n African Journal of Psychiatry - Aetiological understanding important for preventing mistreatment of dual diagnosis patients : letter to editor
|Article Title||Aetiological understanding important for preventing mistreatment of dual diagnosis patients : letter to editor|
|© Publisher:||In House Publications|
|Journal||African Journal of Psychiatry|
|Affiliations||1 Zhengzhou University, China and 2 Zhengzhou University, China|
|Publication Date||Sep 2012|
We completely agree with one of the most pertinent points raised by Dr. Mustafa that the diagnostic uncertainty between substance induced and primary psychotic disorders often leads to the "withdrawal-diagnostic test" on such patients by the psychiatrists. This diagnostic approach is poorly supported by scientific evidence. The author supports this viewpoint against the practice in respect of two main factors:
(a) Schizophrenic patients may remain clinically stable for a considerable duration of time after discontinuation of medication.
(b) There have been instances of rebound psychosis upon withdrawal of antipsychotic drugs in patients with substance induced psychosis.
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