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Olfactory reference syndrome

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526:. Another author, writing about halitosis, noted that there are generally three types of persons that complain of halitosis: those with above-average odor, those with average or near-average odor who are oversensitive, and those with below-average or no odor who believe they have offensive breath. Therefore, in persons with genuine odor complaints, the distress and concern may typically be out of proportion to the reality of the problem. Genuine halitosis has been described as a social barrier between the individual and friends, relatives, partners and colleagues, and may negatively alter self-esteem and quality of life. Similar psychosocial problems are reported in other conditions which cause genuine odor symptoms. In the literature on halitosis, emphasis is frequently placed on multiple consultations to reduce the risk of misdiagnosis, and also asking the individual to have a reliable confidant accompany them to the consultation who can confirm the reality of the reported symptom. ORS patients are unable to provide such confidants as they have no objective odor. 188:). In one review, ideas of reference were present in 74% of cases. Usually, these involve misinterpretations of comments, gestures and actions of other people such that it is believed that an offensive smell from the individual is being referred to. These thoughts of reference are more pronounced in social situations which the individual with ORS may find stressful, such as public transport, crowded lift, workplace, classroom, etc. Example behaviors which are misinterpreted include coughing, sneezing, turning of the head, opening a window, facial expressions, sniffing, touching nose, scratching head, gestures, moving away, avoiding the person, whistling. Commonly, when being in proximity to others who are talking among themselves, persons with ORS will be convinced that the conversation is about his or her odor. Even the actions of animals (e.g. barking of dogs) can be interpreted as referential to an odor. Persons with ORS may have trouble concentrating at a given task or in particular situations due to obsessive thoughts concerning body odor. 518:(body odor), etc. These conditions are excluded before a diagnosis of ORS is made. Although there are many different publications on topics like halitosis, the symptom is still poorly understood and managed in practice. It is recognized that symptoms such as halitosis can be intermittent, and therefore may not be present at the time of the consultation, leading to misdiagnosis. Individuals with genuine odor symptoms may present with similar mindset and behavior to persons with ORS. For example, one otolaryngologist researcher noted "behavioral problems such as continuous occupation with oral hygiene issues, obsessive use of cosmetic breath freshening products such as mouthwashes, candies, chewing gums, and sprays, avoiding close contact with other people, and turning the head away during conversation" as part of what was termed " 218:, mint, chewing gum, scented candles, and soap; changing clothes (e.g. underwear), multiple times per day, frequent washing of clothes, wearing several layers of clothing, wrapping feet in plastic, wearing garments marketed as odor-reducing, eating special diets, dietary supplements (e.g. intended to reduce flatulence odor), repeatedly seeking reassurance from others that there is no odor, although the negative response is usually interpreted instead as politeness rather than truth, and avoidance behaviors such as habitually sitting at a distance from others, minimizing movement in an attempt "not to spread the odor", keeping the mouth closed and avoiding talking or talking with a hand in front of the mouth. 403:". The revised third edition (DSM-III-R) mentions ORS in the text, stating that "convictions that the person emits a foul odor are one of the most common types of delusion disorder, somatic type." The fourth edition (DSM-IV), does not use the term ORS but again mentions such a condition under "delusional disorder, somatic type", stating "somatic delusions can occur in several forms. Most common are the person's conviction that he or she emits a foul odor from the skin, mouth, rectum or vagina." In the fifth edition (DSM-5), ORS again does not appear as a distinct diagnosis, but it is mentioned in relation to 407:(ćŻŸäșș恐怖症, "disorder of fear of personal interaction"). The variants of taijin kyƍfushƍ (shubo-kyofu "the phobia of a deformed body" and jikoshu-kyofu "fear of foul body odor") are listed under 300.3 (F42) "other specified obsessive compulsive and related disorders", and is about someone's fear that his or her body, or its functions, is offensive to other people. There are four subtypes of taijin kyƍfushƍ. 17% of these individuals have "the phobia of having foul body odor", the subtype termed jikoshu-kyofu. Although taijin kyƍfushƍ has been described as a 231:, becoming housebound, psychiatric hospitalization, and suicide attempts. According to some reports, 74% of persons with ORS avoid social situations, 47% avoid work, academic or other important activities, 40% had been housebound for at least one week because of ORS, and 31.6% had experienced psychiatric hospitalization. With regards to suicide, reports range from 43 to 68% with suicidal ideation, and 32% with a history of at least one suicide attempt. 5.6% died by suicide. 584:. Little data are available regarding the efficacy of these treatments in ORS, but some suggest that psychotherapy yields the highest rate of response to treatment, and that antidepressants are more efficacious than antipsychotics (response rates 78%, 55% and 33% respectively). According to one review, 43% of cases which showed overall improvement required more than one treatment approach, and in only 31% did the first administered treatment lead to some improvement. 165:
considering the condition as a form of delusional disorder, as seems to occur in the DSM, is inappropriate. In one review, in 57% of cases the beliefs were fixed, held with complete conviction, and the individual could not be reassured that the odor was non existent. In 43% of cases the individual held the beliefs with less than complete conviction, and was able to varying degrees to consider the possibility that the odor was not existent.
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of cultural differences, i.e. Western culture being primarily concerned with individual needs, and Japanese culture primarily with the needs of the many. Hence, it is claimed that ORS mainly focuses on the affected individual's embarrassment, and jikoshu-kyofu is focused on the fear of creating embarrassment in others. In this article, jikoshu-kyofu and ORS are considered as one condition.
533:—taste dysfunction) can present as a complaint related to smell, and vice versa. These conditions, collectively termed chemosensory dysfunctions, are many and varied, and they may trigger a person to complain of an odor than is not present; however, the diagnostic criteria for ORS require the exclusion of any such causes. They include pathology of the right hemisphere of the brain, 149:). Olfactory hallucination can be considered the result of the belief in an odor delusion, or the belief a result of the olfactory hallucination. In one review, the individual with ORS was unreservedly convinced that he or she could detect the odor themselves in 22% of cases, whilst in 19% there was occasional or intermittent detection and in 59% lack of self-detection was present. 93:(bad breath); the anus; the genitals; the skin generally; or specifically the groin, armpits or feet. The source(s) of the supposed odor may also change over time. There are also some who are unsure of the exact origin of the odor. The odor is typically reported to be continuously present. The character of the odor may be reported as similar to bodily substances, e.g. 416:
literature to refer to subjective halitosis complaints (i.e. when a person complains of halitosis yet no odor is detectable clinically) can also be considered under the umbrella of ORS. Examples include halitophobia, non-genuine halitosis, delusional halitosis, pseudo-halitosis, imaginary halitosis, psychosomatic halitosis, and self halitosis.
133:, burnt rags, candles, garbage, burning fish, medicines, old cheese. Again, the reported character of the odor complaint may change over time. Halitosis appears to be the most common manifestation of ORS, with 75% complaining of bad breath, alone or in combination with other odors. The next most common complaint was sweat (60%). 650:
When treated, the prognosis is better. In one review, the proportion of treated ORS cases which reported various outcomes were assessed. On average, the patients were followed for 21 months (range: two weeks to ten years). With treatment, 30% recovered (i.e. no longer experienced ORS odor beliefs and
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Conversely, some have suggested that medical conditions which cause genuine odor may sometimes be misdiagnosed as ORS. There are a great many different medical conditions which are reported to potentially cause a genuine odor, and these are usually considered according to the origin of the odor, e.g.
