D, who is 5 feet 7 inches tall and weighs 160 pounds, believ…

D, who is 5 feet 7 inches tall and weighs 160 pounds, believes that her size-9 feet are enormous compared with the rest of her body. She has visited orthopedic surgeons to see if surgery to reduce the length of her feet is possible. She spends hours trying to buy shoes that make her feet look smaller, and she prefers social interactions where she can sit with her feet concealed under a table. The nurse can assess that these symptoms are consistent with: