Body dysmorphic disorder--is there an actual deviation there?

Yes: Shame and embarrassment about one's appearance may keep people from seeking treatment for this disorder. But if someone has any signs or symptoms of body dysmorphic disorder, see your doctor, mental health provider or other health professional. Body dysmorphic disorder usually doesn't get better on its own, and if untreated, it may get worse over time and lead to suicidal thoughts and behavior.

Deviation??: Sorry, don't under stand your question. Body dysmorphic disorder is a mental health disorder in which one becomes extremely focused on perceived body/ facial defects that don't actually exist. It can damage self esteem & quality of life. Psychological evaluation can determine if you have this condition. Cognitive behavioral therapy is a good choice for tx.