They may be convinced that they are ugly even if others find them attractive, and may frequently compare themselves to others. [substeps] The negative thoughts can be centered around any aspect of the physical appearance, including but not limited to weight, muscle tone, facial features, skin, and hair.
[header] How to diagnose body dysmorphic disorder [title] Notice obsessive negative thoughts about physical flaws. [step] People with body dysmorphic disorder are consumed with negative thoughts about their appearance. They may obsess over flaws that others do not even notice or consider minor.