I met many lads who I think had BDD at the gym. They were in great shape to look at, were strong as ox's, dedicated, good motivation, alright personality, but they were always looking at themselves in the mirror wanting this to be more over there, and that to be more higher, with the other muscle needing more hardness, and in the end all I noticed is they became self defeated deep down. I could see they were insecure, inadequate but they never ever admit this. On the surface, they look smashing with the house, the lady, children, job etc but all the obsession over that body is like a wallpaper going over the cracks in the plaster, it is no solution!
Not all who go the gym or lift
weights, do fitness are like this of course. I'm referring to the more extreme cases, that I'm sure many here have witnessed or known.
Many bodybuilders that dont compete, and steroid users are likely BDD and very insecure.
They crave something, the juice helps to satisfy that with a sense of power.