I highly doubt that a business woman like Jackie has time to work out MORE than 1 1/2 hours MORE than 5 times a week. It’s not necessary, and as a fitness professional she would know the appropriate rest times for major muscle groups…which is why most people do not exceed 3 days of lifting in the gym per week.

Overview of BDD:

The Diagnostic and Statistical Manual of Mental Disorders defines body dysmorphic disorder as a preoccupation with an imagined or minor defect in appearance which causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The individual’s symptoms mustn’t be better accounted for by another disorder, for example weight concern is usually more accurately attributed to an eating disorder.
The disorder generally is diagnosed in those who are extremely critical of their physique or self-image even though there may be no noticeable disfigurement or defect, or a minor defect which is not recognised by most people. Most people wish that they could change or improve some aspect of their physical appearance; but people suffering from BDD, generally of normal or even highly attractive appearance, believe that they are so unspeakably hideous that they are unable to interact with others or function normally for fear of ridicule and humiliation about their appearance. They tend to be very secretive and reluctant to seek help because they fear that others will think them vain or because they feel too embarrassed. It has also been suggested that fewer men seek help for the disorder than women.
Ironically, BDD is often misunderstood as a vanity-driven obsession, whereas it is quite the opposite, for people with BDD believe themselves to be irrevocably ugly or defective.
BDD combines obsessive and compulsive aspects, linking it, among psychologists, to the Obsessive-Compulsive spectrum disorders. People with BDD may compulsively look at themselves in the mirror or avoid mirrors, typically think about their appearance for at least one hour a day (and usually more), and in severe cases may drop all social contact and responsibilities as they become a recluse.
A German study has shown that 1–2% of the population meet all the diagnostic criteria of BDD, with a larger percentage showing milder symptoms of the disorder (Psychological Medicine, vol 36, p 877). Chronically low self-esteem is characteristic of those with BDD, because the one’s assessment of one’s value is so closely linked with one’s perception of one’s appearance. BDD is diagnosed equally in men and women, and causes chronic social anxiety for its sufferers.
Phillips & Menard (2006) found the completed-suicide rate in patients with BDD was 45 times higher than in the general United States population. This rate is more than double that of those with clinical depression and three times as high as that of those with bipolar disorder. Suicidal ideation is also found in around 80% of people with BDD. There has also been a suggested link between undiagnosed BDD and a higher than average suicide rate among people who have undergone cosmetic surgery.

The Disabling Effects of BDD

BDD can be anywhere from slightly to severely debilitating. It can make normal employment or family life impossible. Those who are in regular employment or who have family responsibilities would almost certainly find life more productive and satisfying if they did not have the symptoms. The partners and family of sufferers of BDD may also become involved and suffer greatly, sometimes losing their loved one to suicide.
Studies have shown a positive correlation between BDD symptoms and poor quality of life. Quality of life for inidividuals with BDD has also been shown to be poorer than those found in major depressive disorder, dysthymia, obsessive-compulsive disorder, social phobia, panic disorder, premenstrual dysphoric disorder and Post traumatic stress disorder.[23]
Because BDD onset typically occurs in adolescence, an individual’s academic performance may be significantly impacted. Depending on the severity of symptoms, an individual may experience great difficulty maintaining grades and attendance or, in severe cases, an individual may drop out of school and therefore not reach the academic level they are capable of. The vast majority of people with BBD (90%) say that their disorder impacts on their academic/occupational functioning,[5] while 99% say that their disorder impacts on their social functioning.[5] Despite a strong desire for relationships with other people, many BDD sufferers will instead choose to be lonely rather than risk being rejected or humiliated about their appearance by getting involved with people. Many people with BDD also have coexisting social phobia and/or avoidant personality disorder, making the sufferer’s ability to establish relationships even more difficult.
Sufferers of BDD may often find themselves getting almost ‘stuck’ in moping around. That is to say that sufferers, with such a type of depression, can in some cases appear to take a long time to get everything done. However, this is not actually the case, as it is simply that the BDD sufferers will often just sit or lie down for prolonged periods of time, without being able to actually motivate themselves until it becomes completely necessary to get back up. This can often cause little to get done by sufferers, and they can have little self motivation with anything, including relationships with other people. However, contrary to this, when the action is relevant to the person’s image, it is more common for the sufferer to exhibit a fanatic and extreme approach, applying their attention fully to self-grooming/modification.

Gymrat and Betsy — great comments! SO true— let’s see some REAL reporting and something called checking “sources” and facts before tying Madonna to this so-called “disorder.” The woman Extra refers to, Jackie Warner, DEFINITELY works out more than 1 1/2 hrs 3-5 times a week and herself is thin, but that is not the main problem; it’s Jackie, in fact, ‘diagnosing’ or pronouncing some verdict on someone she doesn’t know. Different strokes for different folks, I say, and if some want to and can work out more than others, then let them be! What is up with this constant attempt to discipline and normalize all others, as if the same shoe size fits all??
Just don’t go blaming Madonna or trying to paint her in a certain light because of your own insecurities and what you project on to her, someone you don’t even know.
Even IF some of this gossip and trash talking is traceable back to Guy, all I can say is I sure wouldn’t want to look like him. He’s already a bit of a pudgeball, and dowdy, headed for more loose clothing days ahead, and he’s only 40!

Not saying the disorder isn’t real, was just commenting on the lack of good journalism in some many stories on these types of shows, as well as in mags. Rumors say…. an insider says….. according to the Enquirer.

Take the high road and do some real reporting. And wow your show loves to push products….. from the touchable screen, and always pitching products in the guise of stories.

What a joke —— who knows if this is true about Madonna but can’t believe how your show and others really show “true” journalism. I can’t believe how often I hear stories that say “rummors” say that blah, blah. Maybe you should spend more time finding actual news based on facts rather than drooling over all this nonsense based on rumors. Just contributing to the dumbing down of America. Ah, all about ratings.