February 16, 2021

The Unhealthy Quest for Perfection: Body Image Disorder

Many of us have a physical characteristic that we don’t especially like. Maybe you would like to be thinner, or that one eyebrow is a little higher than the other, or you think your nose is too big. If you are like most people, you probably spend a little time thinking about these perceived flaws and then get on with your life. If you don’t like your nose much, you might learn a few tricks with makeup, you might turn your face a certain way in photos, or you might even consider getting a nose job. Maybe your desire to be thinner causes you to adopt a healthy diet and spend more time exercising. That’s normal.

But for some people, the perceived flaw (usually something that other people don’t notice or don’t think is a big deal) becomes an obsession. This obsession has a name: Body Image Disorder or Body Dysmorphic Disorder (BDD). People with BDD spend hours each day thinking about their perceived flaw(s). People suffering from BDD fixate on perceived flaws frequently related to facial features, hair, skin, the appearance of veins, breast size, muscle size and tone, genitalia, and weight. They might have several cosmetic procedures in an endless attempt to fix the “problem” and never be satisfied with the results. According to an article published on the Mayo Clinic’s website, people with BDD spend an inordinate amount of time looking in the mirror, grooming, dressing to hide the “flaw,” and seeking reassurance from other people about their appearance to the point where these actions interfere with their daily life. People suffering from BDD tend to isolate and avoid social situations.

Prevalence of Body Image Disorder

Staff at Enlightened Recovery, a drug and alcohol treatment center licensed to treat co-occurring disorders, among them body image disorder, estimate that up to four percent of the United States population suffers from body image disorder. In addition, according to the OCD Foundation, 80% of people with a body image disorder have attempted or will attempt suicide.

BDD and Eating Disorders

If someone with BDD is fixated on their weight, they may develop an eating disorder. A study of 1600 health club members found that of participants who indicated that they had an eating disorder, 76% had BDD as well. Results were published in the journal Eating and Weight Disorders. Eating disorders have been described in a blog published by Enlightened Recovery as “an addictive relationship with self-destructive eating patterns.”

While there are many types of eating disorders, three of the most common are anorexia, bulimia, and binge-eating disorder.

People suffering from anorexia restrict the number of calories they consume and the types of food that they eat. They may also exercise excessively and may use laxatives, diuretics, enemas, or diet aids in an effort to lose weight. Frequently, people with anorexia equate being thin with their self-worth. According to information found on the Mayo Clinic’s website, symptoms of anorexia include extreme weight loss, fatigue, hair loss, anemia, kidney problems, bone loss, and heart problems. In extreme cases, anorexia can result in sudden death from abnormal heart rhythms or electrolyte imbalance.

People with bulimia binge and purge. They eat an amount that exceeds what someone without the disorder would eat in a two-hour period. Most people with bulimia purge by vomiting, although some will purge by fasting, exercising, or abusing laxatives or diuretics. People with bulimia use the restroom during or right after a meal and will sometimes avoid eating in public. Medical problems that can develop in people who have bulimia include tooth decay and gum damage, damage to the esophagus, electrolyte imbalance, low blood pressure, and heart problems.

According to the Enlightened Recovery website, binge-eating disorder is described as repeated episodes of “eating an amount of food that exceeds what most people would eat within a two-hour time period.” People suffering from this condition frequently eat when they are not hungry, eat until they are uncomfortable, eat very quickly, and frequently eat alone because of feelings of shame. Physical problems caused by binge eating disorder include heart problems and obesity.

Related Mental Health Issues and Substance Use Disorder

People who suffer from BDD frequently have co-occurring mental health and substance use issues as well. According to an article on BDD that appeared on the Mayo Clinic’s website, people with BDD often have major depression or other mood disorders, suicidal thoughts and behaviors, social anxiety disorder, or obsessive-compulsive disorder. Staff at Enlightened Recovery have noted shame, guilt, stress, and anxiety, and that many of their patients with BDD have experienced trauma at some point in their past. People suffering from BDD use the fixation on their perceived flaws as a way to cope with painful emotions and memories.

