Adolescence is a critical developmental period marked by rapid physical, psychological, and social changes. During this stage, individuals become increasingly aware of their physical appearance and how it is perceived by others. Body image refers to a person’s thoughts, perceptions, feelings, and attitudes about their own body. Body image distortion occurs when an adolescent has an inaccurate or exaggerated perception of their body size, shape, or appearance, often viewing themselves as overweight, unattractive, or flawed despite evidence to the contrary. In mental health nursing, understanding body image distortions is essential for early identification, prevention, and management of associated psychological disorders. Several factors contribute to body image distortions among adolescents. Biological changes such as puberty bring visible transformations including weight gain, development of secondary sexual characteristics, and changes in height and body composition. These natural changes may cause discomfort or confusion, especially when adolescents compare themselves with peers who mature earlier or later. Psychological factors such as low self-esteem, perfectionism, and a need for social approval further increase vulnerability. Social influences, including peer pressure, family attitudes, and media portrayal of unrealistic beauty standards, significantly impact adolescents’ body perceptions. Social media platforms often promote edited and filtered images