Many people with this problem resist getting
treatment stating that they are content with the way they are.
Some admit they are afraid that if they give up the drugs and
exercise, they will wither away to frailty.
Family members and concerned friends may
be able to persuade the person to at least get an evaluation
by focusing on the problems caused by the behaviors, such as
job loss, relationship failure, and physical harm.
Nonetheless, about half of people with this problem are so convinced of their perceived smallness, so ruled by a true delusion, that they refuse help and continue their excessive exercise and steroid use.
For those who enter treatment, cognitive-behavioral therapy combined with medication holds promise. The same combination can also target co-existing depression. The best place to start is with an evaluation by a physician. Ask for a referral to a mental health counselor who is familiar with these disorders. After both professionals have completed their evaluations, consider their recommendations and choose a course of action that is in your own best interests. Best wishes