People suffering from BDD also frequently have substance use disorders as well. According to a study that looked at comorbid SUDs with BDDs, 68% of the subjects reported SUDs. Alcohol and cannabis were the most frequently abused. A study published in The International Journal of Eating Disorders had as participants women with different types of anorexia. The findings suggested that SUDs are more associated with “bulimic symptomology.” Among people with BDD who fixated on their weight, stimulants were the most commonly abused substances. People with BDD who muscle size and tone might abuse steroids.

Help Is Available

Fortunately, help is available for people suffering from BDD. Treatment usually involves psychotherapy and medication. Cognitive Behavioral Therapy (CBT) can be particularly helpful because it helps you learn to challenge your negative thoughts about your body image, learn to handle your triggers without constantly looking in the mirror, and learn to generally improve your mental health.

While there are no medications specific to BDD, selective serotonin reuptake inhibitors (SSRIs) can be helpful, as is following your treatment plan, keeping your appointments with your therapist, learning about BDD, practicing the skills that you learned in therapy, avoiding drugs and alcohol, and exercising (but not obsessively).

Body Dysmorphic Disorder (BDD), also called Body Image Disorder, is a serious mental and physical health issue. The disorder interferes with daily life and many people with BDD attempt suicide. People suffering from BDD often have other mental health issues and substance use disorders. BDD is one of the disorders treated at Enlightened Recovery and we can help you through a combination and traditional and alternative therapies. Enlightened Recovery is a drug and alcohol treatment facility and we are licensed to treat co-occurring disorders like BDD. We are located in New Jersey and grounded in the 12-Step philosophy. We focus on healing the whole person and work to uncover and treat the underlying issues that are causing BDD. The holistic treatment modalities we offer include yoga, meditation, art and music therapy, family constellation therapy, acupuncture, nutrition education, equine therapy, and chiropractic work. If you or someone close to you is suffering from BDD, please call us at (833) 801-5483.

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The Answer: It Depends on Your Individual Situation

One of the most common concerns people have before entering a detox program is whether they can continue taking their prescribed medications during detox. The short answer is that many prescribed medications can be continued safely during treatment, but each situation requires careful medical evaluation.

At Enlightened Recovery in New Jersey, our medical team understands that many individuals entering detox are managing other health conditions alongside substance use disorders. Whether you take medications for diabetes, high blood pressure, mental health conditions, chronic pain, or other medical issues, our clinical staff will work with you to create a safe, individualized detox plan that addresses all of your healthcare needs.

The key is transparency and communication. When you share complete information about your prescribed medications with your treatment team, they can make informed decisions that protect your health throughout the detox process.

Why Medication Management Matters During Detox

Entering detox doesn’t mean your other health needs disappear. In fact, some medical conditions require even more careful monitoring during the physical stress of withdrawal. Conditions such as hypertension, heart disease, diabetes, thyroid disorders, and seizure disorders all require continued medication management during treatment.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), comprehensive detoxification services should include evaluation and management of co-occurring medical conditions. This integrated approach ensures that treating one condition doesn’t inadvertently worsen another.

The Complexity of Drug Interactions

One reason medical supervision during detox is so critical involves potential drug interactions. Some prescribed medications may interact with substances leaving your system or with medications used to manage withdrawal symptoms. A qualified medical team can navigate these complexities, adjusting dosages or timing as needed to maintain both safety and therapeutic effectiveness.

For example, certain blood pressure medications may need dose adjustments as your body stabilizes during detox. Similarly, some psychiatric medications require careful monitoring when alcohol or other substances are being cleared from your system.

How Medical Teams Evaluate Your Prescribed Medications During Detox

When you arrive at a detox facility, the medical team will conduct a thorough assessment that includes reviewing all of your current medications. This evaluation typically covers several important areas.

Your clinical treatment team will want to understand the medical conditions you’re being treated for and how well-controlled those conditions currently are. They’ll review each medication you take, including the dosage, frequency, and prescribing physician. They’ll also assess how long you’ve been taking each medication and whether you’ve experienced any side effects or complications.

This information helps the clinical team understand your complete health picture and make informed decisions about medication management during your stay.

Distinguishing Between Different Types of Medications

Not all prescribed medications carry the same considerations during detox. Generally speaking, medications fall into a few categories when it comes to treatment planning.

Many medications can continue without modification. These often include medications for conditions like high blood pressure, diabetes, thyroid disorders, and many other chronic health issues. Your treatment team will simply incorporate these into your daily medication administration schedule.