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Such treatments generally have no long-term effect on the individual's belief in an odor symptom. If non-psychiatric clinicians refuse to carry out treatment on the basis that there is no real odor and offer to refer the patient to a psychologist or psychiatrist, persons with ORS typically refuse and
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present when the condition developed but which were unrelated to smell. In one review, 85% of reported cases had traumatic, smell-related experiences, and 17% of cases had stress factors unrelated to smell. Reported smell-related experiences usually revolve around family members, friends, co-workers,
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confined to east Asia (e.g. Japan and Korea), it has been suggested that the jikoshu-kyofu variant of taijin kyƍfushƍ is closely related or identical to ORS, and that such a condition occurs in other cultures. However, some Western sources state that jikoshu-kyofu and ORS are distinguishable because
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Although the existence of ORS is generally accepted, there is some controversy as to whether it is a distinct condition or merely a part or manifestation of other psychiatric conditions, mainly due to the overlapping similarities. Similarly, there is controversy with regards how the disorder should
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ORS may be misdiagnosed as schizophrenia. About 13% of people with schizophrenia have olfactory hallucinations. Generally, schizophrenic hallucinations are perceived as having an imposed, external origin, while in ORS they are recognized as originating from the individual. The suggested diagnostic
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or SAD. Body dismorphic disorder (BDD) has been described as the closest diagnosis in DSM-IV to ORS as both primarily focus on bodily symptoms. The defining difference between the two is that in BDD the preoccupation is with physical appearance, not body odors. Similarly, where obsessive behaviors
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When untreated, the prognosis for ORS is generally poor. It is chronic, lasting many years or even decades with worsening of symptoms rather than spontaneous remission. Transformation to another psychiatric condition is unlikely, although very rarely what appears to be ORS may later manifest into
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and brother's sexual intimacy. It has been suggested that a proportion of such reported experiences may not have been real, but rather early symptom of ORS (i.e. referential thoughts). Examples of non smell-related stressful periods include guilt due to a romantic affair, being left by a partner,
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95% of persons with ORS engage in at least one excessive hygiene, grooming or other related repetitive practice in an attempt to alleviate, mask and monitor the perceived odor. This has been described as a contrite reaction, and repetitive, counterphobic, "safety", ritual or compulsive behaviors.
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For unknown reasons, males appear to be affected twice as commonly as females. High proportions of ORS patients are unemployed, single, and not socially active. The average age reported is around 20–21 years, with almost 60% of cases occurring in subjects under 20 in one report, although another
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Persons with ORS tend to develop a behavior pattern of avoidance of social activities and progressive social withdrawal. They often avoid travel, dating, relationships, break off engagements and avoid family activities. Due to shame and embarrassment, they may avoid school or work, or repeatedly
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into the condition, and can recognize that the odor might not be real, and that their level of concern is excessive. Others argue that reported cases of ORS present a spectrum of different levels of insight. Since sometimes the core belief of ORS is not of delusional intensity, it is argued that
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Synonyms for ORS, many historical, include bromidrosiphobia, olfactory phobic syndrome, chronic olfactory paranoid syndrome, autodysomophobia, delusions of bromosis, hallucinations of smell and olfactory delusional syndrome. By definition, the many terms which have been suggested in the dental
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Although all individuals with ORS believe they have an odor, in some cases the individual reports they cannot perceive the odor themselves. In the latter cases, the belief arises via misinterpretation of the behavior of others or with the rationale that a disorder of smell which prevents self
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was carried out while the person with ORS listened to both neutral words and emotive words. Compared to an age and sex matched healthy control subject under the same conditions, the individual with ORS showed more activation areas in the brain when listening to emotionally loaded words. This
556:. However, some reported ORS cases were presented as co-morbid. Indeed, some have suggested that ORS may in time transform into schizophrenia, but others state there is little evidence for this. Persons with ORS have none of the other criteria to qualify for a diagnosis of schizophrenia. 679:
was first proposed in 1971 by William Pryse-Phillips. Prior to this, published descriptions of what is now thought to be ORS appear from the late 1800s, with the first being Potts 1891. Often the condition was incorrectly described as other conditions, e.g. schizophrenia.
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The typical history of ORS involves a long delay while the person continues to believe there is a genuine odor. On average, a patient with ORS goes undiagnosed for about eight years. Repeated consultation with multiple different non-psychiatric medical specialists
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It has been suggested that various special investigations may be indicated to help rule out some of the above conditions. Depending upon the case, this might include neuroimaging, thyroid and adrenal hormone tests, and analysis of body fluids (e.g. blood) with
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behaviors, excessive tooth brushing, or tongue scraping (a treatment for halitosis), repeated smelling of oneself to check for any odor, over-frequent bathroom use, attempts to mask the odor, with excessive use of
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The causes of ORS are unknown. It is thought that significant negative experiences may trigger the development of ORS. These have been considered as two types: key traumatic experiences related to smell, and life
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are directly and consistently related to body odors rather than anything else, ORS is a more appropriate diagnosis than obsessive–compulsive disorder, in which obsessions are different and multiple over time.
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Persistent (more than six months), false belief that one emits an offensive odor, which is not perceived by others. There may be degrees of insight (i.e. the belief may or may not be of delusional intensity).
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This pre-occupation causes clinically significant distress (depression, anxiety, shame), social and occupational disability, or may be time-consuming (i.e. preoccupies the individual at least one hour per
543:(SAD) and ORS have some demographic and clinical similarities. Where the social anxiety and avoidance behavior is primarily focussed on concern about body odors, ORS is a more appropriate diagnosis than 552:
criteria mean that the possibility of ORS is negated by a diagnosis of schizophrenia in which persistent delusions of an offensive body odor and olfactory hallucinations are contributing features for
388:) does not have a specific entry for ORS, or use the term, but in the "persistent delusional disorders" section, states delusions can "express a conviction that others think that they smell." 168:
Other symptoms may be reported and are claimed to be related to the cause of the odor, such as malfunction of the anal sphincter, a skin disease, "diseased womb", stomach problems or other unknown
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The defining feature of ORS is excessive thoughts of having offensive body odor(s) which are detectable to others. The individual may report that the odor comes from: the nose and/or mouth, i.e.
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of mental illness or other conditions in ORS is unclear, because most reported cases have lacked this information. In some cases, there has been reported psychiatric and medical conditions in
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Mountain, H; Brisbane, JM; Hooper, AJ; Burnett, JR; Goldblatt, J (Oct 20, 2008). "Trimethylaminuria (fish malodour syndrome): a "benign" genetic condition with major psychosocial sequelae".
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peers or other people making comments about an odor from the person, which causes embarrassment and shame. Examples include accusation of flatulence during a religious ceremony, or being
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which caused a bad taste in the mouth, mockery about a fish odor from a finger which had been inserted into the person's vagina in the context of a sexual assault, and revulsion about
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The belief is not a symptom of schizophrenia or other psychotic disorder, and not due to the effects of medication or recreational drug abuse, or any other general medical condition.
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In modern times, commercial advertising pressures have altered the public's attitude towards problems such as halitosis, which have taken on greater negative psychosocial
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Wise, PM; Eades, J; Tjoa, S; Fennessey, PV; Preti, G (Nov 2011). "Individuals reporting idiopathic malodor production: demographics and incidence of trimethylaminuria".
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Various organic diseases may cause parosmias (distortion of the sense of smell). Also, since smell and taste are intimately linked senses, disorders of gustation (e.g.
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of ORS in the general population because data are limited and unreliable, and due to the delusional nature of the condition and the characteristic secrecy and shame.
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for flatulence such at school, accidental urination in class, announcements about a passenger needing to use deodorant over speaker by a driver on public transport,
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FalcĂŁo, DP; Vieira, CN; Batista de Amorim, RF (Mar 2012). "Breaking paradigms: a new definition for halitosis in the context of pseudo-halitosis and halitophobia".
