Body Image Issues In Adolescence: Here's Everything You Need To Know!


Body image issues in adolescence are very common and can have a significant impact on a teen's self-esteem and mental health. The distorted perception of one's physical appearance, as well as an excessive focus on one body shape or weight, is one of the common ways in which body image issues in adolescence are seen.

During adolescence, teens go through intense physical, emotional, and social changes as they transition from childhood into adulthood. With all these changes happening simultaneously, it's normal for teens to feel self-conscious about their bodies.

However, for some teens, the concerns become excessive. It may begin to impair their emotional well-being and day-to-day functioning. So, understanding our bodies and common causes of negative body image is essential. It may help teens who have body image issues in adolescence to learn healthy coping strategies.

What is Body Image?

Body Image

Body image reflects how we feel about our bodies – what we believe about our appearance, how we feel others perceive us, and how confident we feel in our skin. For many teens, body image does not match reality and is often distorted.

Learning to see ourselves is an important step in developing healthy self-esteem.

What Causes Body Image Issues?

There are many complex reasons why a teen may develop body image issues in adolescence. Key factors include puberty changes, the influence of media ideals, peer influences, and social comparisons.

Personal critical self-talk and underlying mental health issues like anxiety or depression too can act as a trigger.

Tips for Improving Body Image

Practicing self-care, surrounding yourself with positive social support, avoiding appearance comparisons with others, and staying active can help improve body confidence. Further, try to speak kindly about yourself, and get professional help if needed

Risk Factors for Negative Body Image

Known risk factors include having an elevated BMI, experiencing appearance-focused bullying, social media usage, and perfectionism. Participating in appearance-focused sports like dance or gymnastics can also be a risk factor.

Protective Factors Against Negative Body Image

Protective factors include good social and family support, high self-esteem unrelated to appearance, and healthy social media habits. Body neutrality positive body image attitudes, and finding purpose and value in life outside of appearance will also help.

Common Signs of Body Image Issues in Adolescence

How can you tell if your child is suffering from body image issues in adolescence? Some common signs may indicate your teen has underlying concerns about their shape or weight.

Often, these issues start small but can grow over time. Being aware of subtle changes in behavior is important.

Some of the common signs of body image issues in adolescence include:

➡️ Excessive Focus on Appearance

Teens may begin spending excessive time looking at themselves in mirrors, seeking reassurance about their looks from others, frequently weighing themselves, or constantly comparing their appearance to their peers or celebrities. These behaviors signify an unbalanced focus on appearance.

➡️ Low Self-Esteem

Teens struggling with body image often express self-criticism about specific body parts they perceive as flawed, like belly, thighs, etc. Low self-esteem centered around appearance is an indicator of body dissatisfaction.

➡️ Disordered Eating Habits

Restrictive dieting, skipping meals, fasting, and bingeing-purging cycles can signify underlying body image concerns. Disordered eating habits both impact and are impacted by negative body image.

➡️ Withdrawing from Social Situations

Many teens start avoiding situations that used to bring them joy because the situations cause anxiety about how their bodies will look to others.

➡️ Depression/Anxiety

Excessive thoughts about imaginary physical flaws can lead to withdrawal, loneliness, and anxiety in social situations. It can also cause negative thought patterns, and eventually – depression.

If you notice any of these signs in your teen, it may indicate an unhealthy focus on body image. The best thing you can do is compassionately talk to them about your concerns, seek support, and encourage healthy behaviors. With help, negative body image can greatly improve.

Why Healthy Body Image Matters?

Developing healthy body image and self-esteem during adolescence has lifelong benefits. Teens with positive body image tend to have good mental health, confidence in pursuing their dreams, healthy relationships, and motivation to care for their bodies through nutrition and exercise.

Cultivating positive body image helps teens define their self-worth more broadly. Redirect their focus less on appearance and more on their unique talents, relationships, values, and potential. Teens who feel good about their bodies in a holistic way tend to care for themselves with compassion rather than criticism.

On the other hand, poor body image is linked to low self-esteem, anxiety, depression, and eating disorders. It can impact academic performance, personal motivation, relationships, and overall happiness.

While almost all teens have occasional body image worries, the key difference lies in the intensity and duration of these concerns. Occasional dissatisfaction is normal, excessive is not.

By encouraging healthy attitudes, beliefs, and behaviors early on, we can set teens up for greater confidence, resilience, and well-being throughout life.

Healthy Coping Strategies for Teens

If you're a teen struggling with negative body image, you deserve support. There are many healthy ways to begin improving your body confidence. Here are positive coping strategies to try:

  • Challenge negative self-talk
    Notice when your inner voice makes critical judgments about your appearance. Let the thoughts pass without engaging them. Replace negatives with kind truths.
  • Appreciate all the body does
    Shift focus to respecting your body’s abilities versus judging its shape. Feel gratitude for health, mobility, senses, talents, etc.
  • Surround yourself with positives
    Reduce time with people/media causing you to feel bad about your looks. Increase positivity!
  • Seek healthy role models

Follow body-positive activists working to redefine narrow beauty standards. Let them inspire self-confidence!

  • Make self-care a priority
    From eating nutritious foods to adequate sleep and exercise, caring for your body will boost energy and mood!
  • Give yourself a break

Perfectionism compounds body image struggles. Extend the grace and understanding to yourself that you would a close friend.

  • Participate in strengths-based activities

Join school clubs, theater groups, sports teams, or volunteer work that allows you to use your talents. Define your worth beyond appearance!

  • Get professional support

Therapy provides tools to address underlying emotional/mental health factors influencing body image. Know treatment works and help is available!

The teen years are formative. Having compassion for what your body can do versus frustration over how it looks is key to lasting health and happiness. You deserve to feel at home in your skin!


Body image issues in adolescence are complex and can profoundly impact self-esteem. With society’s impossible beauty standards and increased pressures from media, peers, and even family, it’s no wonder teens increasingly struggle with negative body image. Thankfully much can be done.

Even small shifts in daily behaviors or thought patterns can start improving your teen’s body image. By encouraging teens to appreciate their unique bodies for all they allow them to experience and contribute to the world, we can cultivate lasting positive body image.

After all, our bodies are not objects to be judged – they are incredible vehicles for living meaningful lives. What do you think teens struggling with body image most need to hear right now?


  • Cash TF, Morrow JA, Hrabosky JI, Perry AA. How has body image changed? A cross-sectional investigation of college women and men from 1983 to 2001. J Consult Clin Psychol. 2004;72:1081–9
  • Priya D, Prasanna KS, Sucharitha S, Vaz NC. Body image perception and attempts to change weight among female medical students at Mangalore. Indian J Community Med. 2010;35:316–20.

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Dr. David G Kiely is a distinguished Medical Reviewer and former General Medicine Consultant with a wealth of experience in the field. Dr. Kiely's notable career as a General Medicine Consultant highlights his significant contributions to the medical field.

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