The article you requested is

Artifactual Rediagnosis of Psychotic Depression as Schizophrenia

J Clin Psychiatry 2012;73(4):538 [letter]

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To the Editor: Psychopathology is changed by antipsychotic-type medications, but Ruggero et al did not account for effects of exposure to medication on diagnosis. Diagnosis of functional disorders per DSM requires absence of medical effects—including effects from medications—that can cause or suppress disorder criteria contents. Antipsychotic-type drugs tend to suppress symptoms, including those of depression and psychosis. As a separate matter, when given chronically these drugs can cause tardive psychosis, the symptoms of which resemble schizophrenia.

J clin Psychiatry2012; 73(4): 538[letter]


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