Which disorder is described as preoccupation with imagined physical defects, with repetitive checking or grooming?

• A. Body Dysmorphic Disorder
• B. Trichotillomania
• C. Hoarding
• D. Skin Picking

Answer: (A)

Body Dysmorphic Disorder is defined by a persistent preoccupation with a perceived physical flaw that seems minor or invisible to others, along with repetitive behaviors aimed at examining, hiding, or correcting that perceived defect. In this pattern the person spends a lot of time checking themselves in mirrors, grooming excessively, seeking reassurance, or undergoing cosmetic procedures to fix the imagined flaw, which causes significant distress or impairment. This focus on imagined defects and the ritualized grooming or checking distinguishes it from other disorders: trichotillomania revolves around hair-pulling, hoarding centers on accumulating items, and skin picking involves repetitive picking of the skin without the hallmark preoccupation with a specific imagined defect. Understanding that the distress comes from a distorted appearance concern helps explain why the behaviors are repetitive and time-consuming, often leading to social withdrawal or avoidance.