Women strain at back cosmetic mirror with problem acne face.

The Ugly Truth About Feeling Ugly: Living With Body Dysmorphic Disorder

I look in the mirror as I begin to get ready for the day.

“Disgusting,” I think to myself.

I look at all of my flaws and criticize myself on my looks. I then proceed to spend an hour doing my makeup trying my best to cover those flaws. This is a typical morning for me living with body dysmorphic disorder (BDD).

Most people have insecurities on their looks and would like to change certain things about their appearance, but BDD goes a lot deeper than feeling self-conscious. Those suffering with body dysmorphia are consumed with obsessive thoughts about a perceived defect of their appearance. The obsessive thoughts consume the sufferers’ mind for hours a day and lead to various compulsions to hide or fix the flaws. The obsessive thoughts can focus on things such as freckles, acne, too much or lack of facial hair, breast size or anything else someone perceives as a flaw on their body; these lead to compulsions such as skin picking, excessive grooming and constantly looking in the mirror, among others.

Every morning I look in the mirror and hate what I see.

While I have many insecurities, my biggest issue stems from blemishes on my face. I go through great lengths to cover my blemishes, spending about an hour applying makeup — usually two coats of foundation and a ton of covering with a cover-up stick. Each time I leave the house throughout the day, I have to redo
my makeup, typically about three or four times. I often fear people may think I’m shallow for how much makeup I wear and because I can never leave the house without wearing it. In reality, the reason I wear so much is because I cannot stand how I look without it. I struggle immensely with a compulsion of skin picking, causing bright red spots which eventually cause terrible scarring.

When my breakouts are at their worst and my excessive skin picking causes many red, sore blotches, I don’t want to face the world. There are times I pass up on social invitations because I am so ashamed of my looks and do not want others to look at me. When I have to work, I try to keep my head titled down when speaking to customers to shield them from my ugliness. The thoughts about my flaws are constantly badgering me, I am continuously wondering how awful I look. Whenever I am speaking with someone I keep telling myself they are staring at my flaws and must be thinking to themselves how they are disgusted by me. I constantly look at myself in the mirror to analyze my skin, and every time I hear myself saying, “See, you are so hideous.” There is an ongoing struggle with self-hate in my mind.

They say you are your own biggest critic. When you suffer from body dysmorphia, there is nothing closer to the truth. It is possible to conquer this disorder with forms of therapy. Knowing you deal with this and being able to put a name to the obsessive thoughts will help in your recovery.

I have been fighting the monsters of depression and anxiety for years, and I am embarking on my journey to beat this disorder and achieve self-love.

While many mental illnesses are more commonly being brought into the public eye and more openly spoken about, BDD is not quite at that point. The main reason for this is likely that the disorder is just simply not well known. It goes undiagnosed in many cases, which can be due to a person not being comfortable enough to talk about their disgust in their flaws, downplaying the seriousness of their obsessive thoughts or even being misdiagnosed by a psychologist as having a form of OCD or depression, as the symptoms of these are usually directly correlated with symptoms of body dysmorphia. BDD is also extremely similar to eating disorders in the aspect of the obsessions and compulsions, but it is important to know BDD is the obsession of a specific part of the body or characteristics of the body.

Body dysmorphia is definitely something that needs to be paid more attention to and treated as any other mental disorder. The affect it can have on a person is detrimental to their mental well-being; some may continuously get plastic surgery to fix their perceived flaws, and some may even turn to suicide. If you are suffering from BDD, I urge you to seek treatment. Everyone should feel beautiful and be able to love themselves.

If you or someone you know needs help, see our suicide prevention resources.

If you need support right now, call the Suicide Prevention Lifeline at 1-800-273-8255.


May - word drawn on the sand beach with the soft wave.

Surviving Mental Health Month

May is the month of Mother’s Day. It’s the month to celebrate the most important person in our lives — to give her flowers, show how much we appreciate her love, for raising us and teaching us the hard lessons, as well as the smaller ones, like how to bake the world’s best cookies.

