Do I Have Body Dysmorphic Disorder or Body Image Concerns? And what’s the difference?

Do I Have Body Dysmorphic Disorder or Body Image Concerns? And what’s the difference?

If you're struggling with body image concerns, you may be wondering whether you're dealing with Body Dysmorphic Disorder (BDD) or an eating disorder. Both conditions can involve obsessive thoughts and distress about appearance, but they differ in important ways. BDD is characterized by an overwhelming preoccupation with a perceived flaw, such as skin, nose, or hair, leading to compulsive behaviors like mirror-checking and excessive grooming. In contrast, eating disorders are often driven by a fear of weight gain and involve behaviors like restricting food or purging. Whether it's OCD, bulimia nervosa, or muscle dysmorphia, understanding the differences can help you seek the appropriate treatment, such as CBT for BDD, nutritional rehabilitation, or support from a psychologist.

Seeking help from a qualified psychologist or therapist near you can be the first step toward recovery.

Navigating the Quarter-Life Crisis: A Psychologist’s Guide to Finding Purpose and Balance

Navigating the Quarter-Life Crisis: A Psychologist’s Guide to Finding Purpose and Balance

Your 20s and 30s are supposed to be the best years of your life—or so you’ve been told. But if you find yourself drowning in career doubts, financial stress, and relationship uncertainty while everyone else seems to be thriving, you’re not alone. Welcome to the quarter-life crisis, a very real psychological phenomenon fueled by social comparison, economic pressures, and the ever-elusive search for purpose.

In this blog, we break down why so many young adults feel stuck and how to navigate this phase without losing your mind. From reframing your struggles to setting meaningful goals, we’ll show you how to turn uncertainty into opportunity. And if you're looking for expert guidance, our clinical psychologists in Sydney are here to help.

Why do I keep texting my ex? And should I stop?

So, you find yourself staring at your phone, debating whether to send that “Hey, how have you been?” message again. Maybe it’s late at night, you’re feeling lonely. Or you just saw something that reminded you of them. You’re in a new relationship (or they are), but somehow, the urge to reach out won’t quit.

This blog unpacks the psychology behind why you’re still staying in touch with your ex, even when you probably shouldn’t, and how to stop the cycle of this unhealthy relationship dynamic.

1. You’re Stuck in an Attachment Loop

Attachment theory suggests that our childhood experiences shape how we connect with romantic partners. If you have an anxious attachment style, you may struggle to let go, using continued contact as emotional reassurance. When they reply, it feels like there is hope of rekindling, especially if you’ve been on again/off again for a long time. You’re not reaching out because it’s good for them or good for you—you’re doing it because it temporarily eases your anxiety. Unfortunately, it truly is only temporary relief, because an ex who doesn’t want a relationship with you anymore, cannot meet your attachment needs. It’s a bandaid that lasts a little while, until the anxiety starts to creep in again, and the loop restarts.

On the flip side, if you’re avoidantly attached, you might check in occasionally to keep the connection going, but it holds them at arm’s length without committing to anything emotionally deep. This can feel safer if you have a pattern of not being comfortable when you get too close to people.

Either way, neither pattern leads to genuine closure.

2. Your Brain is Addicted to the Highs and Lows

Ever heard of intermittent reinforcement? It’s a concept from B.F. Skinner’s research (1953) that explains why people keep chasing unpredictable rewards—like refreshing Instagram to see if they’ve watched your story. When your ex occasionally replies (but not always, or not always in the enthusiastic way you’d have liked), it creates a dopamine-driven reward system, keeping you hooked. It’s like a poker machine - sometimes it feels like you win, and those wins are enough to keep you going back.

Even if the relationship was messy, your brain remembers those fleeting good moments. And that one “Hope you’re doing well” text? It’s just enough to make you spiral again.

3. It’s an Ego Thing

For some, staying in contact with an ex isn’t about love—it’s about validation. Research on narcissistic traits (Campbell & Foster, 2007) shows that some individuals use ex-partners to boost their ego. Or maybe they don’t have narcissistic tendencies, but they feel bad about themselves/their life/their relationship and texting an ex gives them the temporary validation of feeling good enough. But even if it isn’t malicious, it isn’t love or care, because it’s for their benefit, not yours. If your ex only pops up when their self-esteem is low (or when they see you moving on), they’re likely seeking reassurance, not reconnection.

A good question to ask yourself is, are you reaching out because you genuinely care, or because you want to see if they still care about you?

4. You’re Being Emotionally Guilt-Trapped

Ever received a text like “I don’t want to lose you completely” or “I just need closure”? Guilt, nostalgia, and obligation keep the cycle going. As difficult as it sounds, closure needs to come from you, not a perfectly scripted final conversation with them. The closure is that they don’t want to be with you. They may have been able to articulate why that is, they may have not given any reason at all. But the reason isn’t important, it’s the outcome that matters. And ultimately, you deserve someone who chooses you.

