Body Dysmorphia: Diana
Her mom, Guadalupe, paints a different portrait. "Diana has always been beautiful," she says. "When I tell Diana that she's beautiful, she'll respond, â€˜Mother, don't lie to me.'"
"I don't think that these procedures she has done have deformed her in any way, shape or form. I think she looks pretty much the same," says Diana's sister, Liz.
"Very," she replies, barely meeting his glance.
"Tell me what you're thinking and feeling right now."
"I feel a little overwhelmed with my physical appearance, and what I've done to myself over the last several years, just constantly picking at myself, getting unnecessary procedures, and I don't know why I did that to myself," Diana responds. "It was just this constant obsession."
"You say you've had 50 to 100 permanent makeup procedures," Dr. Phil prompts.
"You think that really turned out poorly, so now you put makeup on to cover up what you did then."
"Correct," Diana replies.
"In fact, here today, you went back into makeup three times, working on getting it right," Dr. Phil points out. "You've spent a lot of money on this, right? Like $20,000?"
"Somewhere in that area," Diana answers.
"Who knows? I actually look into that direction now," Diana says.
"But you haven't. And you've guilted your parents into paying for a lot of this, right?" he asks. "Your mother says that you will stand in front of the mirror and scream and cry that you have destroyed your face. Tell me what's wrong with it now, in your assessment?"
"The eyeliner that I've had done has turned out extremely bad. Without makeup, you can see the imperfections. It looks very asymmetrical. My eyebrows " I've had an obsession with them since I was, like, 19. I never feel like I want to fully show my eyebrows."
"At 15, you spent hours a day picking and plucking. So you've been at this a long time," Dr. Phil observes.
"I think Diana has an obsession, a very deep obsession, with her looks. We thought, at one time, that it probably would pass. A lot of teenagers do that. They get in front of the mirror," she replies. "But Diana was far from that. She was beyond that, hours in front of the mirror."
It's hard for Liz to be sensitive to her sister's condition. "I spend about 20 minutes in the mirror. I'm married with two kids. I don't have a lot of time. I can't sympathize with somebody who's in the mirror for two hours at a time," she tells Dr. Phil.