May is also the month of my mother’s birthday. She would be 55 this year. Twelve years after her death, I can barely remember the last birthday we celebrated together. I don’t remember the gift I gave her or if we ate cake. All I remember is that we went to see “Shrek II” together, she fell asleep and cleaned out her jewelry box when we got home.

May is the month my mother died by suicide.

May is tough.

There seem to be reminders of my mom everywhere this month. Some reminders are welcomed, while others I wish would just disappear. But the thing about losing someone to suicide is that these little reminders don’t disappear. They are there, etched in my mind forever. Thankfully, it is true what they say: that time heals all wounds. No, it doesn’t heal wounds completely, but they do partially heal, becoming instead scars that have helped shape who I am today.

It’s still painful to think about, but my perspective has shifted over the years. Once angry and ashamed, I am now accepting and empathetic. My mom didn’t choose to die. She chose to end her suffering. Her depression was an illness. I used to blame myself, and I thought I could have somehow saved her. Now I know I couldn’t have saved her any more than I could have saved someone with terminal cancer.

May is also Mental Health Month.

Mental illness is just that, an illness, but we often don’t treat it as such. There is a stigma for seeking mental health treatment, which is damaging on a surface level. People don’t want to go to a counselor because it might mean they’re labeled as “crazy” or “weak,” but it goes much deeper than that.

My mom did seek help. She went to her counseling sessions, she took her antidepressant medication and exercised. She seemed to do everything right. I think where the truly damaging part of the stigma affected her was in her belief that she shouldn’t need this type of help. If she needed it, it must mean she couldn’t handle life on her own, and that, as many of us know, is frowned upon in our society.

Of course, I can’t be sure this was her thinking at the time, and perhaps I am trying to rationalize something that is inherently irrational. Suicide is never rational. I can only speculate, and this is the hard part about being a survivor of suicide. I try to put the pieces of the puzzle together, knowing I only had fragments to work with at the time.

May isn’t easy, and the painful memories are still there, but I have turned it into a time to heal, reflect and help shatter the stigma associated with mental health treatment. The wounds may never fully heal, but I have learned to ask for help when I need it, reach out to the mental health community and turn my story into something that will help others. I have learned to turn the month of May into an outlet for my grief, hopefully giving others permission to do the same.

If you or someone you know needs help, please visit the National Suicide Prevention Lifeline. You can also reach the Crisis Text Line by texting “START” to 741-741. Head here for a list of crisis centers around the world.

The Crisis Text Line is looking for volunteers! If you’re interesting in becoming a Crisis Counselor, you can learn more information here.

man with colorful head

The Spectrum of My Emotional Rainbow as Someone With Bipolar Disorder

It’s of nature but not a seemingly natural progression. It’s my nature — and one that cannot inherently be changed; sometimes muted, sometimes controlled, it is still always present, always has been and always will be.

My blue, indigo and violet days are heavy. I feel full of wet sand. Staying awake just to spend my days staring into space is difficult enough; how am I expected to eat, shower or answer my phone? I curse my bodily functions that require me to find the strength to go to the bathroom. I try to comfort myself with the knowledge that I am doing my best, just by staying awake and staring into space. Then I realize it’s time to call my doctor.

I stare into space for hours at a time, telling myself over and over that I have to find the strength to call my doctor. Unwillingness floods my entire being: if I call my doctor, I’ll have to talk to her. Days and weeks pass by, and all I can find within myself is unwillingness. Then I find a spark.

Sparks are red, orange, and yellow: fiery. Aggressive, dissatisfied sparks tell me that spending all my time staring into space, feeling full of wet sand, isn’t good enough. My blues tell me it’s all I can manage, and I spin into a turmoil of hopelessness – wanting to be able to do anything other than what I am able to do. The spark insists I find a way, demanding action of a different course. Dark murmurings speak of suicide. I close my eyes, picture myself feeling green and balanced, and start rehearsing what I will tell my doctor.

