Which statement characterizes Body Dysmorphic Disorder?

• A. Preoccupied with one or more perceived deficits/flaws in physical appearance, which are not seen by others.
• B. Includes repetitive behavior (mirroring, checking, grooming).
• C. Onset 12-13 years old, w/ 2/3 of population having onset before age 18.
• D. Illness Anxiety Disorder

Answer: (A)

Body Dysmorphic Disorder is defined by a persistent preoccupation with one or more perceived defects in physical appearance that others would not notice or would consider minor. This preoccupation drives significant distress and impairment, and people often engage in repetitive behaviors (like mirror checking, grooming, or comparing themselves with others) in response to those appearance concerns. The defining element is the preoccupation itself, not just the accompanying behaviors. The statement that best captures this is the one that states the person is preoccupied with perceived physical flaws not seen by others. The other options don’t capture this core idea: listing repetitive behaviors describes common symptoms but doesn’t specify the central preoccupation; exact onset ages and prevalence aren’t diagnostic criteria; and Illness Anxiety Disorder refers to fear of having a serious illness, not concerns about appearance.