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According to the Mayo Clinic, body dysmorphia is a mental condition in which a person fixates on a “perceived defect” in their appearance. The individual may seek out reassurance as a way to bolster their opinion about how they look.

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This is not the first time the star has opened up about not thinking she is the sexy, self-assured person we perceive her to be, telling Cosmopolitan in 2009, “I’m very confident in how I project my personality. But in terms of how I look, I’m completely, hysterically insecure” (via Access).

That same year she told Rolling Stone, “I’m really insecure about everything.” She added, “I see what I look like, but there are things that I like and things that I dislike. My hair is good. The color of my eyes is good, obviously. I’m too short. But overall, I’m not super excited about the whole thing. I never think I’m worthy of anything… I have a sick feeling of being mocked all the time. I have a lot of self-loathing” (via New York Daily News).