If you’ve ever avoided photos, spent an hour getting dressed only to hate everything, or caught yourself checking your reflection in every store window, you know how exhausting it is to live at war with your own body. You probably notice every “flaw” on yourself while thinking everyone else looks perfectly fine. The mental energy you spend analyzing, criticizing, and trying to “fix” your appearance could probably power a small city. It’s time to call a ceasefire.

What is body image?

Body image is the way you see, think, and feel about your physical appearance. It’s shaped by your experiences, cultural messages, and personal beliefs. A healthy body image means accepting and respecting your body as it is, but for many people, that relationship is complicated.

This isn’t just “I’m not feeling cute today” – negative body image can lead to relentless self-criticism and avoiding things you’d actually enjoy because you’re worried about how you look doing them. You might obsess over specific body parts, constantly compare yourself to others or feel like your worth is entirely tied to how you look.

Causes and Triggers

Body image struggles often grow from a mix of influences:

  • Cultural beauty standards and social media comparison
  • Modern diet culture
  • Comments from family, peers, or partners
  • Past experiences of teasing, bullying, or criticism
  • Major life changes (puberty, pregnancy, aging, illness, injury)
  • Perfectionism and self-esteem challenges
  • Pressure from certain industries, sports, or communities

Triggers can be anything from seeing an unflattering photo to shopping for clothes, scrolling online, seeing yourself in mirrors or windows, comments from others (even well-meaning ones), or being in environments where appearance is a constant topic.

Woman looking in a mirror working on body image

Types of Body Image Concerns

Body image concerns can show up in different ways:

Negative body image: Persistent dissatisfaction with appearance

Distorted body image: Seeing yourself in a way that doesn’t match reality

Body dysmorphic disorder: Obsessive focus on perceived flaws that others don’t notice or aren’t there

Appearance anxiety: Fear of judgment or criticism based on looks.

Body part fixation: Hyperfocusing on nose, skin, hair, or other body parts

Muscle dysmorphia: Never feeling muscular or “fit” enough

Post-change body image: After pregnancy, injury, aging, or medical treatment

Functional concerns: Worrying about what your body can or can’t do rather than how it looks

How Therapy Can Help

Therapy helps you develop a more realistic and compassionate relationship with your body.

We’ll work on:

  • Challenging unhelpful beliefs and inner commentary
  • Reducing comparison and perfectionism
  • Building appreciation for what your body does for you
  • Developing tools to handle triggering situations
  • Shifting focus from appearance to values, abilities, and experience

Therapeutic Approaches

At Counseling with Compassion, we tailor therapy to your personal history, challenges, and goals. This might include:

CBT: To challenge distorted thinking and self-criticism

Mindfulness & self-compassion practices: To shift from judgment to self-acceptance

Narrative therapy: To rewrite harmful body stories you’ve internalized

Trauma-informed care: For those whose body image struggles are linked to past experiences

Psychoeducation: Understanding how media, culture, and biology affect body image

Your worth isn’t defined by numbers, photos or other people’s opinions. With the right support, you can find peace in your own skin and finally live beyond the mirror.

We’ve made it easy for you to get started right now.

Three simple steps. No waiting lists. Just real help, right when you need it.

1 Contact Us
Reach Out

Send us an email at hello@cwcrvc.com or call us on 516-476-9057 and tell us about what’s going on.

Get Matched

We’ll connect you with the therapist best suited to your needs.

Start Sessions

In person at our Rockville Centre office or online from your couch – either way, we’ll help you take that first real step toward feeling better.