Why is shame such a powerful emotion for those with BDD?

Why is shame such a powerful emotion for those with BDD?

Shame is really powerful in people with BDD. They feel like they're ugly and they feel like everybody else sees it and it makes them a horrible, defective person. Their feelings about themselves are terrible that way. They feel self-conscious around other people. They also can feel the shame, not only about their appearance, but also about the fact that they're so concerned about their appearance. They feel like, Gee, you know, I must be this horribly vain person to be concerned about my appearance, when the reality is they can't get these thoughts out of their head and they have this disorder perception.