The Digital Mirror: How TikTok and Instagram Are Fueling Body Dysmorphic Disorder

Beneath the light-hearted surface of social media platforms like Tiktok and Instagram, there lies a growing tide of image obsession, body dissatisfaction, and serious mental health issues.
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In the last decade, social media has become our digital playground. We’re scrolling before we get out of bed; we connect with one another by sending funny videos, commenting on each other’s photos, or tagging each other in memories. But there’s another side: TikTok and Instagram, two of the most visual platforms, are shaping how we see ourselves in ways many of us don’t even realize. Beneath the surface lies a growing tide of body dissatisfaction, obsessive comparison, and even body dysmorphic disorder (BDD).

What is Body Dysmorphia?

Body dysmorphic disorder isn’t just feeling insecure about your looks; it’s a psychiatric condition recognized in the DSM‑5, characterized by an overwhelming preoccupation with perceived physical flaws that are often invisible or insignificant to others. This mental burden can lead to compulsive behaviors, social isolation, and even invasive, potentially dangerous cosmetic procedures. It’s an anxiety disorder with serious implications for mental health and well-being, including depression and disordered eating.

Let’s explore how image filters, obsession with fitness and health, and the algorithms behind our social media feeds contribute to distorted body image and body dysmorphia.

Image‑First Platforms Drive Image-First Thinking

Both Instagram and TikTok prioritize image and video content—what you look like is front and center.

Unlike text-based platforms (like Reddit or X/Twitter), where thoughts or dialogue dominate the space, these platforms are built to showcase faces, bodies, and appearances. 

A 2024 PLOS One study showed that as little as 8 minutes of TikTok exposure to weight-centric videos reduced body satisfaction and increased disordered eating thoughts among young women.

This creates a culture where:

  • Aesthetics are currency: Beauty and visual appeal function like social capital on platforms like TikTok, often determining who gets noticed, liked, shared, and followed.

  • Beauty becomes a performance: On TikTok and Instagram, beauty isn’t just a trait; it’s something users curate, display, maintain, and monetize for public consumption. These platforms turn appearance into content, and that changes the way beauty functions in everyday life.

  • “The camera is always on”: This mindset can cause people, especially younger users, to view their appearance as if they’re constantly being watched, judged, or evaluated, even when they’re alone or offline.

A study in Frontiers in Psychology (2023) found that appearance-based motivation on image-centric platforms was significantly linked to BDD symptoms, whereas other types of engagement (e.g., information-seeking) were not.

The Algorithms Prioritize Perfection

TikTok and Instagram’s algorithms are not explicitly programmed to “prefer” thin, able-bodied, or conventionally attractive people. But the way the algorithms work, combined with broader cultural preferences and biases, ends up creating a system that amplifies certain appearances far more than others.

Even though the algorithm doesn’t intentionally say “show more conventionally attractive, thin people,” it learns from user patterns—and this is where things get complicated in terms of what users see over and over.

The TikTok and Instagram algorithms are designed to maximize engagement. They show you more of what you interact with—which means if you linger on beauty or fitness content, watch transformation videos, or click on glow-ups or plastic surgery reveals, you’re going to see more of it.

This creates a feedback loop that reinforces appearance-based content, crowding out diversity and nuance. Over time, your feed becomes a highlight reel of “perfection,” and your brain starts thinking that’s what’s normal.

Filters & Editing Are Ubiquitous (and Invisible)

Both Tiktok and Instagram (and other social media platforms like Snapchat) offer seamless, often undetectable photo and video filters.

  • Jawline sharpeners, waist trimmers, lip plumpers, and skin smoothers are standard.

  • Many users don’t disclose their use of filters or apps like Facetune.

  • Teen and young adult users often see dozens of altered faces per day, without realizing it.

This distorts reality, making ordinary, natural bodies feel “flawed” by comparison. In extreme cases, it leads to “Snapchat dysmorphia”, a term coined by cosmetic surgeons and psychologists to describe the disturbing trend of people becoming fixated on their “filtered” faces, sometimes pursuing cosmetic procedures or surgeries to look more like their filtered images.

Social Media "Trends" Reinforce Harmful Ideals

Body-related trends on TikTok and Instagram are fast-moving, viral, and frequently harmful.

