ICD-11 classes
14 Diseases of the skin
Sensory and psychological disorders affecting the skin
Psychological or psychiatric conditions affecting the skin
6B22 — Olfactory reference disorder

ICD-11 6B22 — Olfactory reference disorder

Olfactory Reference Disorder is characterised by persistent preoccupation with the belief that one is emitting a perceived foul or offensive body odour or breath that is either unnoticeable or only slightly noticeable to others. Individuals experience excessive self-consciousness about the perceived odour, often with ideas of reference (i.e., the conviction that people are taking notice, judging, or talking about the odour). In response to their preoccupation, individuals engage in repetitive and excessive behaviours such as repeatedly checking for body odour or checking the perceived source of the smell, or repeatedly seeking reassurance, excessive attempts to camouflage, alter, or prevent the perceived odour, or marked avoidance of social situations or triggers that increase distress about the perceived foul or offensive odour. The symptoms are sufficiently severe to result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning.

The diagnosis includes nothing.

The diagnosis excludes nothing.

Diagnosis with code 6B22 contains 3 clarifying diagnoses:

  1. 6B22.0 — Olfactory reference disorder with fair to good insight
  2. 6B22.1 — Olfactory reference disorder with poor to absent insight
  3. 6B22.Z — Olfactory reference disorder, unspecified

The diagnosis is coded elsewhere:

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