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as a result. For example, in the United States, a poll reported that 55–75 million citizens consider bad breath a "principal concern" during social encounters.
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thoughts of reference), 37% improved and in 33% there was a deterioration in the condition (including suicide) or no change from the pre-treatment status.
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such as schizophrenia, psychosis, alcoholism, suicide, affective disorders, obsessive compulsive disorder, anxiety, paranoia, neurosis, sociopathy, and
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forms of ORS. In the delusional type, there is complete conviction that the odor is real. In the non-delusional type, the individual is capable of some
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difference was described as abnormal, but less pronounced as would be observed in the brain of a person with a psychotic disorder.
2474: 493:. Despite the absence of any clinically detectable odor, physicians and surgeons may embark on unnecessary investigations (e.g. 2800: 592: 3571: 2266: 1764: 1704: 1641: 1613: 1578: 869: 319: 197:
Despite these measures, the odor symptom is reported to still offend other people. Example ORS behaviors include: repetitive
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which the patient thinks are foul and offensive to other individuals. People with this condition often misinterpret others'
50:, as being referential to an unpleasant body odor which in reality is non-existent and cannot be detected by other people. 469:") in an attempt to have their non-existent body odor treated is frequently reported. Individuals with ORS may present to 259:, schizophrenia, hypochondriasis, alcohol or drug abuse and obsessive compulsive disorder may also be co-morbid with ORS. 3261: 2409: 1657:
Robles, DT; Romm, S; Combs, H; Olson, J; Kirby, P (Jun 15, 2008). "Delusional disorders in dermatology: a brief review".
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Dunne, T.P. (2015). "EMDR: An Effective and Less Stigmatising Treatment for Olfactory Reference Syndrome", EMDR
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Finkelstein, Y; Talmi, YP; Ophir, D; Berger, G (Oct 2004). "Laser cryptolysis for the treatment of halitosis".
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Begum, M; McKenna, PJ (Mar 2011). "Olfactory reference syndrome: a systematic review of the world literature".
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Arenas, B; Garcia, G; GĂłmez, J; Renovell, M; GarcĂ­a, V; Olucha-Bordonau, FE; SanjuĂĄn, J (Jan 16, 2013). "".
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for ORS may be complicated as the disorder shares features with other conditions. Consequently, ORS may be
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Cases have been reported from many different countries around the world. It is difficult to estimate the
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Brent, A (2010). "Chapter 46, Odor - unusual". In Gary R. Fleisher; Stephen Ludwig; et al. (eds.).
623:. The most common treatment used for ORS is SSRIs. Specific antidepressants that have been used include 3468: 2383: 243:
in ORS is reported. Depression, which is often severe, may be a result of ORS, or may be pre-existing.
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Subramanian, C; Nyirjesy, P; Sobel, JD (Jan 2012). "Genital malodor in women: a modern reappraisal".
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schizophrenia, psychosis, mania, or major depressive disorder. The most significant risk is suicide.
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change jobs and move to another town. Significant developments may occur such as loss of employment,
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in one case. That is to say, part of the brain was receiving insufficient blood flow. In another,
141:) exists. In the cases where the non-existent odor can be detected, this is usually considered as 81:
The onset of ORS may be sudden, where it usually follows after a precipitating event, or gradual.
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There is no agreed treatment protocol. In most reported cases of ORS the attempted treatment was
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in which there is a persistent false belief and preoccupation with the idea of emitting abnormal
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be classified. As ORS has obsessive and compulsive features, some consider it as a type of
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People with ORS misinterpret the behavior of others to be related to the imagined odor (
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Elias, MS; Ferriani, Md (Sep–Oct 2006). "Historical and social aspects of halitosis".
717:, because of the belief that the behavior of others is referential to a supposed odor. 3320: 2845: 2835: 2767: 2693: 2577: 2262: 2229: 2186: 2144: 2109: 2056: 2021: 1972: 1941: 1929: 1894: 1867: 1838: 1803: 1760: 1737: 1700: 1674: 1637: 1609: 1574: 1538: 1440: 1336: 1282: 1242: 1139: 1077: 1059: 1012: 865: 733: 202: 118: 2286: 2258:
Delusional Disorder: Paranoia and Related Illnesses. Concepts in clinical psychiatry
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Sobel, JD (Jun 2012). "Genital malodour in women: an unmet therapeutic challenge".
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International Statistical Classification of Diseases and Related Health Problems
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violence in school, family illness when growing up (e.g. cancer), and bullying.
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review reported an older average age for both males (29) and females (40).
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Stitt, WZ; Goldsmith, A (Sep 1995). "Scratch and sniff. The dynamic duo".
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ORS has also never been allocated a dedicated entry in any edition of the
3224: 2955: 2686: 2436: 2126: 1699:(11th ed.). St. Louis, Mo.: Elsevier/Saunders. pp. 1333, 1334. 608: 523: 494: 470: 172:. Excessive washing in ORS has been reported to cause the development of 1798: 1781: 537:, arteriovenous malformations in the brain, and temporal lobe epilepsy. 3541: 3234: 3139: 2840: 2565: 2560: 2356: 1670: 738: 660: 490: 486: 457: 142: 3494: 3426: 3244: 2703: 2441: 2366: 2203: 2038: 1604:. Arlington, VA: Amer. Psychiatric Pub. Incorporated. 2013. pp.  1228: 1055: 708: 530: 511: 482: 358: 278: 248: 215: 207: 198: 126: 90: 31: 399:. In the third edition (DSM-III), ORS was mentioned under "atypical 301:. Sometimes more than one family member had a noteworthy condition. 3229: 2899: 2866: 2792: 723:, because it is a recognizable set of features that occur together. 720: 357:
belief, some suggest that ORS is a monosymptomatic hypochondriacal
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syndrome" in patients with genuine halitosis secondary to chronic
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Feusner, Jamie D.; Phillips, Katharine A.; Stein, Dan J. (2010).
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Richter, JL (Apr 1996). "Diagnosis and treatment of halitosis".
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Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. (2012).
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Diagnostic and statistical manual of mental disorders: DSM-5
1207: 497:), and treatments, including surgery such as, among others, 2898: 2000:"Treatment needs (TN) and practical remedies for halitosis" 864:. Cambridge: Cambridge University Press. pp. 334–353. 43: 1998:
Coil, JM; Yaegaki, K; Matsuo, T; Miyazaki, H (Jun 2002).
1373:"How to help patients with olfactory reference syndrome" 3171: 1566: 1855: 587:
Pharmacotherapies that have been used for ORS include
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Phillips KA, Gunderson C, Gruber U, Castle D (2006).
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Diagnostic and Statistical Manual of Mental Disorders
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Feusner, JD; Hembacher, E; Phillips, KA (Sep 2009).