Some medications may require adjustment. Depending on how withdrawal affects your body, certain medication dosages may need to be temporarily modified. For instance, changes in appetite, hydration, or metabolism during detox can affect how your body processes some medications.

A smaller category of medications requires more careful evaluation. This typically includes controlled substances that may have addiction potential themselves or could complicate the detox process. However, this doesn’t automatically mean these medications will be discontinued—it means the medical team will carefully weigh the benefits and risks in your specific situation.

Common Concerns About Specific Medication Types

Psychiatric Medications

Many people entering detox are also managing mental health conditions such as depression, anxiety, bipolar disorder, or PTSD. The National Institute on Drug Abuse (NIDA) emphasizes the importance of treating co-occurring mental health and substance use disorders simultaneously for the best outcomes.

In most cases, psychiatric medications such as antidepressants, mood stabilizers, and antipsychotics can and should be continued during detox. Abruptly stopping these medications can lead to serious complications, including worsening mental health symptoms that could undermine your recovery efforts.

Your treatment team will coordinate with your prescribing psychiatrist or physician whenever possible to ensure continuity of care.

Pain Management Medications

Chronic pain management during detox requires particularly thoughtful planning, especially if you’ve been taking opioid pain medications. The goal is to ensure you’re not suffering unnecessarily while also supporting your recovery from substance dependence.

If you have legitimate chronic pain conditions, your medical team will work with you to develop an appropriate pain management strategy during detox. This might involve continuing certain medications, exploring alternative approaches, or adjusting dosages based on your individual circumstances.

Honest communication about your pain levels and concerns helps your treatment team provide the most effective care possible.

Medication-Assisted Treatment Considerations

It’s worth noting that some medications specifically designed to support recovery from substance use disorders may be introduced during or after detox. According to SAMHSA, medications such as buprenorphine, naltrexone, and others have strong evidence supporting their effectiveness in treating opioid and alcohol use disorders.

These aren’t replacing one addiction with another—they’re evidence-based medical treatments that can significantly improve recovery outcomes when used as part of a comprehensive treatment plan.

What You Should Bring to Your Intake Appointment

To help your treatment team make the best decisions about your care, come prepared with as much information as possible about your current medications. Bringing your actual medication bottles is helpful because they contain important details about dosage, prescribing physician, and pharmacy information.

If you have a list of your medications from your doctor or pharmacy, bring that as well. Any recent lab work or medical records related to your ongoing health conditions can also help the clinical team understand your baseline health status.

Don’t worry if you don’t have all of this information readily available. The admissions team can help gather what’s needed, and the medical staff can contact your other healthcare providers to coordinate your care.

Frequently Asked Questions

Will I have to stop taking my antidepressant during detox?

In most cases, no. Antidepressants are typically continued during detox because stopping them abruptly can cause discontinuation symptoms and worsen mental health. Your medical team will evaluate your specific medication and situation.

What if I’m prescribed a controlled substance like Xanax for anxiety?

Benzodiazepines require careful evaluation because they can complicate detox, particularly from alcohol. However, your medical team won’t simply discontinue these medications without a safe plan—especially since benzodiazepine withdrawal itself can be medically dangerous.

Should I bring my medications with me to detox?

Yes, bringing your current medications in their original containers is helpful. However, the facility’s medical team will manage all medication administration during your stay to ensure safety and proper documentation.

What if my medication isn’t available at the detox facility?

Quality detox programs have systems in place to obtain necessary medications or appropriate alternatives. If you take a less common medication, mention this during your pre-admission conversation so the team can prepare.

Will my prescribing doctor be contacted?

With your permission, the treatment team may contact your other healthcare providers to coordinate care. This collaboration helps ensure everyone involved in your health is working together.

At Enlightened Recovery’s Detox in New Jersey Your Health Is the Priority

Concerns about prescribed medications during detox are completely understandable, and they reflect your commitment to taking care of your overall health even as you address substance use. At Enlightened Recovery, we believe that comprehensive care means attending to all of your medical needs—not just the immediate challenges of withdrawal.

If you have questions about how your specific medications will be managed during treatment, our admissions team is available to discuss your situation confidentially. We can help ease your concerns and explain how our medical staff approaches medication management.