  • “What I eat in a day” videos often glamorize restrictive eating habits, framing them as “discipline,” “health-consciousness,” or “self-care”.
  • “Hot girl walks,” “liquid diets,” and “how to get a flat tummy” content is widespread.

  • “Looksmaxxing” trends among young men encourage obsessive grooming, extreme fitness, or cosmetic enhancements to achieve hyper-masculinized ideals

These trends frame conventional beauty as a lifelong goal we should always be pursuing, without questioning the costs to our actual bodies and minds. This drives users toward disordered behaviors and distorted self-perception.

Constant Exposure Fuels Obsession

Unlike traditional media, Tiktok and Instagram are specifically designed to keep users on their apps for as long as possible. This means: 

  • They are always accessible (on phones, 24/7)

  • They are endlessly scrollable (no stopping point)

  • They are deeply intertwined with social validation (likes, comments, views)

Depending on a user’s average time spent on these apps, that could mean hours of seeing idealized body after idealized body every single day. Over time, this repeated exposure can rewire perception, making unrealistic bodies seem normal, and making healthy, real-life bodies seem inadequate or “flawed”.

What Research Tells Us

Studies have consistently shown links between frequent social media use and the symptoms of body dysmorphic disorder, especially among teens and young adults.

A 2024 cross-sectional survey in Bahrain found that frequent social media use—especially on image-based platforms like Instagram and Snapchat—was significantly associated with symptoms of body dysmorphic disorder.

What this means: These platforms, by design, make appearance the centerpiece of the experience. The more users scroll through highly curated, polished versions of other people’s lives and bodies, the more likely they are to scrutinize their own appearance. This sets up a constant cycle of comparison and dissatisfaction, where users begin to believe their real bodies are flawed—leading to obsessive thoughts that are hallmarks of BDD.

In a large national survey from Saudi Arabia, nearly one-third of respondents who used Instagram or Snapchat for 4–7 hours per day showed signs of body dysmorphic disorder, compared to just 19% among those who spent under one hour a day on the platforms. 

What this means: The longer people stay immersed in these apps, the more likely they are to internalize unrealistic beauty standards. With every passing hour, users absorb thousands of perfectly filtered faces and edited bodies—creating a warped sense of what’s “normal” and raising the threshold for what an acceptable appearance looks like. For vulnerable individuals, especially teens and young adults, this visual saturation can fuel deep self-loathing and obsessive thoughts about perceived imperfections, all hallmarks of body dysmorphic disorder.

A 2023 study published in Frontiers in Psychology found that image-heavy platforms like Instagram, TikTok, and Snapchat—unlike text-based platforms like Twitter—are significantly linked to increased BDD symptoms, especially when users are motivated by appearance or validation.

What this means: These platforms don’t just show you images; they build your experience around them. When your main interaction with social media is visual—and when your purpose is to look good, compare, or seek approval—the pressure to appear “perfect” skyrockets. For many users, especially adolescents, these apps become digital mirrors that constantly reflect what they lack, rather than who they are.

Finding a Path Forward

TikTok and Instagram can be positive tools. They allow us to express our creativity, build community, share humor, and learn from each other. But they were never neutral mirrors. Behind every face-brightening filter and slimming trend is an invitation to compare ourselves to others, even when we don’t realize it.

TikTok and Instagram don’t cause body dysmorphic disorder directly, but their design, culture, and content trends can create a perfect storm for those vulnerable to appearance-based anxiety. When beauty becomes a performance, filters rewrite our faces, and validation is tied to perfection, it’s no surprise that more and more people are struggling to feel okay in their own skin.

Awareness, boundaries, and digital literacy can help. So can diversifying your feed, spending time offline, and focusing on who you are—not just how you look.

Sources

  • Exploring effects of SM on BDD (Bahrain), BMC Psychology 12: 614 (2024)
  • Image‑based SM use & BDD symptoms, Frontiers Psychol 14: 1231801 (2023)
  • SM, editing behaviors & BDD, Frontiers Public Health 12: 1324092 (2024)
  • Media exposure & adolescent BDD, Int’l J Interdisc Approaches Psychol 3(5): May 2025
  • Beauty filters & BDD outcomes, Psychology of Aesthetics 41(1) (2023)
  • Snapchat dysmorphia / filters review, Aesthetic Surg J 2020 & Psychology of Popular Media Culture 2019
  • Meta‑analysis: SM & BDD symptoms, systematic review 2023
  • TikTok diet culture & eating disorders, PLOS One study (2022)

Take the next step at Aster Springs.

