Seeing is Believing

The term Body Dysmorphic Disorder (BDD) describes a disabling preoccupation with perceived defects or flaws in appearance. It can affect both men and women, and makes sufferers excessively self-conscious. They tend to check their appearance repeatedly and try to camouflage or alter the defects they see, often undergoing needless cosmetic treatments.

Onlookers are frequently perplexed because they can see nothing out of the ordinary, but BDD causes devastating distress and interferes substantially with the ability to function socially.

Here is a fascinating and illuminating podcast by Brian Cuban on the excellent Klen + Sobr recovery website.

Brian’s recovery journey took him through clinical depression, twenty-seven years of eating disorders, body dysmorphic disorder, alcohol and drug addiction. He went from an 18-year-old anorexia/bulimic to the brink of suicide at 45 years old to then finally turn it around, walk away from a successful legal career, restoring himself, his family relationships, and finding his true passion in life.

Brian is a an author whose Amazon best-selling book. Shattered Image: My Triumph Over Body Dysmorphic Disorder, chronicles his first-hand experiences living with, and recovering from eating disorders, drug addiction and Body Dysmorphic Disorder (BDD).

Brian speaks regularly about his recovery, childhood bullying, fat shaming and breaking the male eating disorder stigma.

Brian on the Web:
Twitter: @bcuban
Cubanity Blog @
Shattered Image, Amazon:…der/dp/0988879581

“The Smartest Guy in the Room”

Checked this out again last night and well worth another listen.  In the first half hour, in particular, I explain  why I think addictive behaviours of all sorts are emotional disorders – how the “spiritual malady” of 12 step recovery  can also be seen as an emotional disease.
Trying to get to the heart of what constitutes this pathology of addiction and the pathomechanism that drives it is still the burning issue.
For us emotion processing deficits are the most likely candidate that explains all the important aspects of addiction demonstrated in research, it explains impulsive behaviour, distress based thinking and decision making, it explains heightened reward systems, obsessive compulsive behaviour, intolerance of uncertainty etc and it also explains why most people relapse.
We have to help people in recovery learn how to cope with negative emotions and distress as well as negative self schemas which wrongly say we are not good enough have a successful recovery.

 The recovery brain is different to the addicted brain.  Recovery alters the brain’s functions.  The brain does recover.

Click image to listen or download on SoundCloud

Here is Paul Henry  being interviewed at length by Chris Aguirre on his excellent Since Right Now podcast about his theories of addiction, and other research, his experience of addiction and recovery and how academic and so-called anecdotal or “experiential”  evidence have been combined to shape his world view regarding what he believes is at the heart, the pathomechansim, of addictive behaviour and also what recovers in recovery and why?