Olfactory reference syndrome is characterised by persistent preoccupation of body odour. There have only been a few case reports on this interesting syndrome so far.
We present a case of a 16 year old white British male who presented with olfactory reference syndrome with prominent referential thinking, without accompanying hallucinations or delusional conviction of the odour, who responded well to cognitive behaviour therapy.
Due to the diagnostic confusion around this entity, evidence based management options are scarce. Cognitive behaviour therapy seems a promising option for adolescents.