A good number of people especially women struggle with body image. Many people are not happy about what they think they look like. This type of thinking is normal to a certain point. When someone imagines that they appear to look uglier than most people would agree with or the thoughts of body imperfection or ugliness impair a person's functioning, then it is possible that a person is experiencing body dysmorphia.
Some professionals claim that unless a person meets all the criteria in the mental health handbook...(DSM IV), that individuals are healthy but unhappy. Many other professionals agree that happiness is great measurement of a person's ability to think in healthy ways and maintain psychological health. Also even mild symptoms of body dysmorphia often plays a role in other areas of life and functioning.
Below is a link defining and describing symptoms for body dysmorphia.
http://www.mayoclinic.com/health/body-dysmorphic-disorder/DS00559
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