Patients of psychogenic halitosis were classified into six groups according to existence of delusions of reference, degree of attachment to a specific organ for its etiology, and level of social adaptation. These three parameters were extracted from interviews and test batteries.
The percentage of patients classified in group I was 21.1%, in group II: 14.4%, in group III: 23.9%, in group IV: 18.9%, in group V: 19.4%, and in group VI 2.2%.
Therapy approaches to these patients ranged from administration of oral deodorizers and/or tranquilizers to autogenic training, behavior therapy and psychodynamic psychotherapy after initial interviews.
Among the patients, although few in number, are those considered to be borderline were referred to psychiatry.
We stand on a holistic view for the treatment of patients with psychogenic halitosis, where the function, the relative weight and the interplay of somatic and psychological factors are thought to play an important rol.
