BDD may also cause other problems i.e., feelings of shame, guilt and the person may become lonely, isolating yourself and avoiding people and situations which can lead to severe anxiety or depression, the misuse of alcohol or drugs, self harm, suicidal thoughts and eating disorders. Some people may feel it is necessary to have cosmetic surgery.
As a form of therapy with the counsellor it is important that the individual seeks support and understanding and build a therapeutic and supportive relationship with the counsellor and themselves. As a counsellor it is important to reassure the person of confidential and a safe environment to discuss and express their concerns about BDD. The person will be show how to develop their own positive thinking patterns so that their behaviour patterns may be altered and controlled when required.