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What Body Checking Is and How To Stop

Obsessively assessing your appearance? Cognitive behavioral therapy and journaling can help you figure out why you’re doing it — and how to stop

Person looking in hand mirror, surrounded by diet, fitness and social media itemss

Admit it: You steal a glance at yourself as you walk past that building with the reflective glass windows. You pull on the waistband of your jeans, just to see how much “room” you’ve got to work with. And when you come home from the gym, you spend a couple minutes at the mirror looking for evidence of your hard work. It’s nothing to be ashamed of. It’s called body checking. And we all do it.

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But — like so many other activities — body checking can become compulsive. When it does, it’s usually a sign that your mental health needs attention.

Psychologist Susan Albers, PsyD, explains what body checking looks like, how to tell when it’s becoming a problem and what to do about it.

What is body checking?

“Body checking is exactly what it sounds like. It’s the act of checking in with your body around weight, shape, size and appearance to see if it’s changed,” Dr. Albers says. The behavior exists on a continuum. We all engage in some form of body checking every day, consciously and unconsciously. It’s part of being human. But this behavior can also become compulsive. And when it does, it’s associated with mental health conditions like body dysmorphic disorder (BDD) and eating disorders.

What body checking looks like

Body checking can take many different forms. And sometimes, it can be hard to tell, if your body checking behavior is just a habit or something more serious.

“Sometimes, people intentionally go to the mirror to evaluate their appearance,” Dr. Albers notes. “And sometimes, it’s a compulsive habit that happens without someone’s awareness.”

One way to tell the difference is to ask yourself why you’re doing it.

“When you body check in a compulsive way, there’s a purpose to it,” she continues. “You’re assessing your body not just to see how you look, but to measure it against some sort of standard.”

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A few common body checking behaviors include:

Looking in the mirror

Combing your hair, checking your teeth or touching up your makeup during a bathroom break is a safe and healthy activity.

But what if you’re spending hours looking at yourself in the mirror from every angle? Or you feel uncomfortable when there isn’t a mirror nearby? That’s a sign your body checking has developed a pathological quality.

Taking selfies

There’s nothing wrong with taking (or posting) photos of yourself from time to time. In fact, the occasional selfie can boost both your mood and your self-esteem!

If you take a lot of selfies — or take selfies to assess parts of your body you’re unhappy with — Dr. Albers says that could be a sign you lack self-confidence or are engaging in excessive body checking.

Changing clothing

Who doesn’t love a good movie makeover scene? You know, where the star tries on outfit after outfit until they find exactly the right look?

Being indecisive about what you wear is a form of body checking because you’re appraising your looks. But it’s not concerning.

Using clothing to judge your physique is a different story. Your behavior’s escalating to the level of a compulsion if you put on the same clothes to weigh yourself every day. Or if you try on your high school prom dress every week to make sure it still fits. Or if you wear baggy clothes to avoid seeing your body or being triggered by a waistband.

Weighing or measuring yourself

The amount we weigh isn’t supposed to be stable. It fluctuates from day to day — and sometimes, even hour to hour. The same goes for our measurements.

Occasionally checking for significant changes is a healthy behavior. But weighing or measuring yourself multiple times a day or before and after meals suggests an unhealthy fixation.

Feeling fat, muscle and bone

We all use our hands to assess our physique from time to time. Dr. Albers often sees people measure the diameter of their wrists with their fingers, for example.

Other techniques include:

  • Feeling your hip bones to see how far they protrude.
  • Wrapping your hands around your waist.
  • Grabbing loose skin.
  • Squeezing flexed muscles.
  • Pinching your flesh to assess your weight.

It’s OK to interact with your body this way on occasion. But doing it frequently can be a sign that you’re obsessing about your looks.

Comparing yourself to other people

Comparison may be a thief of joy, but it’s also an understandable impulse, especially in the era of social media. It only becomes a sign of compulsive body checking when it starts impacting your daily life.

If you can’t go out with your best friend because they make you feel ugly, Dr. Albers recommends getting counseling to help understand the emotional obstacles you’re encountering.

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Self-comparison

Who among us hasn’t looked at an old picture with a bit of nostalgia or — let’s be honest — jealousy? Aging is a natural process, but it isn’t always easy. And there’s nothing wrong with admiring that fabulous head of hair, those dancer’s legs or that wrinkle-free face you had in grade school.

This type of body checking is only a problem if it makes you feel unhappy in the body you have now or skews your expectations of yourself.

Mindfulness

Body checking can sometimes be a healthy part of a mindfulness practice, Dr. Albers says.

Body scan meditation, for instance, is a grounding technique where you focus on your body. You're fixated on it not to judge it, but to bring you out of your head and into the moment. Not only is it a great way to relieve stress, but it may also reduce pain associated with chronic illness.

Like any other mindfulness practice, body scan meditation isn’t for everybody. If you have a history of mental illness, body image issues or compulsive behaviors, integrating body checking into your wellness routine could do more harm than good, as it may trigger an escalation of body checking behavior.

How are body checking and eating disorders related?

“Body checking and eating disorders often go hand in hand,” Dr. Albers states. And it’s not just a theoretical connection. A 2023 study found people living with anorexia nervosa were more likely to engage in dangerous weight loss behaviors (like skipping meals or self-induced vomiting) in the moments after body checking.

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Dr. Albers notes that body image issues and BDD are also associated with body checking. Body dysmorphia distorts your perception of your physical appearance. As one study puts it, body checking makes your “strong preoccupation with and overvaluation of body shape and size” visible.

She also makes another connection between body checking and eating disorders: Social media can trigger it.

“Social media fosters a lot of comparison,” she explains. “And it can even incite the idea of body checking.”

This is especially true of content that falls into the “thinspo” genre. Thinspo is media content that promotes body image issues and unhealthy weight loss.

Body checking is its own genre of thinspo. You can watch videos of people body checking, teaching you how to body check, critiquing their physique or comparing it to somebody else’s. Before and after photos, workout videos and weight loss montages all involve body checking.

“It’s role modeling the behavior,” Dr. Albers continues. “Teens are still trying to figure out what normal, acceptable behavior looks like. Frequent contact with these videos — and these very curated images — can make body dissatisfaction seep into their subconscious.”

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Other causes

The connection between body checking, BDD and eating disorders is strong. But Dr. Albers says those aren’t the only conditions associated with compulsive body checking. Others include:

  • Obsessive-compulsive disorder (OCD). The repetitive behaviors people with OCD perform often involve checking of some sort. Washing your hands, locking and unlocking the door — even repeating questions like, “Are you mad at me?” — relieves anxiety by gathering information about yourself or your surroundings.
  • Anxiety disorders and panic disorder. Body checking can trigger anxiety or even a full-fledged panic attack, no doubt about it. But it can also be a maladaptive coping strategy. It helps you calm down, but not in a way that’s healthy or sustainable. In fact, the behavior ultimately makes your anxiety worse because you depend on it to feel comfortable.
  • A history of trauma. You don’t have to have post-traumatic stress disorder (PTSD) to be living with physical (or emotional scars). Dr. Albers says body checking can negatively impact your perception of — and relationship with — your body following a traumatic event.
  • Illness anxiety disorder (hypochondria). People with this rare psychological condition either think they are seriously ill or believe they’re at risk of becoming seriously ill. Body checking is one of the most significant symptoms.

How to stop body checking

Like any other compulsive behavior, body checking isn’t an easy habit to break. But it can be done. Dr. Albers recommends:

  • Working with a therapist. Cognitive behavioral therapy (CBT) encourages you to ask yourself questions. Questions like what thoughts are associated with body checking and whether the behavior is actually helpful. Because it usually increases anxiety, as opposed to decreasing it,” she notes. CBT also helps you distinguish between thoughts and facts, which can help adjust distorted perceptions about your body.
  • Journaling. “Keep a log of every time you engage in body checking,” Dr. Albers suggests. Write down what you did and what was happening at the time and what you were thinking or feeling. And ask reflective questions like “How did body checking make me feel?” This will help you identify both the underlying cause of the behavior and your triggers.
  • Avoiding your triggers. Once you know what’s driving your body checking, you can prevent it. Dr. Albers reiterates that social media is one of the most common triggers. Putting boundaries or limits on it can be helpful. Triggers can also be environmental or emotional. Avoiding them may be as simple as getting rid of the floor-length mirror in the hallway. It could also be as difficult as ending a toxic relationship with a parent.

How to help

It can be disturbing to see somebody you care about engaging in body checking. But it’s important to remember that not all body checking behavior is compulsive, harmful or even conscious. So, go into any conversation about the topic with an open mind.

“Sometimes, body checking is involuntary,” Dr. Albers reminds us. “I’ve had people talk with me about their body checking, and as they’re sitting there, they’re pinching themselves. They don’t even realize they’re doing it because it’s become so habitual.”

It can also happen for a good reason. A person living with panic disorder may check their pulse, for example, to help stay calm in anxious situations. And some autistic people use body checking charts to improve their interoception — to better interpret the messages their body’s sending them.

“If somebody you care about is body checking, bring it to their awareness in a very gentle and compassionate way,” she recommends. Don’t scold or lecture. Instead, ask questions that encourage your loved one to reflect.

Let’s say you notice that your friend traces their collarbone multiple times a day. The next time it happens, Dr. Albers suggests saying something like, “I noticed you ran your fingers over your collarbone just now. You seem to do that a lot. Why is that?”

If they’re open to continuing the conversation, she recommends pointing out — again, in a gentle and compassionate way — the impact their actions are having on their life.

Your first and most important job is to be a good listener. You can’t force people to get help, but you can provide a safe space to reflect on — and maybe, one day, change — their behavior.

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