The case was of a married 51-year-old woman with no family history of psychiatric disease. In her teens, she was temporarily distressed by osmidrosis, for which she had used an over-the-counter drug. After her menopause, she started believing that her body odor, mainly from the armpit, was causing distress to others, especially her colleagues at her part-time job. Noticing people around her touching their nose or frowning confirmed her belief that they were displeased by her odor. She used many supplementary drugs and bathed frequently to get rid of the odor; however, she failed to eliminate it. She became socially withdrawn, although she continued working. She was bothered by her odor even when she was alone in her house, on holidays, or after work. She decided to undergo plastic surgery for her suspicious osmidrosis. After failed attempts at several surgeries and laser treatment for relieving osmidrosis, she was introduced to psychiatry. She was convinced of her odor and showed lack of insight. She had no obsessions or compulsions that did not directly relate to her odor. She had no history of substance abuse, delusions other than her personal odor, hallucinations, or other physical medical disorder. Neurological examination showed no abnormality. Her EEG and brain CT were within normal limits. Paroxetine treatment was initiated because she showed a few symptoms of depression. She responded to a dose of 30 mg and had full remission in 1 month. She has remained symptom-free with the same dose of paroxetine for over 2 years.