Olfactory reference syndrome: A case treated with sertraline and olanzapine.

Abstract

Olfactory Reference Syndrome (ORS) is a rare psychiatric condition in which the affected person has a certain belief that his/her body odor is foul or unpleasant and his/her occupation on this issue leads to a loss of functionality. ORS patients blame themselves because of the smell they emit and avoidance behaviors are evident. Major depressive disorder comorbidity rate is very high. In our case, we have an ORS patient with major depressive disorder (recurrent) and panic disorder comorbidity who suffers from avoidance behavior and loss of functionality due to the thoughts of emitting sweat and foot odor since 23 years. Sertraline- Olanzapine combination therapy and behavioral therapy has been applied; there was a significant improvement in the symptoms.