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Oral paresthesias are common in clinical practice but they often go unnoticed and untreated. Psychogenic oral paresthesia is an unpleasant sensation of tingling or pricking or a feeling of swelling or burning, with spontaneous onset.It can result due to local, systemic, psychogenic or idiopathic causes. Among psychogenic causes; anxiety disorder and depression are common. We describe a 32-yearold patient presented with lingual paresthesia and features suggestive of depression. He responded to an antidepressant, fluoxetine 40 mg /day.