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Psychotherapies that have been used for ORS include
2261:. Cambridge University Press. pp. 79, 91, 92. 2334: 2081: 1820: 1779: 1304: 1208:Feusner, JD; Phillips, KA; Stein, DJ (Jun 2010). 3558: 2743: 1210:"Olfactory reference syndrome: issues for DSM-V" 1125: 1040:"Olfactory Reference Syndrome: Issues for DSM-V" 994: 455:as another medical or psychiatric condition and 349:component. It is also suggested to be a type of 314:(HMPAO SPECT) demonstrated hypoperfusion of the 1948: 1856:Pausch, NC; Reiss, M; Reiss, G (Feb 2001). "". 1275:Compendium of Continuing Education in Dentistry 848: 846: 844: 842: 840: 838: 836: 834: 832: 830: 828: 826: 824: 822: 820: 818: 816: 814: 812: 810: 808: 806: 804: 802: 800: 798: 796: 794: 792: 790: 788: 3516: 1570:Breath odors origin, diagnosis, and management 1516: 1514: 1512: 1510: 1508: 1506: 1504: 1502: 1500: 1498: 1496: 1494: 1492: 1490: 1488: 1486: 1484: 1482: 1480: 1478: 1476: 1474: 1370: 1366: 1364: 1362: 1360: 1358: 1356: 1354: 1352: 1350: 1300: 1298: 1296: 1203: 1201: 1199: 1197: 1195: 1193: 1191: 1189: 1187: 1185: 1183: 1181: 1179: 1177: 1175: 1173: 1121: 1119: 1117: 1115: 1113: 1111: 786: 784: 782: 780: 778: 776: 774: 772: 770: 768: 2302: 1884: 1690: 1688: 1631: 1562: 1560: 1558: 1556: 1554: 1552: 1472: 1470: 1468: 1466: 1464: 1462: 1460: 1458: 1456: 1454: 1404: 1402: 1400: 1268: 1266: 1264: 1262: 1260: 1258: 1256: 1171: 1169: 1167: 1165: 1163: 1161: 1159: 1157: 1155: 1153: 1109: 1107: 1105: 1103: 1101: 1099: 1097: 1095: 1093: 1091: 860:. In Brewer WJ, Castle D, Pantelis C (eds.). 636:eye movement desensitization and reprocessing 2120: 1627: 1625: 990: 988: 986: 984: 982: 980: 978: 976: 974: 972: 970: 968: 966: 964: 962: 960: 958: 956: 954: 952: 950: 948: 946: 944: 942: 940: 938: 936: 934: 932: 930: 928: 926: 924: 922: 920: 918: 916: 914: 912: 910: 908: 1859:Medizinische Monatsschrift fĂŒr Pharmazeuten 1773: 1347: 1293: 906: 904: 902: 900: 898: 896: 894: 892: 890: 888: 765: 506:instead seek "a better" doctor or dentist. 234: 16:False belief of emitting pungent body odors 3206:Other specified feeding or eating disorder 2473: 2309: 2295: 2197: 2163: 1685: 1650: 1549: 1451: 1397: 1253: 1150: 1088: 312:single-photon emission computed tomography 2095: 2015: 1905: 1797: 1622: 1434: 1330: 1236: 1071: 442: 3469:Disorganized (hebephrenic) schizophrenia 3065:Depersonalization-derealization disorder 1757:Textbook of pediatric emergency medicine 1632:Sajatovic M, Loue S, eds. (2012-02-29). 1305:Phillips, KA; Menard, W (Jul–Aug 2011). 885: 221: 1885:Reiss, M; Reiss, G (Nov 23, 2000). "". 1594: 1592: 1590: 1272: 593:selective serotonin reuptake inhibitors 3559: 2169: 2084:Revista Latino-Americana de Enfermagem 1957:Journal of Lower Genital Tract Disease 1126:Lochner, C; Stein, DJ (Oct–Dec 2003). 419: 339:obsessive–compulsive spectrum disorder 191: 53:This disorder is often accompanied by 3515: 3383: 3318: 3170: 2897: 2742: 2652: 2472: 2333: 2290: 2254: 2248: 1911: 1754: 1748: 320:functional magnetic resonance imaging 76: 2653: 2041:Otolaryngology–Head and Neck Surgery 1587: 1573:. Berlin: Springer. pp. 89–90. 1281:(4): 370–2, 374–6 passim, quiz 388. 179: 3172:Physiological and physical behavior 1780:Shirasu, M; Touhara, K (Sep 2011). 711:, pertaining to the sense of smell. 13: 3118:Psychogenic non-epileptic seizures 2512:Emotional and behavioral disorders 2141:10.5694/j.1326-5377.2008.tb02126.x 2017:10.1002/j.1875-595x.2002.tb00922.x 1697:Carranza's clinical periodontology 1567:Nir Sterer; Mel Rosenberg (2011). 1323:10.1016/j.genhosppsych.2011.04.004 307:has been used to investigate ORS. 14: 3588: 3298:Hypoactive sexual desire disorder 331: 84: 2598:X-linked intellectual disability 2129:The Medical Journal of Australia 1722:The American Journal of Medicine 1634:Encyclopedia of immigrant health 1132:Journal of Postgraduate Medicine 393:American Psychiatric Association 2427:Intermittent explosive disorder 2352:Ego-dystonic sexual orientation 2172:"Sweaty, smelly hands and feet" 2106:10.1590/s0104-11692006000500026 2075: 2032: 1991: 1914:Sexually Transmitted Infections 1878: 1849: 1814: 1713: 1371:Phillips KA, Castle DJ (2007). 654: 3070:Dissociative identity disorder 2335:Adult personality and behavior 1031: 341:, while others consider it an 309:Hexamethylpropyleneamine oxime 1: 759: 545:avoidant personality disorder 3572:Psychopathological syndromes 3474:Pseudoneurotic schizophrenia 3011:Generalized anxiety disorder 2744:Neurological and symptomatic 2389:Sexual relationship disorder 2283:, Vol. 7, No.1, Jan, pp 6–7. 