Most people without BDD may not like some parts of their body, but people with BDD believe that they are so ugly, even though they are not, that they find it difficult to talk or exist with other people, or live normally, scared that other people will be mean to them because of the way they look. People with BDD often do not look for help because they are afraid others will think they are just vain, or they may feel too embarrassed to talk to other people as they think they are so ugly.