Which of the following individuals most clearly exhibits the characteristics of body dysmorphic disorder (BDD)?
A) A 44-year-old man who is committed to going to the gym every day both before work and after work
B) A 71-year-old woman who talks frequently about her multiple health problems
C) A 20-year-old woman who weighs 98 pounds but who considers herself obese
D) A 13-year-old boy who is in the fifth percentile of height and weight for his age and sex
Ans: C
The defining characteristics of BDD are a preoccupation with an imagined defect in physical appearance or a vastly exaggerated concern about a minimal defect. An adult weight of 98 pounds accompanied by an illusion of obesity is an imagined defect. Excessive exercise or a preoccupation with physical ailments may accompany BDD, but these are not diagnostic criteria. Low body weight and height for age do not suggest BDD.
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