The darkness begins screaming its demands of death. I write down what I need to tell my doctor. It makes it easier to concentrate, and I know this way I won’t leave anything out that she needs to know.

I take a shower for the first time in two weeks. Violet shame fills my tears that fall into the dirty water.

Do you need to go into the hospital?”

No,” I whisper. “I’ll go if it gets to that point.”

My doctor and I exchange pieces of paper. I give her one filled with my pain. She gives me four filled with drugs and instructions.

I take the drugs and follow the instructions. One day, I wake up and my smile feels warm, instead of the cold, saggy mask it had been. Today is an orange day. There must be some secret pink to this day too, because I clean and cook and sing and dance! I make plans for the next four months with 13 different people. I begin three art projects, but not one of them seems quite right, so I put in a movie about an art forger. It’s a brilliant movie. Why should my husband have to go to work? I could do this. My research begins.

I already noticed the sparks of yellow and red; they’re beautiful! I know they mean I’m supposed to do something, but they’re so beautiful I don’t care to try to remember what. I should go to the art supply store so I can practice the skills I’ll need. Need… oh. I need to call my doctor.

I call my doctor, and she can tell I’m really feeling the beautiful yet destructive fire. She gives me instructions. I follow the instructions because I’m awesome like that. Changing around the drug cocktail. Change is beautiful. Cocktails are better. I tell her this, and she tells me no cocktails. What a party pooper. I write it down though. It’s difficult to concentrate because of the auditory hallucinations, but I tell myself I can listen to the music after I take my new drug cocktail. I follow my instructions and let go of the fire.

Green is my favorite color. Vibrant yet peaceful, I truly live when I’m filled to my toes with green. I’m balanced. No calls to the doctor are needed. However, in case you didn’t notice, my life isn’t as orderly as a rainbow. It’s more like a tie-dyed T-shirt. Colors bleed, jump and dance through my emotions. Sometimes I can’t think of anything else other than what I’m feeling.

I never said it was easy to live life with a rainbow in my head.

If you or someone you know needs help, please visit the National Suicide Prevention Lifeline. You can also reach the Crisis Text Line by texting “START” to 741-741. Head here for a list of crisis centers around the world.

The Crisis Text Line is looking for volunteers! If you’re interesting in becoming a Crisis Counselor, you can learn more information here.

Beautiful confident woman sketch up vector illustration

A Letter to Future Me, Who Will Have Recovered From Self-Harm

Dear Recovered Me,

If you are reading this is, we made it through. I wish it was you writing this letter to me to give me the certainty I will make it – and some advice, if you can. I guess I don’t have to tell you how hard it is, but I’ll recall it anyway.

I have days where it is hard to keep my mind away from the pain. I think about going back to those old habits that hurt us. I try to project myself in you, but it seems so blurry and almost unreachable. I imagine you are reading this letter now and thinking how silly I am (don’t laugh, remember I’m you); and that is good, because it will mean I was wrong and there was no need to torture myself every night with my thoughts.

I’m trying to imagine how you’d look… Do you still have the scars? Do they make you sad or make you stronger? Are you finally happy or have you just resigned yourself to life? I have a lot of questions.

I think of you as a strong person, now that you have recovered from this hell. It doesn’t really matter if you have the scars; they will be like medals on a soldier’s chest. I want and need to believe if you’ve conquered the battle against self-harm, you are able to do amazing things in your life; because there is no harder battle I’ve ever known than fighting an invisible illness that kills you slowly. An illness some question. 

I just want to ask you one more thing. Never forget the pain I’m feeling right now. Do not dwell in it, but it will keep your heart sensitive to others’ pain. I want you to leave traces of hope as you go — hope that can light up this darkness we are going through. I want to meet you someday not so far in the future and be proud of you, not only because you made it, but because you helped others too. And most important, I want us to be the same person: recovered, empathetic and stronger than ever.

