Are people with BDD delusional?
Most of them have some degree of poor insight. So being delusional is on the far end of poor insight, very poor insight or non existent insight. While insight for BDD like a lot of things, can have a couple of different components and one is insight about their actual appearance. And so people with BDD by definition, they think there is something defective when there is something that is not defective. And so if they have poor insight they may be firmly convinced that this is defective. And the other part of the insight is insight about whether they have a psychiatric disorder that is causing this. So for example, some people may think that they do not really have a psychiatric disorder causing this. That anybody would feel this bad if they looked this way. And by using some definition of delusional, actually about fifty percent of people with BDD are delusional, and the remainder kind of have some degree of low insight. A few people actually have good insight, that maybe they do not think they look as bad as they think they are. But they just can not stop thinking about it . Most of them, they are really firmly convinced that they look bad.
