What is a key characteristic of body dysmorphic disorder?

Body dysmorphic disorder (BDD) is primarily characterized by an intense and persistent preoccupation with perceived defects or flaws in physical appearance that are either minor or not observable to others. Individuals with BDD often find themselves excessively concerned about their looks, leading them to engage in behaviors such as mirror checking, grooming, skin picking, or seeking reassurance from others. This worry is not fleeting but rather a chronic condition that affects their daily functioning, relationships, and overall quality of life.

The nature of this disorder revolves around the individual's distorted self-image and the emotional distress it causes, which often leads to compulsive behavior aimed at correcting the perceived imperfections. This contrasts significantly with the characteristics of other options such as mood changes, feelings of ecstasy, or preoccupations with death, which do not encapsulate the essence of BDD.