Objective: Culture-bound syndrome is a term used to describe syndromes unique to certain cultures. We need to understand the origins of cognitions related to these syndromes. Methods: We present the case report of a patient with dhat syndrome and koro with no other psychiatric disorder. Results: The cognitions related to these two distinct culture-bound syndromes in our patient seem to have their origins from different sources. While those related to dhat anxiety are peer-group induced, the one related to koro-like symptoms seem to have been affirmed by an alternative medical practitioner. Conclusion: Mental health professionals dealing with patients having culture-bound syndromes need to get to the core of origin of various cognitions and beliefs that such patients bring into the consultation rooms.