Thanks for inspiring me to keep moving.



If you or someone you know needs help, see our suicide prevention resources.

If you need support right now, call the Suicide Prevention Lifeline at 1-800-273-8255.

Sad young couple on floor

Love in the Time of Borderline

My superpower is that I move through the world without skin.

You can’t tell. My fake skin suit looks very real.

But it’s true. I don’t have skin. I am a bundle of nerves and raw muscle and sinew and blood and wounds.

It’s hard to love someone like this.

There’s a double meaning in that.

It’s hard to love someone who is like this and it’s hard to love someone when you’re like this.

I want to be in love. I have been in love. I tend to love with my whole heart and kind of immediately. It can be off putting.

I remember reading John Irving’s “The 158-Pound Marriage” a long time ago, and while I think describing yourself in quotes from literature is indulgent and gross, I’m going to ask you to indulge me grossly.

“…she is vulnerable for the same reason that she is strong. Whatever she puts her love in, she will trust. She will wait you out, she will put up with you  — forever —if she loves you.”

This is the truest way I know how to tell you about myself. I wish I’d written it. I wish I’d written something better. I haven’t. Yet.

I think this is sometimes a good quality. It doesn’t feel good. Most of the time, it doesn’t feel good. I also think it means I lack solid boundaries and look to others to meet my emotional needs instead of learning how to fulfill them myself.

I have borderline personality disorder. If you don’t know about it, congratulations. It’s hallmarked by unstable relationships, fear of abandonment perceived or real, unstable sense of self, self-harming behaviors, difficulty regulating emotions and suicidal ideation or suicide attempts and well, suicide.

But really, it just feels like I don’t have skin.

Everything is the most.

My deepest, truest, most honest fear is that if I tell you who I am, you will leave me.

Here’s what it feels like to be left: dying.

That’s it really. It feels like I’m dying.

OK fine, I’ll describe it.

I can’t get any air and I can’t move and I can’t feel anything and sometimes I weep in the shower and my body feels like it’s going in all directions and I don’t know if I can sit still and I want to talk to people but I don’t want to talk to people and I want to connect but I can’t and everything feels like I’m being stabbed right into a bundle of nerves and I can’t tolerate the pain for one single second more and I can’t get air and nothing will fix it not words or movies or weather or music or sex or food or drugs or people or…

That is what it feels like to be left.


My real deepest, truest, most honest fear is that if I tell you who I am, I will have to feel all of that again.

I cannot weep in the shower again. I cannot contain my body and my sadness and my rage and my loneliness again.

I cannot.

I can not.

I can not.

I want to be in love. I want to be held and meet the person I think is so electric I can’t stand to be away from him and he will feel the same about me and we’ll dance and have a whole night where we just break dishes and scream into the void because it feels good to do that sometimes.

Maybe you think that sounds crazy and maybe it does and maybe that’s the idea of love from the perspective of a person with a mental illness.

Here’s what I also believe love is: horrible jokes you tell each other over and over, telling the truth no matter what, back rubs, dancing in the kitchen in the middle of night, nasty f*cking against walls and on the bed and the kitchen floor and in public if that’s your thing, coming over and tasting this melon to tell me if it’s bad, radical acceptance of every part of this beautiful human in your field of vision, lazy Sunday afternoons listening to Joni Mitchell while it rains.

This is what I want.

And yet.

What if I got it?

How can I enjoy it?

What will I do if it leaves?

What do I do?

I am so tired of being alone and I am so scared of not being alone because I know I am hard to love and it’s inevitable that you will go and I can’t stop thinking of myself weeping in the shower so I keep you at arm’s length.

But that’s not a life.

I go out into the world without my skin. I try again. I hope this time you won’t leave. Or if you do, maybe I am better equipped this time. I take medicine and go to therapy and meditate and stuff so that’s good, right?

