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The article you requested is

Psychotic Symptoms Associated With Topiramate: Cognitive Side Effects or Worsening of Psychosis?

J Clin Psychiatry 2004;65:1145[letter]

Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.

Sir: Hofer et al.1 report worsening of psychosis in a patient treated with topiramate. There are anecdotal reports in the literature suggesting this adverse effect of topiramate. However, the pathophysiologic mechanism cited by the authors to explain this worsening of psychosis is contrary to what the literature suggests.