2226:10.1088/1752-7155/6/1/017105 2053:10.1016/j.otohns.2004.02.044 2004:International Dental Journal 1969:10.1097/LGT.0b013e31822b7512 1926:10.1136/sextrans-2011-050440 1734:10.1016/j.amjmed.2011.05.030 702:olfactory reference syndrome 695: 677:olfactory reference syndrome 641: 632:cognitive behavioral therapy 601:monoamine oxidase inhibitors 567: 427:have been proposed for ORS: 353:or, as it involves a single 326: 137:detection of the odor (i.e. 20:Olfactory reference syndrome 7: 3250:REM sleep behavior disorder 2719:Seasonal affective disorder 2517:Separation anxiety disorder 2179:Australian Family Physician 1311:General Hospital Psychiatry 727: 10: 3593: 3517:Symptoms and uncategorized 2618:developmental disabilities 2384:Sexual maturation disorder 2206:Journal of Breath Research 1835:10.1001/archderm.131.9.997 1659:Dermatology Online Journal 683: 670: 3567:Somatic symptom disorders 3522: 3511: 3487: 3479:Simple-type schizophrenia 3456: 3448:Schizophreniform disorder 3425: 3404: 3400: 3379: 3332: 3314: 3283: 3260: 3214: 3181: 3177: 3166: 3088: 3055: 3003: 2946: 2937: 2918: 2914: 2893: 2859: 2826:Mild cognitive impairment 2811:Creutzfeldt–Jakob disease 2791: 2753: 2749: 2738: 2709:Major depressive disorder 2662: 2648: 2614:Psychological development 2613: 2588: 2485: 2481: 2468: 2397: 2344: 2340: 2329: 1427:10.1017/S1092852900023567 1009:10.1017/S0033291710001091 597:tricyclic antidepressants 378:World Health Organization 262: 3527:Impulse-control disorder 3443:Schizoaffective disorder 3438:Brief reactive psychosis 3135:Mass psychogenic illness 3098:Body dysmorphic disorder 2877:Post-concussion syndrome 2487:Emotional and behavioral 2255:Munro, Alistair (1999). 1535:10.33588/rn.5602.2012555 380:'s 10th revision of the 351:body dysmorphic disorder 255:, may exist with ORS. 251:, and predominantly the 235:Psychiatric co-morbidity 3464:Childhood schizophrenia 2816:Frontotemporal dementia 2773:High-functioning autism 2590:Intellectual disability 2170:Scarff, CE (Sep 2009). 1823:Archives of Dermatology 1786:Journal of Biochemistry 862:Olfaction and the brain 541:Social anxiety disorder 147:olfactory hallucination 2981:Specific social phobia 2872:Organic brain syndrome 2714:Melancholic depression 2475:Childhood and learning 1636:. New York: Springer. 1217:Depression and Anxiety 1044:Depression and Anxiety 997:Psychological Medicine 499:thoracic sympathectomy 449:differential diagnosis 443:Differential diagnosis 409:culture-bound syndrome 295:first degree relatives 65:, avoidance behavior, 3537:Psychomotor agitation 3327:and substance-related 3270:Postpartum depression 3150:Somatization disorder 3036:Acute stress reaction 2801:AIDS dementia complex 1523:Revista de NeurologĂ­a 371:monothematic delusion 245:Personality disorders 222:Functional impairment 186:thoughts of reference 28:psychiatric condition 3532:KlĂŒver–Bucy syndrome 3362:Substance dependence 3275:Postpartum psychosis 2821:Huntington's disease 2603:Lujan–Fryns syndrome 2452:Personality disorder 401:somatoform disorders 289:The importance of a 3412:Delusional disorder 3357:Stimulant psychosis 3347:Physical dependence 3201:Rumination syndrome 3103:Conversion disorder 3080:Psychogenic amnesia 2930:with depressed mood 2928:Adjustment disorder 2831:Parkinson's disease 2806:Alzheimer's disease 2699:Atypical depression 2535:Social functioning 2410:Munchausen syndrome 2405:Factitious disorder 2218:2012JBR.....6a7105P 2010:(Suppl 3): 187–91. 1386:(3). Archived from 749:Delusional disorder 425:Diagnostic criteria 420:Diagnostic criteria 367:delusional disorder 316:frontotemporal lobe 192:Repetitive behavior 3431:schizophrenia-like 3075:Dissociative fugue 2524:Movement disorders 1671:10.5070/D32MC7J245 1380:Current Psychiatry 734:Fish Odor syndrome 562:gas chromatography 475:gastroentrologists 345:due to the strong 119:vaginal secretions 77:Signs and symptoms 3554: 3553: 3550: 3549: 3507: 3506: 3503: 3502: 3375: 3374: 3310: 3309: 3306: 3305: 3162: 3161: 3158: 3157: 3051: 3050: 2889: 2888: 2885: 2884: 2846:Vascular dementia 2768:Asperger syndrome 2734: 2733: 2644: 2643: 2640: 2639: 2578:Tourette syndrome 2464: 2463: 2460: 2459: 2268:978-1-139-42732-6 1799:10.1093/jb/mvr090 1766:978-1-60547-159-4 1706:978-1-4377-0416-7 1643:978-1-4419-5659-0 1615:978-0-89042-554-1 1580:978-3-642-19312-5 871:978-0-521-84922-7 479:otolaryngologists 180:Referential ideas 152:Some distinguish 42:, touching their 3584: 3513: 3512: 3402: 3401: 3381: 3380: 3316: 3315: 3191:Anorexia nervosa 3179: 3178: 3168: 3167: 3145:Psychogenic pain 3113:Globus pharyngis 2961:Childhood phobia 2944: 2943: 2916: 2915: 2895: 2894: 2751: 2750: 2740: 2739: 2650: 2649: 2549:Selective mutism 2500:Conduct disorder 2483: 2482: 2470: 2469: 2447:Trichotillomania 2422:Gender dysphoria 2417:Fear of intimacy 2374:Sexual anhedonia 2342: 2341: 2331: 2330: 2318:Mental disorders 2311: 2304: 2297: 2288: 2287: 2273: 2272: 2252: 2246: 2245: 2201: 2195: 2194: 2176: 2167: 2161: 2160: 2124: 2118: 2117: 2099: 2079: 2073: 2072: 2036: 2030: 2029: 2019: 1995: 1989: 1988: 1952: 1946: 1945: 1909: 1903: 1902: 1882: 1876: 1875: 1853: 1847: 1846: 1818: 1812: 1811: 1801: 1777: 1771: 1770: 1752: 1746: 1745: 1717: 1711: 1710: 1692: 1683: 1682: 1654: 1648: 1647: 1629: 1620: 1619: 1596: 1585: 1584: 1564: 1547: 1546: 1518: 1449: 1448: 1438: 1406: 1395: 1394: 1392: 1377: 1368: 1345: 1344: 1334: 1302: 1291: 1290: 1270: 1251: 1250: 1240: 1229:10.1002/da.20688 1214: 1205: 1148: 1147: 1123: 1086: 1085: 1075: 1056:10.1002/da.20688 1035: 1029: 1028: 992: 883: 882: 880: 874:. Archived from 859: 850: 754:Bipolar disorder 343:anxiety disorder 257:Bipolar disorder 71:social isolation 3592: 3591: 3587: 3586: 3585: 3583: 3582: 3581: 3557: 3556: 3555: 3546: 3518: 3499: 3483: 3452: 3430: 3421: 3396: 3371: 3328: 3325:substance abuse 3302: 3279: 3256: 3210: 3196:Bulimia nervosa 3173: 3154: 3130:Hypochondriasis 3125:False pregnancy 3108:Ganser syndrome 3090:Somatic symptom 3084: 3047: 2999: 2988:Specific phobia 2933: 2910: 2881: 2855: 2787: 2783:Savant syndrome 2755:Autism spectrum 2745: 2730: 2658: 2636: 2615: 2609: 2584: 2477: 2456: 2432:Dermatillomania 2393: 2379:Sexual anorexia 2336: 2325: 2315: 2276: 2269: 2253: 2249: 2202: 2198: 2174: 2168: 2164: 2125: 2121: 2097:10.1.1.586.5603 2080: 2076: 2037: 2033: 1996: 1992: 1953: 1949: 1910: 1906: 1883: 1879: 1854: 1850: 1819: 1815: 1778: 1774: 1767: 1753: 1749: 1728:(11): 1058–63. 