Recognizing Body Dysmorphia in Males: Why Awareness Matters More Than Ever and the Benefit of Celebrities Like Noah Kahan Speaking Out 

Body image struggles are often associated with girls and women, but many boys and men are also impacted. Because of stigma and cultural expectations, their struggles are less likely to be recognized, discussed, or treated. 

In recent years, more men have started sharing their experiences publicly. Singer-songwriter Noah Kahan has spoken openly about his own struggles with body dysmorphia. Through his music and documentary, he describes the exhausting cycle of waking up feeling disconnected from his body and trapped in negative self-perception, even when others see him as successful and admired.  

Stories like his remind us that body dysmorphia does not discriminate by gender, age, occupation, or any other attribute.  

What Is Body Dysmorphia? 

Body dysmorphia is a mental health condition that causes someone to become preoccupied with perceived flaws in their appearance. These flaws may be minor or not noticeable to others, but to the individual, they feel overwhelming and impossible to ignore. 

This condition can affect anyone, but in males it often centers around: 

  • Muscle size or shape  
  • Body fat or weight  
  • Height or posture  
  • Skin, hair, or facial features  

Some men develop concerns about appearing too small or not muscular enough, sometimes referred to as muscle dysmorphia. 

Without recognition and treatment, body dysmorphia can significantly impact mood, relationships, work performance, and physical health. 

Why Body Dysmorphia in Males Is Often Missed 

Many boys and men grow up hearing messages that discourage emotional expression. Even Kahan describes how his mother may have suspected that he was struggling, but that they didn’t discuss these challenges directly: “I think she knew I had something like that, but she didn’t know how much it was affecting me”.  

Many men feel pressure to appear confident, strong, and unaffected by insecurity. Because of this, male body image struggles often show up differently than expected. Instead of openly discussing dissatisfaction with their appearance, some men may: 

  • Spend excessive time at the gym  
  • Rigidly control food intake  
  • Avoid situations where their body may be seen  
  • Use humor or self-criticism to deflect concern  
  • Minimize or hide emotional distress  

Public figures speaking honestly about their struggles can help shift these patterns. That kind of honesty creates space for others to acknowledge their own challenges. 

Signs That Body Dysmorphia May Be Present 

Recognizing early warning signs can help families and individuals seek support sooner. 

Some common signs include: 

Appearance-focused behaviors 

  • Frequent mirror checking or avoidance of mirrors  
  • Comparing appearance to others constantly  
  • Excessive grooming or attempts to hide perceived flaws  

Thought patterns 

  • Persistent negative thoughts about body shape or size  
  • Belief that appearance determines worth or success  
  • Feeling ashamed or embarrassed about physical features  

Behavioral changes 

  • Avoiding social activities or photos  
  • Restrictive eating or compulsive exercise  
  • Seeking repeated reassurance about appearance  

When these patterns interfere with daily functioning or emotional well-being, professional support can help. 

What Can Help: Treatment and Support Options 

Body dysmorphia is treatable. Many individuals experience meaningful improvement when they receive the right combination of care. 

Common approaches include: 

Cognitive Behavioral Therapy (CBT) 

CBT helps individuals identify distorted beliefs about appearance and challenge unhelpful thought patterns. Over time, this can reduce obsessive thinking and improve self-image. 

Exposure-Based Approaches 

These therapies gradually help individuals face avoided situations, such as social settings or mirrors, while learning healthier coping skills. 

Medication Support 

In some cases, medications may help reduce anxiety, obsessive thoughts, or depression associated with body dysmorphia. 

Family and Peer Support 

Support systems play a vital role. Encouraging open conversations about body image helps reduce shame and isolation. 

Breaking the Silence Around Male Body Image 

Body dysmorphia in males has long been misunderstood or ignored. Increasing awareness is one of the most powerful ways to reduce stigma and encourage early intervention. 

Parents, partners, educators, and healthcare providers can help by: 

  • Taking body image concerns seriously  
  • Avoiding dismissive language  
  • Encouraging professional evaluation when concerns persist  
  • Modeling healthy attitudes toward body diversity  

These small shifts can create environments where boys and men feel safe speaking honestly about their experiences. 

Moving Toward Awareness and Healing 

Body dysmorphia can be isolating, but recovery is possible with the right support and treatment. 

When more men share their stories, seek care, and receive compassionate support, the silence surrounding male body image begins to fade. Awareness leads to recognition. Recognition leads to treatment. And treatment leads to healing. 

If you or someone you care about is struggling with body image concerns that feel overwhelming or persistent, seeking professional guidance can be an important first step toward lasting change. 

-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.

https://youtu.be/iKQeU9s5U2k?rel=o