Contact Enlightened Recovery today to learn more about our medically supervised detox programs in New Jersey.

Taking this step toward recovery doesn’t mean abandoning the other aspects of your healthcare—it means building a stronger foundation for your overall wellbeing.

Enlightened Recovery provides compassionate, medically supervised detox and addiction treatment services for individuals and families throughout New Jersey.

When you’re considering treatment for yourself or someone you love, every detail feels significant. The therapies offered. The qualifications of the staff. And yes—the environment where healing will take place.

If you’ve been researching luxury addiction treatment in New Jersey, you’ve likely seen images of serene settings and comfortable accommodations. But does a comfortable rehab environment actually make a difference in recovery?

The answer is nuanced. A comfortable, welcoming rehab environment may help people feel more at ease and willing to participate in treatment. Feeling safe and respected can lower barriers to opening up in therapy. However, amenities alone do not establish treatment quality or guarantee recovery.

What matters most is how the environment complements individualized clinical care, meaningful therapeutic relationships, and ongoing support. Let’s explore what “comfort” really means in treatment—and how to evaluate what will serve your recovery best.

What Does “Comfortable” Mean in a Rehab Setting?

Comfort in treatment extends far beyond thread counts or scenic views. True comfort encompasses:

Physical ease: Clean, well-maintained spaces where you can rest and focus
Respectful interactions: Staff who speak to you with dignity, not condescension
Clear expectations: Knowing what each day will look like and what’s expected of you
Privacy: Space to process difficult emotions without feeling exposed
Feeling welcome: Entering a place where you sense you belong, not where you’re merely tolerated

It’s worth noting that “luxury” is a marketing description rather than a clinical designation. No licensing body certifies facilities as “luxury,” and the term means different things to different programs. What one person considers luxurious, another might view as simply comfortable or adequate.

When evaluating a residential addiction treatment program, consider what specific aspects of the environment matter most to you—and whether those features genuinely support your treatment goals.

Can a Comfortable Rehab Environment Help You Engage in Treatment & Influence Participation?

Recovery asks a lot of you. It requires vulnerability, honesty, and sustained effort during a time when you may already feel depleted. The space where this work happens can influence your willingness to show up fully.

Plausible Benefits of a Comfortable Rehab Enviroment

A calm, organized environment may help by:

Reducing distractions that compete for your attention
Providing predictable routines that create stability
Offering comfortable spaces for rest between intensive therapy sessions
Creating an atmosphere where you feel motivated to participate

These benefits make intuitive sense. When basic needs are met and surroundings feel manageable, you may have more emotional bandwidth for the challenging work of recovery.

What the Research Does—and Doesn’t—Show

While research consistently demonstrates that treatment engagement predicts better outcomes, studies haven’t established that luxury facilities specifically produce superior results compared to other quality treatment settings. What research does support is the importance of feeling respected, building trust with providers, and receiving evidence-based care tailored to your needs.

Emotional Safety and Supportive Staff Relationships

Perhaps more important than any physical amenity is how staff members interact with you. Entering rehab often means walking through the door carrying shame, fear, and uncertainty. How you’re received in those early moments matters.

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) emphasizes that a strong therapeutic relationship—built on listening, empathy, and collaboration—is foundational to effective treatment. When you feel genuinely heard rather than judged, you’re more likely to:

Share honestly about your experiences
Stay engaged even when treatment feels difficult
Trust the guidance you receive
Ask for help when you’re struggling

A comfortable rehab environment includes emotional comfort: knowing that the people around you want to understand your story, not just manage your symptoms.

Rest, Nutrition, and Space for Daily Routines

Addiction takes a physical toll. By the time someone enters treatment, sleep may be disrupted, nutrition neglected, and basic self-care abandoned. Quality programs recognize that supporting these fundamental needs creates a foundation for deeper therapeutic work.

Rest allows your body and mind to begin healing. Nutritious meals provide energy for the demanding work of recovery. Space for daily routines—exercise, quiet reflection, or simply taking a walk—helps you reconnect with yourself outside of formal therapy sessions.

These elements aren’t treatments for addiction themselves. Rather, they support your overall wellbeing so you can engage more fully in the clinical care that addresses the root causes of substance use.

