Changes that help
You may find that an item of clothing you liked yesterday makes you doubt yourself today, or that an offhand comment stays with you all afternoon. This experience has more layers than physical appearance: what you have learned to think about your body matters too.
In consultations, we see that distress often arises in specific moments, such as getting dressed or meeting someone. Talking about these situations helps us understand what is happening without turning every uncomfortable thought into a diagnosis.
What is body image?
Body image brings together several experiences. One is how you perceive your size, shape and other characteristics. Another is what you think and feel about them. The third shows up in your actions: choosing clothes, looking at a photo, seeking out a mirror or avoiding one.
A review of studies distinguishes four facets: what you think about your body, what you feel, what you do and how you perceive it [1]. That is why two people can look at the same photo and experience it differently. You may also feel differently about your own body from one day to the next, even when its visible shape has not changed.
Asking yourself “What do I see?”, “What am I telling myself?” and “What do I do next?” can help you distinguish these parts. If you do not like a photo, you might notice sadness and decide not to share it. That decision is also part of your relationship with your body. See “Body positivity and body neutrality”.
The goal does not have to be liking yourself all the time. You can start by noticing when a thought about your appearance makes decisions for you. That space between feeling and acting gives you room to consider another response, with support if you need it.
How does body image develop?
Your relationship with your body takes shape through experiences and messages. It is influenced by comments heard at home, jokes among friends, advertising and images on social media. A study of adolescent girls found associations between these appearance-related pressures and a less positive body image [2].
This finding describes associations in a group that was studied; it does not allow us to blame a family or explain every individual story. A comment can hurt a lot at one moment and go unnoticed at another. Bodily changes, context and the support available also matter.
On social media, you see bodies that have been selected, posed and lit, and sometimes edited. A review of experimental studies, almost all involving young people, found greater immediate dissatisfaction after viewing idealised images [3]. Comparison with those images was part of the observed effect. Findings on images that promote a positive body image were mixed [3].
This does not mean you have to leave all social media. You can notice which accounts encourage you to do things you enjoy and which lead you to scrutinise yourself. That distinction offers a practical clue about the environment that fuels comparison.
Why does dissatisfaction with body image arise?
Body dissatisfaction can grow when you turn a narrow ideal into a measure of your own worth. Repeatedly comparing yourself with selected images leaves out bodies, ages and everyday moments. There is no single cause, and feeling distressed sometimes does not define a health problem.
Distress deserves attention when it starts to take up time and shape decisions. Perhaps you look over a photo many times, change clothes until you are late, or avoid swimming with your friends. Or perhaps a meal becomes a test of self-control. What matters is how much space it takes from you.
Body image may also be related to mood and eating patterns. Clinical assessment guidelines include intense concern about weight or shape, restriction and withdrawal from social situations among the signs worth exploring [4]. Having one of these experiences is not the same as receiving a diagnosis. See “Fatphobia”.
Avoiding a plan may ease discomfort for a few hours. If it becomes your only way out, it reduces opportunities to enjoy yourself, move or spend time with other people. We can look at that pattern without forcing you to face it all at once or judging how you feel.
How to start working on your body image
Start with one specific situation. After looking at a photo, write down what you thought, what emotion came up and what you did. Use descriptive words without rating your body. This can help you separate a visible fact from the interpretation that followed.

