Other disorders and symptoms. Body dysmorphic disorder should not be diagnosed if
the preoccupation is limited to discomfort with  or a desire to be rid of one’s primary and/
or secondary sex characteristics in an individu al with g ender dysphoria or if the preoccu-
pation focuses on the belief th at one emits a foul or offens ive body odor as in olfactory
reference syndrome (which is not a DSM-5 di sorder). Body identity integrity disorder