How muscle dysmorphia diagnosed?

Muscle dysmorphia, body dysmorphia, and other eating and body-image disorders can be very difficult to diagnose, as diagnosing the condition often requires that the affected person come forward and ask for help and treatment. Many people with muscle dysmorphia do not recognize that they have a problem or are afraid of becoming weak if they discontinue their habit. About 50 percent of people known to have muscle dysmorphia refuse treatment. Once a person does come forward and seek help, though, diagnosis is mostly based on the person's own report of their history and habits.