Comfort During Treatment for Co-Occurring Conditions

Many people seeking addiction treatment also experience anxiety, depression, trauma, or other mental health concerns. For these individuals, environmental factors may carry particular significance.

Someone with anxiety might feel overwhelmed by chaotic or unpredictable settings. A person processing trauma may need a sense of physical safety and control over their space. Those experiencing depression might benefit from natural light, opportunities for gentle movement, and staff who notice when they’re withdrawing.

However, comfort cannot replace dual diagnosis care. Clinical assessment and appropriate treatment for co-occurring conditions remain essential. A beautiful setting without qualified mental health support won’t address the complex relationship between addiction and mental health.

At Enlightened Recovery, our whole-person approach recognizes that addiction rarely exists in isolation. Our Egg Harbor City main campus provides treatment for both addiction and co-occurring mental health concerns, delivered by a compassionate clinical team.

What Should You Evaluate Beyond Amenities?

When researching luxury addiction treatment New Jersey options—or any treatment program—look beyond surface features. Consider this checklist:

Comprehensive clinical assessment: Does the program evaluate your full history, not just addiction?
Qualified staff: What credentials do therapists, counselors, and medical professionals hold?
Appropriate level of care: Does the program offer the intensity of treatment you need?
Evidence-based therapies: Are approaches like cognitive behavioral therapy, trauma-informed care, or medication-assisted treatment available when indicated?
Individualized planning: Will your treatment plan reflect your specific circumstances and goals?
Continuing care: How does the program support your transition after residential treatment?

A genuinely quality program will welcome these questions. The answers reveal far more about treatment effectiveness than photos of accommodations ever could.

Questions to Ask About the Treatment Environment

As you evaluate South Jersey rehab options, consider asking:

What does a typical day look like?
What are the accommodation arrangements?
How much personal time is built into the schedule?
Are there accessibility accommodations for physical limitations?
What is the communication policy with family members?
How do staff members respond when someone feels overwhelmed or wants to leave?

These questions help you understand whether the environment will support your participation—and how the program handles the inevitable difficult moments that arise during treatment.

Exploring Treatment at Enlightened Recovery

At Enlightened Recovery’s Egg Harbor City main campus, we believe the treatment environment should support—not distract from—meaningful clinical care. Our South Jersey drug and alcohol rehab location offers a setting where you can focus on healing while receiving individualized attention from a compassionate team.

We provide residential treatment for adults facing addiction and co-occurring mental health concerns. Our whole-person approach recognizes that lasting recovery involves healing your mind, body, and spirit—and that this work requires both skilled clinical support and an environment where you feel safe enough to be vulnerable.

Whether you’re seeking treatment for yourself or exploring options for a loved one, we encourage you to ask questions, visit when possible, and trust your instincts about what setting feels right.

Take the Next Step

Choosing treatment is a deeply personal decision. The “right” environment is one that helps you engage fully in evidence-based care delivered by people who see you as a whole person deserving of compassion and respect.

If you’re considering luxury addiction treatment in New Jersey, we invite you to contact Enlightened Recovery. Our admissions team can answer your questions about our Egg Harbor City main campus, discuss your treatment needs, and help you verify your insurance benefits.

Recovery is possible. And you deserve a setting where you can discover that truth for yourself.

If you’re wondering how to choose an addiction recovery program in NJ, begin by asking how each program determines the care you need. A convenient location and an open bed matter, but they do not tell you whether a program can address your withdrawal risks, mental health, and plans for life after treatment.

You also do not need to figure out the right level of care on your own before calling. A thoughtful assessment should help you understand where to start. Use the questions below to compare programs and make the next step feel less overwhelming.

Ask What Happens During the Assessment

An admissions call may begin with basic questions about insurance and availability. Before you commit to treatment, find out how the program assesses your needs and who makes the clinical recommendation.

You should have an opportunity to discuss the substances you use, when you last used them, any previous withdrawal symptoms, medications, physical health concerns, and past treatment experiences. The conversation should also cover how substance use is affecting your daily life. For example, are you having trouble staying safe at home, getting to work, or caring for yourself? Are depression, anxiety, trauma, or other mental health concerns involved?

Ask the admissions team:

Who conducts the clinical assessment?
Will you assess whether I need medical support during withdrawal?
How do you decide which level of care is appropriate?
What happens if I need a service you do not provide?
When will my treatment plan be reviewed?