1718: 1714: 1707: 1693: 1686: 1655: 1651: 1644: 1630: 1623: 1616: 1598: 1597: 1588: 1581: 1565: 1550: 1519: 1452: 1407: 1398: 1390: 1375: 1369: 1348: 1303: 1294: 1271: 1254: 1212: 1206: 1151: 1124: 1089: 1036: 1032: 993: 886: 878: 872: 857: 851: 766: 762: 730: 698: 686: 673: 657: 644: 621:benzodiazepines 589:antidepressants 582:psychotherapies 574:antidepressants 570: 535:substance abuse 467:doctor shopping 445: 422: 405:taijin kyƍfushƍ 363:hypochondriacal 334: 329: 265: 237: 224: 194: 182: 170:organic disease 87: 79: 17: 12: 11: 5: 3590: 3580: 3579: 3574: 3569: 3552: 3551: 3548: 3547: 3545: 3544: 3539: 3534: 3529: 3523: 3520: 3519: 3509: 3508: 3505: 3504: 3501: 3500: 3498: 3497: 3491: 3489: 3485: 3484: 3482: 3481: 3476: 3471: 3466: 3460: 3458: 3454: 3453: 3451: 3450: 3445: 3440: 3434: 3432: 3423: 3422: 3420: 3419: 3414: 3408: 3406: 3398: 3397: 3377: 3376: 3373: 3372: 3370: 3369: 3364: 3359: 3354: 3352:Rebound effect 3349: 3344: 3339: 3333: 3330: 3329: 3312: 3311: 3308: 3307: 3304: 3303: 3301: 3300: 3295: 3293:Hypersexuality 3289: 3287: 3281: 3280: 3278: 3277: 3272: 3266: 3264: 3258: 3257: 3255: 3254: 3253: 3252: 3247: 3242: 3232: 3227: 3221: 3219: 3212: 3211: 3209: 3208: 3203: 3198: 3193: 3187: 3185: 3175: 3174: 3164: 3163: 3160: 3159: 3156: 3155: 3153: 3152: 3147: 3142: 3137: 3132: 3127: 3122: 3121: 3120: 3115: 3110: 3100: 3094: 3092: 3086: 3085: 3083: 3082: 3077: 3072: 3067: 3061: 3059: 3053: 3052: 3049: 3048: 3046: 3045: 3044: 3043: 3038: 3028: 3026:Panic disorder 3023: 3018: 3013: 3007: 3005: 3001: 3000: 2998: 2997: 2996: 2995: 2993:Claustrophobia 2985: 2984: 2983: 2978: 2976:Anthropophobia 2968: 2966:Social anxiety 2963: 2958: 2952: 2950: 2941: 2935: 2934: 2932: 2931: 2924: 2922: 2912: 2911: 2891: 2890: 2887: 2886: 2883: 2882: 2880: 2879: 2874: 2869: 2863: 2861: 2857: 2856: 2854: 2853: 2848: 2843: 2838: 2836:Pick's disease 2833: 2828: 2823: 2818: 2813: 2808: 2803: 2797: 2795: 2789: 2788: 2786: 2785: 2780: 2775: 2770: 2765: 2759: 2757: 2747: 2746: 2736: 2735: 2732: 2731: 2729: 2728: 2723: 2722: 2721: 2716: 2711: 2706: 2701: 2691: 2690: 2689: 2684: 2679: 2674: 2663: 2660: 2659: 2646: 2645: 2642: 2641: 2638: 2637: 2635: 2634: 2629: 2623: 2621: 2611: 2610: 2608: 2607: 2606: 2605: 2594: 2592: 2586: 2585: 2583: 2582: 2581: 2580: 2570: 2569: 2568: 2563: 2553: 2552: 2551: 2546: 2541: 2533: 2532: 2531: 2521: 2520: 2519: 2509: 2508: 2507: 2497: 2491: 2489: 2479: 2478: 2466: 2465: 2462: 2461: 2458: 2457: 2455: 2454: 2449: 2444: 2439: 2434: 2429: 2424: 2419: 2414: 2413: 2412: 2401: 2399: 2395: 2394: 2392: 2391: 2386: 2381: 2376: 2371: 2370: 2369: 2364: 2354: 2348: 2346: 2338: 2337: 2327: 2326: 2322:Classification 2314: 2313: 2306: 2299: 2291: 2285: 2284: 2275: 2274: 2267: 2247: 2196: 2162: 2119: 2074: 2031: 1990: 1947: 1904: 1893:(47): 1953–5. 1877: 1848: 1813: 1772: 1765: 1747: 1712: 1705: 1684: 1649: 1642: 1621: 1614: 1586: 1579: 1548: 1450: 1396: 1393:on 2015-05-11. 1346: 1317:(4): 398–406. 1292: 1252: 1149: 1087: 1050:(6): 592–599. 1030: 884: 881:on 2014-01-08. 870: 763: 761: 758: 757: 756: 751: 746: 741: 736: 729: 726: 725: 724: 718: 712: 697: 694: 685: 682: 672: 669: 656: 653: 643: 640: 617:chlorpromazine 605:antipsychotics 578:antipsychotics 576:, followed by 569: 566: 514:(bad breath), 471:dermatologists 444: 441: 440: 439: 436: 432: 421: 418: 333: 332:Classification 330: 328: 325: 291:family history 264: 261: 236: 233: 223: 220: 193: 190: 181: 178: 158:non-delusional 86: 85:Odor complaint 83: 78: 75: 61:, significant 15: 9: 6: 4: 3: 2: 3589: 3578: 3575: 3573: 3570: 3568: 3565: 3564: 3562: 3543: 3540: 3538: 3535: 3533: 3530: 3528: 3525: 3524: 3521: 3514: 3510: 3496: 3493: 3492: 3490: 3486: 3480: 3477: 3475: 3472: 3470: 3467: 3465: 3462: 3461: 3459: 3457:Schizophrenia 3455: 3449: 3446: 3444: 3441: 3439: 3436: 3435: 3433: 3428: 3424: 3418: 3415: 3413: 3410: 3409: 3407: 3403: 3399: 3395: 3391: 3387: 3386:Schizophrenia 3382: 3378: 3368: 3365: 3363: 3360: 3358: 3355: 3353: 3350: 3348: 3345: 3343: 3340: 3338: 3337:Drug overdose 3335: 3334: 3331: 3326: 3322: 3317: 3313: 3299: 3296: 3294: 3291: 3290: 3288: 3286: 3285:Sexual desire 3282: 3276: 3273: 3271: 3268: 3267: 3265: 3263: 3259: 3251: 3248: 3246: 3243: 3241: 3238: 3237: 3236: 3233: 3231: 3228: 3226: 3223: 3222: 3220: 3218: 3213: 3207: 3204: 3202: 3199: 3197: 3194: 3192: 3189: 3188: 3186: 3184: 3180: 3176: 3169: 3165: 3151: 3148: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3126: 3123: 3119: 3116: 3114: 3111: 3109: 3106: 3105: 3104: 3101: 3099: 3096: 3095: 3093: 3091: 3087: 3081: 3078: 3076: 3073: 3071: 3068: 3066: 3063: 3062: 3060: 3058: 3054: 3042: 3039: 3037: 3034: 3033: 3032: 3029: 3027: 3024: 3022: 3019: 3017: 3014: 3012: 3009: 3008: 3006: 3002: 2994: 2991: 2990: 2989: 2986: 2982: 2979: 2977: 2974: 2973: 2972: 2971:Social phobia 2969: 2967: 2964: 2962: 2959: 2957: 2954: 2953: 2951: 2949: 2945: 2942: 2940: 2936: 2929: 2926: 2925: 2923: 2921: 2917: 2913: 2909: 2906:-related and 2905: 2901: 2896: 2892: 2878: 2875: 2873: 2870: 2868: 2865: 2864: 2862: 2858: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2832: 2829: 2827: 2824: 2822: 2819: 2817: 2814: 2812: 