Whether you’re seeking treatment for the first time or returning after previous care, the team at Aster Springs is here to help you navigate this stage in your recovery journey. 

Call us today to connect with an admissions specialist.

Your privacy is our priority. All communication is completely confidential.

Let’s be honest about denial.

Denial keeps eating disorders alive. Eating disorders thrive in secrecy and denial. If you don’t believe you’re sick, why would you seek help? That’s precisely how eating disorders stay in control.

Let’s be honest about denial in parents.

Denial is a natural response — but delaying the proper care can prolong suffering. For many parents, accepting that their child needs eating disorder treatment is an overwhelming and emotional experience. But early, appropriate intervention is key to lasting recovery.

Let’s be honest about isolation.

Eating disorders thrive in isolation, convincing you that you’re better off alone. But the truth is, isolation only makes things worse. It shrinks your world and traps you in a cycle of self-doubt and despair.

Let’s be honest about change.

Change is hard, but so is staying stuck. Living with an eating disorder can feel like the only way to survive. Even when it causes chaos, it becomes familiar — making change feel overwhelming.

Let’s be honest about guilt + shame in parents.

As a parent, it’s heart-wrenching to make the decision to send your child to treatment, especially when that child doesn’t want to go.

Let’s be honest about guilt + shame.

Guilt and shame can trap you in the cycle of an eating disorder, making it challenging to seek the treatment you need.

Let’s be honest about fear in parents.

Deciding to seek treatment for your child is scary — but doing nothing is scarier.

Let’s be honest about fear.

You are stronger than your fears. Treatment is hard, but so is staying stuck in the cycle of an eating disorder. You can do hard things. And on the other side of fear? A life worth living.

Executive Director, Outpatient Columbus

Kim LaBarge MS, NCC, LPCC-S

As Executive Director of Aster Springs Outpatient Columbus, Kim is dedicated to providing exceptional clinical care through group, individual, and family therapy.

She holds a bachelor’s degree in psychology from St. Mary’s College of Maryland. After several years at a Baltimore-based nonprofit, she transitioned to counseling to make a more profound impact. Kim earned her master’s in clinical mental health counseling from Johns Hopkins University, focusing on helping individuals achieve lasting positive change.

Executive Director, Outpatient Cincinnati

Natalie Fausey RD, LD

As the Executive Director of Aster Springs Outpatient Cincinnati, Natalie provides both clinical and operational leadership to the team.

She holds a bachelor’s in human nutrition from The Ohio State University and has been a registered and licensed dietitian since 2018. Previously, Natalie served as the clinical dietitian at Aster Springs for three years. She is passionate about food’s multifaceted role in life, from nourishment and enjoyment to fostering connection, culture, and tradition.

Dedicated to empowering her team, Natalie ensures the highest standards of care for every client. Outside work, she enjoys spending time with loved ones, exploring new destinations, and discovering unique coffee shops and restaurants.

Executive Director, Aster Springs VA & Outpatient Richmond

Sara Berry LMHC, MBA

Sara joined Aster Springs Outpatient Jeffersonville as Executive Director in August 2023, bringing nearly 20 years of clinical and operational experience. She has worked in community mental health, inpatient and residential psychiatric treatment, and child welfare services.

She earned a bachelor of arts in psychology and a master’s of education in counseling psychology from the University of Louisville, followed by a master’s in healthcare management from the University of Southern Indiana. Since 2005, she has worked in behavioral health across Jeffersonville and surrounding communities.

In leadership since 2009, Sara has held key roles blending clinical and operational expertise. Her clinical interests include eating disorders, mood and anxiety disorders, trauma, and family systems. Passionate about helping others reach their full potential, she enjoys reading, family time, and the outdoors.

Executive Director, Aster Springs VA & Outpatient Richmond

Melanie Vann MA, LPC, NCC

Melanie holds a master’s in counseling psychology from Regent University and is a licensed mental health provider in Virginia.