Review the accounts you follow. If one prompts you to compare yourself every time it appears, mute it for a while. Look for content that varies in age, bodies, interests and activities. Treat this as a way to find out what feels better for you, without expecting a change to your feed to resolve the distress on its own. Evidence on positive body image content is still mixed [3].
When comparison comes up, ask yourself what the image does not show: lighting, selection, editing or a difficult day. Then return to something you were doing before opening the app. You do not need to convince yourself that you like your appearance to step out of that loop.
Your body can be part of your life even when you do not like how it looks in a photo today.
If a plan matters to you, try taking part in whatever way feels comfortable. You can go for a while, choose who to spend time with or explain that it is difficult for you. Talking about it with someone you trust can help keep the distress from becoming a conversation trapped in your head.
You can also notice when you choose clothes for comfort and when you do it only to hide. There is no right garment. The useful question is whether you feel able to choose. If trying something different causes you a lot of anxiety, you do not have to do it without support.
What we see in consultations
We hear three common concerns about body image. The first is thinking that asking for help requires you to “look unwell” in a way other people can verify. Distress cannot be measured by looking at someone from the outside.
The second is waiting to feel good about your body before accepting an invitation. Sometimes it helps to start with what you want to do and decide what support you need to do it. The third is trying to resolve all discomfort by changing what you eat or your weight.
When guilt starts to shape how you eat, we discuss it in consultation without treating it as a lack of willpower. In nutrition psychology, we explore how thoughts, emotions and habits relate to one another. If signs arise that require specialised care, we coordinate a referral.
When to seek help
Seek help if concern about your body becomes persistent, affects how you eat, or keeps you away from activities and people. You do not have to wait until it reaches a particular level of intensity. You can start with your GP or with a psychologist experienced in body image and eating behaviour [4].
If food and weight take up most of your day or determine your mood, seek specialised psychological help. If you are wondering about eating disorders and their different forms, see the general guide to eating disorders.
If exercise has become an obligation to change your appearance, you can read the guide to muscle dysmorphia.
If you simply want to talk about a concern that is just beginning, that conversation matters too. You can explain what you avoid, how much time you spend thinking about your appearance and what support you have. You do not need to arrive with a name for what you are experiencing.
If comparison is shaping your decisions, a next step could be talking with someone who listens without judging your body. You do not need to have the problem neatly organised before you arrive: it is enough to describe a recent situation.
At Alimmenta, we work on the relationship with food and the body through nutrition psychology in Barcelona and online, with coordination between psychology and nutrition. You can find out about the service and see whether it suits what you need.
Your first step this week
Name the emotion
Before opening another photo, name how you feel in one word and close the app.
When to see a doctor
When to see a doctor
The scope of nutritional care. We work on your relationship with food: emotional hunger, guilt after eating, and the restriction–binge cycle. What we do not do in nutrition care is treat an eating disorder on our own: these are treated by psychology professionals who specialise in this area, with nutrition providing support.
Seek help without waiting to change your diet if you notice any of these signs:
- If you are thinking about harming yourself or not wanting to live, seek help now. If you think you may act soon, call emergency services or go to an emergency department; do not stay alone [4].
- If you faint or notice that your pulse is very slow, seek urgent medical assessment. Also consult a professional if you feel dizzy when standing up or have persistent coldness [5].
- After eating, you vomit, take laxatives or diuretics, or compensate with exercise [4]
- Food and weight take up most of your day, or determine your mood [4].
What to do. If you are thinking about harming yourself, call 024 now (suicide prevention support, free and available 24 hours a day). If you think you may act soon, call 112 or go to an emergency department; do not stay alone. Fainting or a very slow pulse: go to an emergency department today. For signs related to food and weight, seek psychological help specialising in eating behaviour before starting a diet, not afterwards.
You do not have to reach an extreme before asking for help with food. The sooner, the easier.

Book your first appointment and let’s talk about your relationship with food
At your first appointment we talk about your history with food and the moments you find hardest, without the scales taking centre stage, and agree on the first step. If you do not know whether you need nutrition psychology or another type of care, call or write to us before booking.
Keep reading

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Muscle dysmorphia: when the gym and mirror become a problem
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Eating disorders: what they are, signs and where to seek help
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Sources
- Prnjak K, Jukić I, Mitchison D, et al. Body image as a multidimensional concept: A systematic review of body image facets in eating disorders and muscle dysmorphia. Body Image. 2022;42:347-360. doi:10.1016/j.bodyim.2022.07.006
- Roberts SR, Maheux AJ, Hunt RA, et al. Incorporating social media and muscular ideal internalization into the tripartite influence model of body image: Towards a modern understanding of adolescent girls’ body dissatisfaction. Body Image. 2022;41:239-247. doi:10.1016/j.bodyim.2022.03.002
- Fioravanti G, Bocci Benucci S, Ceragioli G, et al. How the Exposure to Beauty Ideals on Social Networking Sites Influences Body Image: A Systematic Review of Experimental Studies. Adolescent Research Review. 2022;7:419-458. doi:10.1007/s40894-022-00179-4
- National Institute for Health and Care Excellence. Eating disorders: recognition and treatment. NICE guideline NG69. 2017 (updated en 2020). https://www.nice.org.uk/guidance/ng69/chapter/recommendations
- Royal College of Psychiatrists. Medical emergencies in eating disorders (MEED): guidance on recognition and management. College Report CR233. 2022. https://www.rcpsych.ac.uk/improving-care/campaigning-for-better-mental-health-policy/college-reports/2022-college-reports/cr233
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