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Psychological

Body Image

Body image is how you see, think and feel about your body — and in weight management it shapes motivation, eating behaviour and emotional wellbeing.

Plain English

Patient-Friendly Explanation

Body image is the picture you hold of your own body — how you see its size and shape, what you think about it and how it makes you feel. Many people seeking weight loss carry deep dissatisfaction with their bodies, and that distress can cut both ways: it may drive motivation, but it can also fuel crash dieting, guilt, avoidance of social events or exercise, and disordered eating. A healthy approach to weight management separates the goal of improving health from harsh self-criticism about appearance. When body image distress is severe or obsessional, it deserves clinical attention in its own right.

Medical

Clinical Definition

Body image is a multidimensional construct encompassing perceptual, cognitive, affective and behavioural components of one’s experience of physical appearance. Body dissatisfaction is highly prevalent in people with obesity and is exacerbated by weight stigma and internalised weight bias; it predicts poorer quality of life, avoidance of physical activity and healthcare, and disordered eating behaviours. Body image disturbance must be distinguished from body dysmorphic disorder (BDD), a psychiatric diagnosis characterised by preoccupation with perceived defects in appearance that are slight or absent, accompanied by repetitive checking or avoidance behaviours and clinically significant distress or impairment. Assessment in weight management should screen for eating-disorder risk, mood disturbance and BDD features, particularly before weight-loss interventions, and psychological support such as cognitive behavioural therapy and self-compassion approaches can address body image distress alongside behavioural change.

Key Insight

Why It Matters

We have seen patients lose weight and still feel unhappy because they were hoping the scale would repair how they see themselves — it rarely does on its own. That is why we address body image openly in our consultations and can refer for psychological support when the distress runs deeper than weight.

Sources

Reviewed against standard medical references.

Medically reviewed by

Dr Joseph Wang

Family Physician & Registered Acupuncturist, Accord Medical Clinic. MBBS (NUS), Graduate Diploma in Family Medicine (NUS), Graduate Diploma in Acupuncture (Singapore College of TCM).

Last reviewed: September 2026

This page is general health education, not medical advice. Whether any treatment is appropriate for you is a decision made in consultation after assessment.

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