2809: 2807: 2804: 2802: 2799: 2798: 2796: 2794: 2790: 2784: 2781: 2779: 2776: 2774: 2771: 2769: 2766: 2764: 2761: 2760: 2758: 2756: 2752: 2748: 2741: 2737: 2727: 2724: 2720: 2717: 2715: 2712: 2710: 2707: 2705: 2702: 2700: 2697: 2696: 2695: 2692: 2688: 2685: 2683: 2680: 2678: 2675: 2673: 2670: 2669: 2668: 2665: 2664: 2661: 2656: 2651: 2647: 2633: 2630: 2628: 2625: 2624: 2622: 2619: 2612: 2604: 2601: 2600: 2599: 2596: 2595: 2593: 2591: 2587: 2579: 2576: 2575: 2574: 2571: 2567: 2564: 2562: 2559: 2558: 2557: 2554: 2550: 2547: 2545: 2542: 2540: 2537: 2536: 2534: 2530: 2527: 2526: 2525: 2522: 2518: 2515: 2514: 2513: 2510: 2506: 2503: 2502: 2501: 2498: 2496: 2493: 2492: 2490: 2488: 2484: 2480: 2476: 2471: 2467: 2453: 2450: 2448: 2445: 2443: 2440: 2438: 2435: 2433: 2430: 2428: 2425: 2423: 2420: 2418: 2415: 2411: 2408: 2407: 2406: 2403: 2402: 2400: 2396: 2390: 2387: 2385: 2382: 2380: 2377: 2375: 2372: 2368: 2365: 2363: 2360: 2359: 2358: 2355: 2353: 2350: 2349: 2347: 2343: 2339: 2332: 2328: 2323: 2319: 2312: 2307: 2305: 2300: 2298: 2293: 2292: 2289: 2282: 2278: 2277: 2270: 2264: 2260: 2259: 2251: 2243: 2239: 2235: 2231: 2227: 2223: 2219: 2215: 2212:(1): 017105. 2211: 2207: 2200: 2192: 2188: 2184: 2180: 2173: 2166: 2158: 2154: 2150: 2146: 2142: 2138: 2134: 2130: 2123: 2115: 2111: 2107: 2103: 2098: 2093: 2089: 2085: 2078: 2070: 2066: 2062: 2058: 2054: 2050: 2046: 2042: 2035: 2027: 2023: 2018: 2013: 2009: 2005: 2001: 1994: 1986: 1982: 1978: 1974: 1970: 1966: 1962: 1958: 1951: 1943: 1939: 1935: 1931: 1927: 1923: 1919: 1915: 1908: 1900: 1896: 1892: 1888: 1881: 1873: 1869: 1865: 1861: 1860: 1852: 1844: 1840: 1836: 1832: 1828: 1824: 1817: 1809: 1805: 1800: 1795: 1792:(3): 257–66. 1791: 1787: 1783: 1776: 1768: 1762: 1758: 1751: 1743: 1739: 1735: 1731: 1727: 1723: 1716: 1708: 1702: 1698: 1691: 1689: 1680: 1676: 1672: 1668: 1664: 1660: 1653: 1645: 1639: 1635: 1628: 1626: 1617: 1611: 1607: 1603: 1602: 1595: 1593: 1591: 1582: 1576: 1572: 1571: 1563: 1561: 1559: 1557: 1555: 1553: 1544: 1540: 1536: 1532: 1528: 1524: 1517: 1515: 1513: 1511: 1509: 1507: 1505: 1503: 1501: 1499: 1497: 1495: 1493: 1491: 1489: 1487: 1485: 1483: 1481: 1479: 1477: 1475: 1473: 1471: 1469: 1467: 1465: 1463: 1461: 1459: 1457: 1455: 1446: 1442: 1437: 1432: 1428: 1424: 1421:(9): 503–13. 1420: 1416: 1415:CNS Spectrums 1412: 1405: 1403: 1401: 1389: 1385: 1381: 1374: 1367: 1365: 1363: 1361: 1359: 1357: 1355: 1353: 1351: 1342: 1338: 1333: 1328: 1324: 1320: 1316: 1312: 1308: 1301: 1299: 1297: 1288: 1284: 1280: 1276: 1269: 1267: 1265: 1263: 1261: 1259: 1257: 1248: 1244: 1239: 1234: 1230: 1226: 1222: 1218: 1211: 1204: 1202: 1200: 1198: 1196: 1194: 1192: 1190: 1188: 1186: 1184: 1182: 1180: 1178: 1176: 1174: 1172: 1170: 1168: 1166: 1164: 1162: 1160: 1158: 1156: 1154: 1145: 1141: 1138:(4): 328–31. 1137: 1133: 1129: 1122: 1120: 1118: 1116: 1114: 1112: 1110: 1108: 1106: 1104: 1102: 1100: 1098: 1096: 1094: 1092: 1083: 1079: 1074: 1069: 1065: 1061: 1057: 1053: 1049: 1045: 1041: 1034: 1026: 1022: 1018: 1014: 1010: 1006: 1003:(3): 453–61. 1002: 998: 991: 989: 987: 985: 983: 981: 979: 977: 975: 973: 971: 969: 967: 965: 963: 961: 959: 957: 955: 953: 951: 949: 947: 945: 943: 941: 939: 937: 935: 933: 931: 929: 927: 925: 923: 921: 919: 917: 915: 913: 911: 909: 907: 905: 903: 901: 899: 897: 895: 893: 891: 889: 877: 873: 867: 863: 856: 849: 847: 845: 843: 841: 839: 837: 835: 833: 831: 829: 827: 825: 823: 821: 819: 817: 815: 813: 811: 809: 807: 805: 803: 801: 799: 797: 795: 793: 791: 789: 787: 785: 783: 781: 779: 777: 775: 773: 771: 769: 764: 755: 752: 750: 747: 745: 744:Schizophrenia 742: 740: 737: 735: 732: 731: 722: 719: 716: 713: 710: 707: 706: 705: 703: 693: 691: 681: 678: 668: 664: 662: 652: 648: 639: 637: 633: 628: 626: 622: 618: 614: 610: 606: 602: 598: 594: 590: 585: 583: 579: 575: 565: 563: 557: 555: 549: 546: 542: 538: 536: 532: 527: 525: 521: 517: 513: 507: 504: 503:tonsillectomy 500: 496: 492: 491:gynecologists 488: 487:proctologists 484: 480: 476: 472: 468: 462: 460: 459: 454: 450: 437: 433: 430: 429: 428: 426: 417: 413: 410: 406: 402: 398: 394: 389: 387: 383: 379: 374: 372: 368: 364: 360: 356: 352: 348: 344: 340: 324: 321: 317: 313: 310: 306: 302: 300: 296: 292: 287: 284: 280: 276: 271: 260: 258: 254: 253:avoidant type 250: 247:, especially 246: 242: 232: 230: 219: 217: 213: 209: 204: 200: 189: 187: 177: 175: 171: 166: 163: 159: 155: 150: 148: 144: 140: 134: 132: 128: 124: 120: 116: 112: 108: 104: 100: 96: 92: 82: 74: 72: 68: 67:social phobia 64: 60: 59:embarrassment 56: 51: 49: 46:or opening a 45: 41: 37: 33: 29: 25: 21: 3417:Folie Ă  deux 3342:Intoxication 3323:substances, 3321:Psychoactive 3240:Night terror 3057:Dissociative 3021:Panic attack 2573:Tic disorder 2280: 2257: 2250: 2209: 2205: 2199: 2185:(9): 666–9. 2182: 2178: 2165: 2132: 2128: 2122: 2090:(5): 821–3. 2087: 2083: 2077: 2047:(4): 372–7. 2044: 2040: 2034: 2007: 2003: 1993: 1963:(1): 49–55. 1960: 1956: 1950: 1917: 1913: 1907: 1890: 1886: 1880: 1866:(2): 48–50. 1863: 1857: 1851: 1829:(9): 997–9. 1826: 1822: 1816: 1789: 1785: 1775: 1756: 1750: 1725: 1721: 1715: 1696: 1662: 1658: 1652: 1633: 1606:263–264, 837 1600: 1569: 1529:(2): 65–71. 1526: 1522: 1418: 1414: 1388:the original 1383: 1379: 1314: 1310: 1278: 1274: 1223:(6): 592–9. 