You should understand the reason behind the recommendation, even if you are hearing unfamiliar treatment terms for the first time. SAMHSA recommends looking for quality care that responds to a person’s needs and includes appropriate treatment and recovery support.

Compare Levels of Care, Not Just Facilities

The word “rehab” can describe very different experiences. One person may need supervised detox before beginning treatment. Another may be ready for an outpatient schedule that lets them live at home. A clinical assessment helps determine an appropriate starting point, and that recommendation may change as treatment progresses.

When comparing addiction recovery programs in New Jersey, ask what each level of care involves:

Detox provides support during withdrawal. Ask what medical supervision is available, which substances the program is equipped to address, and how the team helps people move into ongoing treatment afterward.
Residential treatment provides a structured setting where people live during care. Ask what a typical day includes, how long stays are determined, and how treatment goals are reviewed.
Partial hospitalization and intensive outpatient programs (IOP) provide structured treatment without the same overnight stay as residential care. Ask about the weekly schedule, attendance requirements, and whether the program fits your transportation, work, or family responsibilities.
Standard outpatient care generally involves a less intensive schedule. Ask how the team determines whether that amount of support is sufficient for you.

A program does not have to offer every service at one address. It should, however, explain what happens if you need to move to another level of care. New Jersey’s addiction services treatment directory is another way to explore licensed treatment options by service type. www.nj.gov

Ask How Mental Health Fits Into Treatment

For many people, substance use is only part of the story. Anxiety, depression, trauma, and other mental health concerns may affect recovery and deserve attention during treatment.

If this sounds familiar, ask more than “Do you treat dual diagnosis?” Find out what that care looks like. Who assesses mental health symptoms? Are mental health professionals involved throughout treatment? How are existing psychiatric medications reviewed? Can the team coordinate with a therapist or prescriber you already see?

Be as open as you can about your concerns during the assessment. If you are worried that mentioning mental health symptoms could complicate admission, ask directly how the program would respond. That answer can help you judge whether the team is prepared to support your full set of needs.

At Enlightened Recovery, our New Jersey services include care for people facing both substance use and mental health challenges. Our admissions team can discuss your situation and help identify an appropriate starting point. You can also learn more about our Egg Harbor City addiction recovery program in New Jersey.

Picture What a Typical Week Would Be Like

Treatment descriptions often list individual therapy, groups, and other services. Ask someone to walk you through what those services mean in practice.

How often would you meet with a clinician individually? What topics do groups cover? How does the team adjust care if you are struggling or making progress? If involving family would be helpful, ask whether family therapy is available and how you decide who participates.

Practical questions belong in this conversation, too. If you are considering residential care, ask what to bring, how communication with loved ones works, and what the first few days are like. For outpatient care, ask about session times, missed appointments, and transportation. Knowing what to expect can make it easier to choose a program you can realistically attend and engage with.

Discuss Aftercare Before You Enroll

Getting into treatment can feel urgent. Planning for what comes next may seem like a distant concern, but it is an important question to raise early.

Ask when aftercare planning begins and who helps coordinate it. Depending on your needs, a plan may include a step down to outpatient treatment, appointments with a therapist or prescriber, recovery meetings, family support, or help with housing and transportation. If you will return to a home environment where substance use is common, tell the team so you can discuss it together.

At Enlightened Recovery, our New Jersey continuum includes detox, residential, and outpatient options. Ask admissions how care transitions and aftercare planning would work for your circumstances.

Get Clear Answers About Cost and Next Steps

Before enrolling, ask for an insurance benefits check and an explanation of expected costs. Find out whether the program is in network, what your plan may cover, whether prior authorization is needed, and what you may owe in deductibles, copays, or other charges. If you do not have insurance, ask what payment options or referrals are available.

You can compare options through independent resources as well. ReachNJ connects New Jersey residents with treatment referrals and other support regardless of insurance status or ability to pay. www.nj.gov

Choosing an addiction recovery program does not require a perfect decision made in one phone call. Start by explaining what is happening, asking how the program would assess your needs, and listening for clear answers about treatment and continued support. Contact Enlightened Recovery to discuss addiction treatment options in New Jersey and what the admissions process could look like for you.