Body dysmorphic disorder (BDD) causes people to obsess over perceived flaws in their appearance that are either minor or nonexistent. People with BDD experience low self-esteem and set extremely high and unrealistic standards for their appearance. Symptoms include obsessive comparison to others, excessive grooming or exercise, and seeking unnecessary cosmetic surgeries. Eating disorders like anorexia and bulimia are also body image disorders that are influenced by genetic and environmental factors like pressures from family and Western culture's emphasis on thinness as the ideal body type.