5. You’re Afraid to Fully Let Go

The sunk cost fallacy (Arkes & Blumer, 1985) explains why we struggle to walk away from things we’ve invested time in—even when they no longer serve us. If you spent years with your ex, cutting them off might feel like throwing all that history away.

And let’s be real—loneliness is incredibly painful. Research on fear of loneliness (Cacioppo & Cacioppo, 2014) suggests that people often keep exes around as emotional backups. But unfortunately, delaying the inevitable just prolongs the pain.

6. How Schema Therapy Can Help You Break the Cycle

Schema Therapy can help you figure out why you’re stuck in these patterns. It focuses on early maladaptive schemas—deep-rooted beliefs that shape your relationships.

  • For those with an abandonment schema, you might keep texting your ex because you fear you’ll never find someone else.

  • For those with a subjugation schema, you might stay in contact out of guilt, believing you owe them something.

  • For those with a defectiveness schema, you may worry that you aren’t good enough to find another relationship or don’t deserve more than the breadcrumb text messages with your ex.

  • Perhaps you feel emotionally deprived or neglected, and feel that this person was the only person who really understood you/cared about you/provided that emotional support.

Working with a clinical psychologist trained in Schema Therapy can help you understand your schemas and change these beliefs about yourself, set appropriate boundaries and respect others’ boundaries, and develop the skills to seek secure, stable relationships that make you feel content and happy.

Time for Some Tough Love: Should You Stop Reaching Out?

If you’re stuck in an ex-loop, ask yourself:

  • Are you looking for genuine friendship, or just emotional validation?

  • Are you looking for genuine friendship, or are you wanting something more?

  • Is this affecting your current relationship? (If you have to hide it, that’s your answer.)

  • Could this negatively impact their current relationship? (If their current partner saw these messages, would they get the impression that it’s crossing a line?)

  • Is messaging going to make you feel empowered or just anxious and confused?

If you answered yes to these questions, it’s probably time to mute, block, or take a step back.

Final Thoughts

If you’re still scrolling through old texts, rewatching their Instagram stories, drafting messages in your notes app, or still sending “just checking in” messages to your ex—it’s time to ask yourself what you really want. Because chances are, it’s not another round of emotional limbo.

Obviously there are caveats and nuances to all situations. If there are kids involved, for example, that is a whole different kettle of fish. And we know it is possible to have platonic relationships with ex-partners. But if you know deep down what you want is not platonic, then speaking to a clinical psychologist may be helpful for understanding why and getting help to move on.

Looking for a psychologist to help you navigate post-breakup struggles? Our Sydney-based clinic offers expert guidance to help you build healthy relationship patterns and emotional resilience. Book a session today with one of our clinical psychologists.

Why Exposure and Response Prevention (ERP) is More Effective Than Cognitive Challenging for OCD

Why Exposure and Response Prevention (ERP) is More Effective Than Cognitive Challenging for OCD

While various treatment approaches exist, Exposure and Response Prevention (ERP) therapy has been proven to be the gold-standard treatment for OCD, outperforming traditional Cognitive Behavioral Therapy (CBT) techniques like cognitive challenging. Here’s why…

End-of-Year Anxiety: Why We’re All Counting Down to December

End-of-Year Anxiety: Why We’re All Counting Down to December

The Problem with December’s Finish Line
As December approaches, it’s easy to feel like we’re all sprinting toward an imaginary finish line, only to land in the usual lineup of holiday chaos. End-of-year anxiety is real, affecting productivity, relationships, and mental health. The blend of work pressure, holiday planning, and personal “to-do-before-2025” lists has a way of turning even the most relaxed among us into ballpoint-hoarding list-makers.

Navigating Tic Disorders and Tourette's Syndrome: Insights and Effective Management

Living with tic disorders or Tourette's Syndrome can be incredibly challenging. As clinical psychologists based in Sydney, our goal is to offer compassionate insights into these conditions, their symptoms, causes, and available treatments. By understanding these disorders, we can take the first step toward managing them effectively and improving the quality of life.

What Are Tic Disorders?

Tic disorders are neurological conditions characterized by sudden, repetitive movements or sounds that are difficult to control. These tics can be motor (involving movement) or vocal (involving sound). Common motor tics include eye blinking, facial grimacing, and shoulder shrugging, while vocal tics can range from grunting to complex verbal utterances.

