Body dysmorphic disorder is an altered perception of self-image consisting of an excessive concern for the physical, for some real or imagined defect in their appearance. This image distortion causes significant psychological distress in subjects who suffer and ultimately affects significantly to their daily lives and their relationships, as sometimes avoid social contact and exposed publicly when they feel uncomfortable and self-conscious. Symptoms usually begin in adolescence and usually involve behaviors like obsession with looking in the mirror, change clothes often make too much exercise, makeup repeatedly in a single day, buying excessive amounts of beauty products or undergo plastic surgery. When symptoms worsen, patients have suicidal thoughts because this disorder is often also associated with other like depression or obsessive-compulsive disorder (OCD). Drug treatment and psychotherapy enable improved subjects with this change.