Sure, some do, but most of the ones I have known do not. Actually most of the people I know started working out as a way to build themselves up as a way of protecting themselves. Most had rough childhoods and body building not only gave them physical strength, but mental and emotional as well.
I know a couple that suffer from that ! They spend more time in front of the mirror making sure they are perfect than anything else. From what I've seen? I believe it !
Coffee is my addiction.
Tobacco & coffee.