1220: 1216: 1135: 1131: 1047: 1043: 1033: 1000: 996: 876:the original 861: 704:comes from: 701: 699: 687: 676: 674: 665: 658: 655:Epidemiology 649: 645: 629: 625:clomipramine 586: 580:and various 571: 558: 550: 539: 528: 516:bromhidrosis 508: 463: 456: 453:misdiagnosed 446: 423: 414: 390: 375: 335: 305:Neuroimaging 303: 288: 266: 241:co-morbidity 239:Psychiatric 238: 225: 195: 183: 167: 157: 153: 151: 135: 88: 80: 52: 23: 19: 18: 3390:schizotypal 3225:Hypersomnia 3215:Nonorganic 2956:Agoraphobia 2687:Cyclothymia 2682:Bipolar NOS 2657:(affective) 2529:Stereotypic 2437:Kleptomania 609:blonanserin 554:criterion A 524:tonsillitis 495:gastroscopy 3561:Categories 3542:Stereotypy 3405:Delusional 3394:delusional 3367:Withdrawal 3235:Parasomnia 3140:Nosophobia 2920:Adjustment 2908:somatoform 2841:Sundowning 2694:Depression 2677:Bipolar II 2566:Stuttering 2561:Cluttering 2357:Paraphilia 2135:(8): 468. 1920:(4): 238. 760:References 739:Bad breath 661:prevalence 458:vice versa 355:delusional 208:deodorants 201:and other 154:delusional 143:phantosmia 32:body odors 3577:Body odor 3495:Catatonia 3427:Psychosis 3262:Postnatal 3245:Nightmare 2851:Wandering 2704:Dysthymia 2672:Bipolar I 2627:Pervasive 2442:Pyromania 2367:Voyeurism 2362:Fetishism 2092:CiteSeerX 1942:207027103 1064:1091-4269 715:Reference 709:Olfactory 700:The term 696:Etymology 675:The term 642:Prognosis 568:Treatment 531:dysgeusia 512:halitosis 359:psychosis 327:Diagnosis 279:sinusitis 270:stressors 249:cluster C 216:mouthwash 199:showering 129:, rotten 127:detergent 91:halitosis 36:behaviors 3230:Insomnia 2900:Neurotic 2867:Delirium 2793:Dementia 2632:Specific 2234:22368258 2191:19893792 2157:35200507 2149:18928446 2114:17117270 2069:25036981 2061:15467602 2026:12090450 1985:21530432 1977:21964208 1934:22383853 1899:11143967 1872:11255985 1808:21771869 1742:21851918 1679:18713583 1665:(6): 2. 1543:23307351 1445:19890232 1341:21762838 1247:20533369 1144:14699232 1082:20533369 1025:34660521 1017:20529415 728:See also 721:Syndrome 690:sequelae 607:, (e.g. 591:, (e.g. 483:dentists 365:type of 299:epilepsy 283:menarche 212:perfumes 203:grooming 63:distress 40:sniffing 2939:Anxiety 2778:PDD-NOS 2667:Bipolar 2320: ( 2214:Bibcode 1843:7661625 1436:2853748 1332:3139109 1287:9051972 1238:4247225 1073:4247225 684:Society 671:History 619:), and 613:lithium 347:anxiety 275:bullied 229:divorce 162:insight 139:anosmia 123:ammonia 111:vomitus 38:, e.g. 26:) is a 3183:Eating 3031:Stress 2948:Phobia 2904:stress 2763:Autism 2556:Speech 2345:Sexual 2265:  2242:814114 2240:  2232:  2189:  2155:  2147:  2112:  2094:  2067:  2059:  2024:  1983:  1975:  1940:  1932:  1897:  1887:Praxis 1870:  1841:  1806:  1763:  1740:  1703:  1677:  1640:  1612:  1577:  1541:  1443:  1433:  1339:  1329:  1285:  1245:  1235:  1142:  1080:  1070:  1062:  1023:  1015:  868:  489:, and 386:ICD-10 369:, see 263:Causes 174:eczema 131:onions 99:flatus 48:window 3488:Other 3217:sleep 3004:Other 2860:Other 2726:Mania 2398:Other 2238:S2CID 2175:(PDF) 2153:S2CID 2065:S2CID 1981:S2CID 1938:S2CID 1391:(PDF) 1376:(PDF) 1213:(PDF) 1021:S2CID 879:(PDF) 858:(PDF) 520:skunk 435:day). 115:semen 107:sweat 103:urine 95:feces 55:shame 3392:and 3041:PTSD 2655:Mood 2495:ADHD 2263:ISBN 2230:PMID 2187:PMID 2145:PMID 2110:PMID 2057:PMID 2022:PMID 1973:PMID 1930:PMID 1895:PMID 1868:PMID 1839:PMID 1804:PMID 1761:ISBN 1738:PMID 1701:ISBN 1675:PMID 1638:ISBN 1610:ISBN 1575:ISBN 1539:PMID 1441:PMID 1337:PMID 1283:PMID 1243:PMID 1140:PMID 1078:PMID 1060:ISSN 1013:PMID 866:ISBN 501:and 447:The 376:The 156:and 69:and 44:nose 3429:and 3016:OCD 2544:RAD 2539:DAD 2505:ODD 2281:Now 2222:doi 2137:doi 2133:189 2102:doi 2049:doi 2045:131 2012:doi 1965:doi 1922:doi 1831:doi 1827:131 1794:doi 1790:150 1730:doi 1726:124 1667:doi 1531:doi 1431:PMC 1423:doi 1327:PMC 1319:doi 1233:PMC 1225:doi 1068:PMC 1052:doi 1005:doi 603:), 395:'s 373:). 24:ORS 3563:: 3388:, 2902:, 2236:. 2228:. 2220:. 2208:. 2183:38 2181:. 2177:. 2151:. 2143:. 2131:. 2108:. 2100:. 2088:14 2086:. 2063:. 2055:. 2043:. 2020:. 2008:52 2006:. 2002:. 1979:. 1971:. 1961:16 1959:. 1936:. 1928:. 1918:88 1916:. 1891:89 1889:. 1864:24 1862:. 1837:. 1825:. 1802:. 1788:. 1784:. 1736:. 1724:. 1687:^ 1673:. 1663:14 1661:. 1624:^ 1608:. 1589:^ 1551:^ 1537:. 1527:56 1525:. 1453:^ 1439:. 1429:. 1419:14 1417:. 1413:. 1399:^ 1382:. 1378:. 1349:^ 1335:. 1325:. 1315:33 1313:. 1309:. 1295:^ 1279:17 1277:. 1255:^ 1241:. 1231:. 1221:27 1219:. 1215:. 1152:^ 1136:49 1134:. 1130:. 1090:^ 1076:. 1066:. 1058:. 1048:27 1046:. 1042:. 1019:. 1011:. 1001:41 999:. 887:^ 767:^ 634:, 627:. 615:, 611:, 599:, 595:, 564:. 485:, 481:, 477:, 473:, 465:(" 461:. 214:, 210:, 176:. 125:, 117:, 113:, 109:, 105:, 101:, 97:, 73:. 57:, 2620:) 2616:( 2324:) 2310:e 2303:t 2296:v 2271:. 2244:. 2224:: 2216:: 2210:6 2193:. 2159:. 2139:: 2116:. 2104:: 2071:. 2051:: 2028:. 2014:: 1987:. 1967:: 1944:. 1924:: 1901:. 1874:. 1845:. 1833:: 1810:. 1796:: 1769:. 1744:. 1732:: 1709:. 1681:. 1669:: 1646:. 1618:. 1583:. 1545:. 1533:: 1447:. 1425:: 1384:6 1343:. 1321:: 1289:. 1249:. 1227:: 1146:. 1084:. 1054:: 1027:. 1007:: 384:( 361:( 145:( 22:(

Index

psychiatric condition
body odors
behaviors
sniffing
nose
window
shame
embarrassment
distress
social phobia
social isolation
halitosis
feces
flatus
urine
sweat
vomitus
semen
vaginal secretions
ammonia
detergent
onions
anosmia
phantosmia
olfactory hallucination
insight
organic disease
eczema
thoughts of reference
showering

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