Olfactory Reference Disorder

About Olfactory Reference Disorder

Olfactory reference disorder is characterized by a persistent preoccupation with the belief that one emits a foul or offensive body odor or breath that is either not noticeable or only slightly noticeable to others. People with the condition are often excessively self conscious, may believe others are reacting to the odor, and frequently engage in repetitive behaviors such as checking for smell, excessive washing, changing clothes or using perfume, or avoid social situations. ICD-11 lists it as a separate diagnosis in the obsessive compulsive and related disorders group, while DSM-5-TR mentions it as an example of other specified obsessive compulsive and related disorder. It has been described in many countries over a long period and is known in Japan as jikoshu kyofu. Insight varies widely between individuals. Research is limited, but treatment approaches drawn from related conditions, including cognitive behavioral therapy and medication, are commonly used.