She began her career treating eating disorders and specializes in trauma-based therapy, DBT, and experiential therapies. She became a certified equine-assisted therapist through EAGALA and a certified life coach through AACC to deepen her expertise. Melanie has worked in various mental health settings, including program development, nonprofits, podcasting, consulting, outreach, and education. She has held roles such as primary therapist, program director, clinical director, and executive director.

Melanie’s client-centered, strengths-focused approach reflects her belief that full recovery from an eating disorder is possible. Passionate about fostering hope, she helps individuals live confident, empowered, and authentic lives.

Executive Director, Aster Springs TN & Outpatient Nashville

Amber Lucchino LCSW, LADAC

Amber is a licensed clinical social worker and a licensed alcohol and drug abuse counselor with nearly 20 years of experience in the behavioral health field. With 22 years of recovery from an eating disorder, she brings a unique understanding and perspective to her role as a leader at Aster Springs.

Amber earned her bachelor’s in social work from Union University and her master’s from Columbia University in New York City. She has experience in outpatient and residential treatment settings, where she has held positions ranging from direct client care to program management and director roles focusing on staff development and organizational wellness. In addition to eating disorders, she has clinical experience in trauma and co-occurring disorders. She enjoys providing training within the community and has served as an adjunct professor in the department of social work for Belmont University in Nashville, Tennessee.

Amber is married and has four children. In her spare time, she can be found at the barn with horses or hiking on nearby trails. She loves cake decorating, spontaneous dance parties, and anything outdoors. Her motto is: “Pay attention to what brings you joy and do more of that.

AVP of Eating Disorder Admissions

Stefan Glamp

Stefan is the National Director of Alum Services for Odyssey Behavioral Health, leading Aster Springs’ efforts to build compassionate, connected alum communities.

With extensive experience in addiction and mental health recovery, he specializes in fostering community partnerships and supporting clients in their unique recovery journeys, believing long-term recovery is achievable.

Stefan’s approach enhances treatment effectiveness by providing structured, ongoing support for all Aster Springs alums.

AVP of Eating Disorder Admissions

Alycia Aldieri LPC

As AVP of Admissions for Odyssey Behavioral Healthcare’s Eating Disorder Network, Alycia ensures a compassionate, responsive, and seamless admissions experience.

With a background in residential treatment for adults and adolescents with co-occurring disorders, Alycia holds a master’s in clinical psychology from Benedictine University and a bachelor’s in music therapy from East Carolina University. Her approach integrates clinical expertise, spiritual beliefs, and 12-step principles.

Committed to integrity, compassion, and ethics, Alycia believes recovery is possible for anyone willing to pursue it. She finds deep fulfillment in serving others and is dedicated to guiding clients and families with care and support through every step of the admissions journey.

National Director of Nutrition Programming

Tammy Beasley MS, RDN, CEDS-C

Tammy has over 35 years of experience in eating disorder recovery. She was the first dietitian certified as an eating disorder specialist (CEDS) by iaedp in 1993 and played a key role in securing certification approval for dietitians.

Tammy co-authored the Academy of Nutrition and Dietetics’ Standards of Practice for eating disorder RDNs and has developed nutrition programs nationwide. She mentors clinicians, serves as a media resource, and runs a private practice supporting clients and organizations.

Passionate about full recovery, Tammy’s guiding principle is “Do no shame.

AVP of Clinical Operations

Kate Fisch LCSW, CEDS

As AVP of Clinical Operations for the Odyssey Behavioral Health Eating Disorder Network, Kate plays a key role in shaping Aster Springs’ exceptional clinical care across all levels.

With nearly two decades of experience in eating disorder treatment, Kate has provided direct client care at every level and is deeply committed to clinical supervision. Her passion lies in supporting and developing fellow treatment providers to enhance the quality of care in the field.

Kate earned a bachelor’s degree in psychology from Indiana University and a master’s in social work from Washington University in St. Louis, Missouri.

Medical Director

Dr. Tom Scales

Dr. Scales is the network medical director for Odyssey Behavioral Healthcare’s eating disorder network, including Aster Springs, where he provides psychiatric and medical care to clients.

He earned his undergraduate degree from Wheaton College, attended medical school at the University of Tennessee, Memphis, and completed his internal medicine and psychiatry residency at Rush Presbyterian St. Luke’s Medical Center in Chicago, Illinois. An advocate for eating disorder awareness, Dr. Scales has delivered community presentations, made media appearances, and hosted the web-based radio show Understanding Eating Disorders.

He is a diplomat on the American Board of Internal Medicine, the American Board of Psychiatry and Neurology, and addiction medicine through the American Board of Preventive Medicine. Most importantly, he is a husband and proud father of two children. 

Chief Executive Officer

Chrissy Hall LCSW

As Group CEO, Chrissy oversees operations, the executive leadership team, and clinical service delivery at Aster Springs.

With over 25 years in behavioral healthcare, she began as a direct care staff member and has since held executive roles in clinical and business development. Her experience spans residential treatment centers, acute care hospitals, outpatient centers, and military treatment programs. Chrissy specializes in clinical best practices, program development, staff education, and quality and compliance for startups.

Passionate about leading teams to provide exceptional care in safe, therapeutic environments, Chrissy holds a master’s in social work from Virginia Commonwealth University and is a licensed clinical social worker.

Connect with the Aster Springs admissions team to start the referral process.

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Connect today with the Aster Springs Tennessee admissions team.

Connect today with the Aster Springs admissions team.

Aster Springs Richmond

Located in the heart of Richmond’s West End in Glen Allen, VA, Aster Springs Outpatient specializes in treating adults of all genders, ages 18 and older, who struggle with eating disorders.

Location

3957 Westerre Pkwy., Ste. 208, Richmond, VA 23233

Who We Treat

Adults (ages 18+) of all genders

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP)

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Nashville

Located near the heart of downtown Nashville, Aster Springs Outpatient specializes in treating adults of all genders who are struggling with eating disorders. Our programs are LGBTQIA+-affirming and inclusive of all religious preferences.

Location

2900 Vanderbilt Pl., Ste. 200B, Nashville, TN 37212

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP)

Who We Treat

Adults (ages 18+) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Columbus

Located in the heart of Dublin, Aster Springs Outpatient Columbus offers a warm, sunlit environment that feels like home. We specialize in treating adolescents and adults of all genders — ages 12 and older — who struggle with eating disorders and co-occurring conditions.

Location

3530 Irwin Simpson Rd., Ste. B, Mason, OH 45040

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults + adolescents (ages 16 & older) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Cincinnati

Located just northeast of Cincinnati in Mason, Ohio, Aster Springs Outpatient in Cincinnati specializes in treating adolescents and adults of all genders, ages 16 and older, struggling with eating disorders.

Location

3530 Irwin Simpson Rd., Ste. B, Mason, OH 45040

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults + adolescents (ages 16 & older) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Jeffersonville

Minutes away from the heart of the Ohio River Valley, Aster Springs Outpatient in Jeffersonville provides compassionate, innovative eating disorder treatment that is inclusive of diverse populations and cultures.

Location

4500 Town Center Blvd., Ste. 103, Jeffersonville, IN 47130

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults (ages 18+) | Adolescents (ages 13-17)

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Virginia

Aster Springs Virginia is composed of two locations in Richmond, each offering exceptional, compassionate eating disorder treatment within peaceful, comforting environments.

Locations

Manakin-Sabot & Glen Allen

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing, intensive outpatient program (IOP)

Who We Treat

Adult women (Residential) | Adults of all genders (PHP + IOP)

What We Treat

Anorexia, ARFID, binge eating disorder, body dysmorphic disorder, bulimia, OSFED

Aster Springs Tennessee

Located just minutes away from downtown Music City, our multidisciplinary treatment team provides tailored treatment plans designed to meet the unique needs of each client. 

Location

7544 Old Harding Pike, Nashville, TN 37221

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing

Who We Treat

Adults (ages 18+) | All genders

What We Treat

Anorexia, ARFID, binge eating disorder, body dysmorphic disorder, bulimia, OSFED

Aster Springs Ohio

Located near a winding creek on a peaceful, private stretch of land in Toledo, Aster Springs Ohio combines evidence-based, whole-person eating disorder treatment with a tranquil, home-like setting. 

Location

5465 Main St, Sylvania, OH 43560

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing

Who We Treat

Adults (ages 18+) | Adolescents (ages 10-17)

What We Treat

Anorexia, binge eating disorder, bulimia, purging disorder, ARFID, co-occurring mental health conditions