Adolescents or adults with a Body Dysmorphic Disorders are normal-looking people. However, they are very much concerned about their appearance and do not have a realistic view of themselves. This is not better explained by another psychiatric diagnosis (like anorexia or psychotic syndromes).
Body Dysmorphic Disorders can be defined by:
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Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.
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The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa).