With the passing of the new year my attention turned to what
I want to achieve in the next twelve months.
Yet again I find myself resolving to go to the gym more often, and when there,
work harder for longer.
What is it I want to achieve while I’m there? Well for me the most important reason for working
out is that it improves my mental
health: a good workout gives me a sense of achievement, purifies my body of
stress toxins, and releases the ‘happy’ chemicals, endorphins, that lift my mood. Then there is looking more attractive: as I
am getting older, or so I reason, my body is one area that I still have some
control over. Alarmingly, making an
improvement in my physical health comes a poor third in my list of
priorities.
I suspect it’s the same for a lot of men. What is interesting is the increasing
pressure men face to ‘own’ the beautiful body.
We can’t do much about our faces, but we can change our physique, right? But which physique? For many years the fit and toned look
epitomised by David Beckham was the gold standard of male physical beauty. But ever since Daniel Craig emerged from the
sea in Casino Royale in 2006 there has been something of a shift to a more rugged
muscular build. The pressure is on to
not only slim down to a percentage body fat that reveals a washboard stomach,
but also pile on the muscle to create that more angular ‘masculine’ silhouette.
What are these pressures doing to men? Well for many men it is simply no longer
acceptable to abuse your body and accept the middle age spread as an inevitable
consequence of growing older, just like a receding hairline. In some ways this is a good thing. Bodies that are worked out, generally speaking,
are healthier than those that never see the inside of a gym.
For some men, though, this has simple gone too far. The eating disorders of anorexia and bulimia,
once diseases mainly restricted to women, are becoming increasingly prevalent
in men, particularly young men. This is
understandable when you realise you need a percentage body fat below 14 to
reveal your abs (however big they are), and that maintaining this level of body
fat is both difficult and unhealthy.
To these can be added a related, but peculiarly male
disorder: bigorexia. There have been
many attempts to define this condition, and they tend to come under guises such
as ‘exercise addiction’ or, more formally, ‘muscle dysmorphia’, but they all
capture one essential feature: the man is unhappy with how muscular he looks
and, however big he builds up his muscles, he still feels that he is too
small. Even if the man is asked to
compare himself with another man of similar physique, he still sees himself as
being smaller.
Bigorexia, in this sense, is closely linked to anorexia and
bulimia, in that all three stem from a problem with the way the person perceives
their body. Just as anorexia and bulimia
leads to secondary problems, such as the use of laxatives or throat and teeth
damage, men with bigorexia, can also develop a dependence on anabolic steroids
– or ‘roids’.
Roids are freely available in most gyms around the country,
and hold the advantage that they can make you bulk up on muscle really
quickly. You still have to put the hours
in at the gym, but you get better results from the time you spend.
Sound ideal? Well
consider the side effects of roids.
First there are the risks of psychological dependence and the kind of
physique they produce. Second is the
disturbance in mood that roid use can bring about, particular making men more
irritable and aggressive (hence the expression ‘roid rage’).
The dangers are not just psychological, but physical. Many men develop acne on their face and
back. Roids can also stimulate the
latent breast tissue in men causing what is sometimes referred to as ‘bitch
tits’. The long term damage can also be
severe, causing serious hormone regulation problems. If you use needles to inject the roids (which
is not uncommon), there are also the risks of infection including hepatitis
and, if needles are shared, HIV.
For guys with bigorexia though, these dangers are worth the price. In fact this is the real danger of bigorexia,
the men who have it don’t identify as having a problem. For them, getting bigger becomes an all
consuming passion, even an obsession, and they can’t see that they are doing
themselves harm, and certainly wouldn’t consider getting help.
So where is the dividing line between wanting to shape up
and look fit, and exercising to the point you are doing yourself psychological
and physical harm? Well for me the real
point of danger is if you consider using roids to boost your muscle bulk. If you need to change your body shape so
badly, there is a potential problem.
For many men concern over their physical appearance is just
one of the ways they experience low self worth.
It’s not just men with bigorexia who are unhappy about their shape. Inevitably as men’s bodies continue to be
object of fashion and used to boost commercial products from films to talcum
powder, such low self esteem is set to continue to grow.
What can be done about it?
The good news is that if you are continually obsessing about your body
shape there are things that can be done.
Learning to identify and change your style of thinking is central to
therapy in this area and, provided you can accept you have a problem, is highly
effective. The trick is to catch it
early. If you leave it until you have
full on bigorexia, you have probably left it far too late.
Dr Phil Tyson is a Men's Psychotherapist based in Manchester in the
UK. He offers counselling in Manchester, psychotherapy in Manchester,
cognitive behavioural therapy in Manchester and telephone counselling
nationally and internationally.