Which statement regarding body dysmorphic disorder is false?

The statement that treatment with surgical care often resolves the issues is not accurate in the context of body dysmorphic disorder (BDD). BDD is characterized by an intense preoccupation with perceived defects in physical appearance, which often leads individuals to seek cosmetic procedures in the belief that these will alleviate their distress. However, research and clinical experience indicate that surgical or cosmetic interventions typically do not address the underlying psychological issues associated with the disorder. In fact, individuals with BDD can often proceed to have multiple surgeries without satisfaction, leading to a cycle of increased distress and potential worsening of the disorder.

The other statements reflect accurate aspects of BDD. It is indeed centered on an imagined defect in appearance, meaning that the concerns are often about flaws that may not be noticeable to others or are exaggerated perceptions of a minor issue. The disorder is also frequently associated with comorbid mood disorders such as depression and anxiety, meaning that individuals with BDD often experience significant psychological distress. Furthermore, facial flaws are commonly reported concerns among those with BDD, indicating that individuals often fixate on aspects of their face or body that they find unacceptable.