.

1 – 2 – 3            I workout even when I’m injured.

 

The more 2s and 3s you identified, the more likely it is that you have muscle dysmorphia. (*Please note: This survey is for informational purposes only.  It is NOT a scientific assessment.  For a true diagnosis, you’ll need to consult a mental health specialist.*)

Potential Consequences of Muscle Dysmorphia

Effects of this illness may differ from person to person, but are some of the more common ones:

• Social isolation
• Other mental illnesses, like depression and/or anxiety
• Muscle damage
• Torn tendons and/or ligaments
• Exhaustion
• Low self-esteem
• Relationship troubles
• Sleep problems
• Difficulty concentrating at work or school
• Embarrassment and shame
• Missing important obligations

 

Seeking Professional Treatment

Muscle dysmorphia is a disorder that will likely not go away on its own; it’s important to obtain treatment by a mental health professional.  Qualified therapists are trained in methods such as cognitive-behavioral therapy and EMDR, which can help you to release painful memories that may be triggering body image concerns in the present.  Also, your therapist can assist you in developing more adaptive thought patterns, which can get you back on track to living a happier life.

If you’re suffering from muscle dysmorphia, it’s important to remember that you are not alone in your struggle.  Many others have experienced the same, and have gotten through it with proper treatment.

Please don’t hesitate to contact Mark Dworkin LCSW at (516) 731-7611 for further information. Mark is available for speaking engagements for the general public and professional communities, radio and tv appearances, seminars, webinars, enhancing professional development, workshops and trainings.

Sources

http://www.eating-disorder.com/Eating-Treatment/Eating-Disorders/muscle-dysmorphia-bigorexia.htm

http://www.healthyplace.com/eating-disorders/main/eating-disorders-muscle-dysmorphia-2/menu-id-58/