Around a dozen Japanese tourists a year need psychological treatment after visiting Paris as the reality of unfriendly locals and scruffy streets clashes with their expectations, a newspaper reported on Sunday.

“A third of patients get better immediately, a third suffer relapses and the rest have psychoses,” Yousef Mahmoudia, a psychologist at the Hotel-Dieu hospital, next to Notre Dame cathedral, told the newspaper Journal du Dimanche.

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