How to treat Delusions of Parasitosis?
Delusions of parasitosis (DoP) manifest in the patient's firm belief that he or she has pruritus due to an infestation with insects. Patients may present with clothing lint, pieces of skin, or other debris contained in plastic wrap, on adhesive tape, or in matchboxes. They typically state that these contain the parasites; however, these collections have no insects or parasites. This presentation is called the matchbox sign, or what the authors term the "Saran-wrap sign."
@niyam In 2014, an article on delusions of parasitosis stressed the need of the physician to establish a therapeutic alliance with patients suffering from the condition. Without this alliance it is difficult to convince patients to take the necessary medications. The first meeting with a patient with DP can set the tone for all subsequent encounters. Another article states that the patient's autonomy must be respected in all encounters. The physician must provide provide full information regarding the treatment plan and seek consent before starting treatment or asking the patient to seek a psychiatric referral