Types of Tic Disorders

  1. Transient Tic Disorder: Tics that last for a short period, typically less than a year.

  2. Chronic Tic Disorder: Tics that persist for more than a year, either motor or vocal, but not both.

  3. Tourette's Syndrome: A more severe form involving both motor and vocal tics lasting for more than a year.

What Is Tourette's Syndrome?

Tourette's Syndrome is a chronic tic disorder involving both motor and vocal tics. It often begins in childhood and can vary in severity. While the exact cause is unknown, it is believed to involve a combination of genetic and environmental factors.

Associated Conditions

Individuals with Tourette's Syndrome often also experience other conditions such as OCD and anxiety. Those with Autism or ADHD also often report experiencing tics at some point in their life.

In some cases, Tourette’s and Tic Disorders can unfortunately lead to physical health issues, including chronic pain or dental problems.

Causes and Risk Factors

The exact cause of tic disorders and Tourette's Syndrome remains unclear, but several factors are believed to contribute:

  • Genetics: A family history of tics or Tourette's can increase the risk.

  • Brain Structure and Function: Abnormalities in certain brain areas, neurotransmitters, and neural pathways.

  • Environmental Factors: Stress, infections, and other external factors may play a role.

Diagnosis and Treatment

Diagnosis

Diagnosing tic disorders and Tourette's Syndrome typically involves a comprehensive clinical evaluation, including:

  • Medical History: Understanding the patient's history of tics and any associated conditions.

  • Observational Assessment: Monitoring and documenting the frequency, type, and severity of tics.

  • Neurological Examination: Assessing brain function and ruling out other neurological conditions.

Treatment Options

While there is no cure for tic disorders or Tourette's Syndrome, several treatment options can help manage symptoms and improve quality of life:

  1. Behavioral Therapy: Cognitive-behavioral interventions, such as Comprehensive Behavioral Intervention for Tics (CBIT), can be very effective.

  2. Medications: Certain medications can help reduce tic severity and address associated conditions like ADHD or OCD.

  3. Lifestyle Modifications: We know you’ve heard it before, but it really does help - stress management techniques, a healthy diet, and regular exercise can contribute to overall well-being.

  4. Support and Education: Providing support to individuals and families through education, support groups, and therapy can make a significant difference. Having those around understand your struggles and know how to react to your tics is a really important part of treatment.

Living with Tic Disorders and Tourette's Syndrome

Living with these conditions can be tough, but with the right support and strategies, individuals can lead fulfilling lives. Creating a supportive environment at home, school, and work is crucial for managing symptoms.

Tips for Coping

  • Educate Yourself: Understanding the condition is the first step toward effective management.

  • Seek Professional Help: Regular consultations with healthcare providers including clinical psychologist, neurologist, GP and/or psychiatrist can help monitor and manage symptoms.

  • Build a Support Network: Connecting with support groups and others facing similar challenges can provide emotional support.

  • Practice Stress Management: Techniques like mindfulness, relaxation exercises, and engaging in hobbies can help reduce stress and improve overall well-being.

Conclusion

Tic disorders and Tourette's Syndrome are complex conditions that require a comprehensive and compassionate approach to management. If you or a loved one are experiencing symptoms of a tic disorder or Tourette's Syndrome, please reach out for professional guidance and support.

For more information or to schedule a consultation, feel free to contact us at admin@brodieearl.com or by calling on 0450 808 917. Together, we can work towards a better understanding and management of your tic disorder, offering a more hopeful future.

4 Tips on Choosing the Right Therapist for You

4 Tips on Choosing the Right Therapist for You

Okay so you’ve decided to go to therapy (woo go you! It’s really helpful, and I’m a little biased, but I think everyone should do it). But you’re not sure who to go to. It is a tricky decision, because it can be a big financial investment, as well as a commitment to investing your time. You want to find the right person to help you. Hopefully these tips will help you to make a good decision. 

Am I Experiencing Workplace Bullying? How to Identify Workplace Bullying and What to do About it.

Am I Experiencing Workplace Bullying? How to Identify Workplace Bullying and What to do About it.

I’ve seen incredibly competent and successful people be criticised and nit-picked and given impossible tasks that couldn’t possibly be done within a given timeframe to such an extent that they start to harbour serious doubts about their abilities (despite evidence to the contrary), feel constantly stressed and anxious about work even outside of the workplace, and are generally really unhappy. 

4 Key Things You Need to Know About Supporting Men with Depression or Anxiety

4 Key Things You Need to Know About Supporting Men with Depression or Anxiety

“So many people feel pressure to have a solution when someone tells them about their problems. When the person is talking all they’re thinking is “What do I even say to that? I have no idea how to fix that.” And sometimes we even avoid those conversations or shut them down because we know we don’t have any viable solutions.

Good news is, you actually don’t have to.”