There is an ongoing debate as to whether dermatologists or psychiatrists should treat patients with delusions of parasitosis. Dermatologists often argue that although psychiatrists are better qualified to deal with the delusions, the nature of the patients is such that they are likely to be lost to treatment should a psychiatrist be mentioned. It is therefore better for the dermatologist to maintain treatment on pimozide for example, than it is for the patient not to be treated at all (Hahmann and Avnstorp 1982). A good dermatologist should ideally be able to present the "second opinion" sought from the psychiatrist in such a way as to not loose the patient to further treatment.
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