I don’t like this.

I want my skin. I want the skin I was born with, but somehow lost along the way.

I want to love you in a way that is fearless.

I want to know that I will be OK. Eventually.

This piece originally appeared on Medium

If you or someone you know needs help, please visit the National Suicide Prevention Lifeline. You can also reach the Crisis Text Line by texting “START” to 741-741. Head here for a list of crisis centers around the world.

The Crisis Text Line is looking for volunteers! If you’re interesting in becoming a Crisis Counselor, you can learn more information here.

The Mighty is asking the following: For someone who doesn’t understand what it’s like to have your mental illness, describe what it’s like to be in your head for a day. Check out our Submit a Story page for more about our submission guidelines.

A Love Letter to My Husband, From His Bipolar Wife

To My Beloved Husband,

We have known each other for over 30 years, ever since you asked me out to lunch and showed me the photos of the house foundation you were building with your own hands. I was impressed. We spent several years dating and enjoying time with your wonderful daughters. But after four years, you moved to build your dream house while I stayed in the Bay Area to pursue my career.

Through great luck, we reconnected in 1997. At that time, I had been recently diagnosed with bipolar disorder and was having major challenges of severe, recurring depressions as well as less frequent hypomanias. I wondered how anyone could want to be with me because I felt as if I was “damaged goods.” For almost a year, I kept you at arm’s length. I didn’t want to tell you about my depressions and hypomanic moods. I felt ashamed. 

But you persisted. After a year, and with the help of my therapist, I realized I had nothing to lose by telling you the truth. The worst that could happen was that you would reject me at the news. To my wonderment, you did not.

Early in our second round of dating, I had a particularly bad episode of depression and confided to you that I felt terrible. You did not flinch and asked what you could do for me. I told you just to hold me and I gave you my doctor’s number in case you had to call and I couldn’t. Seeing your total compassion and acceptance broke through the high wall of my self-criticism and avoidance. 

One year later, almost 16 years ago, we were married on a beautiful day on the shoreline in Point Reyes with our families and closest friends. And since that time, while we have had the ups and downs of even the best of marriages, we have been extraordinarily happy together. I had dated many men in my life and had never married, but at 48, married to you, I found my soul mate.

A few months ago, we faced a new challenge. As a result of one of the meds I was taking for bipolar disorder, I developed tardive dyskinesia (TD), a somewhat uncommon reaction to anti-psychotic drugs that can cause involuntary movements, in my case of the mouth, face and tongue. There is no documented cure and it is usually not reversible, especially for women of my age. Again, you didn’t waver in your support. We saw many doctors together. You would always take detailed notes while I asked lots of questions — and you would add the questions I forgot to ask. 

Several months later, I developed a new set of symptoms, non-psychotic musical hallucinations. This is a rare but documented condition. It was, for me, like hearing a cacophonous clash of many marching bands playing constantly in my head.  It was intrusive and scary. Once again we saw the specialists. And once again we were told there was no known cure and limited evidence of reversibility.

Luckily for me, you had been trained as a masseur. You gave me the great gift of massaging my mouth, face and neck for 10 minutes twice a day every day. Within two weeks, the hallucinations had stopped and the TD was less bothersome. The hallucinations have not returned.

I am so grateful that together we have faced down scary times, educated ourselves about difficult conditions, found help where we could and learned to live with what can’t be changed. And together we have been able to create a vibrant and loving life filled with family, friends, our shared and separate passions, our careers and travel. My – and our – life is so much more authentic and rich because the challenges we have faced have taught us to communicate with authenticity and love. Having a life partner like you who adores me and whom I adore has made all the difference. I feel extraordinarily lucky.

The Mighty is for the following: Write a thank you note to someone who helped you through your mental illness. What about that person makes him or her a good ally? What do you want them to know? Check out our Submit a Story page for more about our submission guidelines.

Real People. Real Stories.

150 Million

We face disability, disease and mental illness together.