Case Reports in Psychiatry partial improvement, while the remainder were lost to followup. Delusional parasitosis is an uncommon psychiatric con- dition. This case identiﬁes the onset of symptoms with higher doses of stimulant medications. Discontinuation of mixed amphetamine salts led to rapid recovery and antipsychotic agents were not needed. Reintroduction of the medication at lower doses was successfully accomplished with therapeutic beneﬁts again appreciated. Although this is a reportable case it must be emphasized that mixed amphetamine salts-induced delusional parasitosis is a rare occurrence. In our AD/HD specialty clinic, stimulant medications are prescribed regularly, often for patients that require doses that exceed FDA recommendations. This is done cautiously but generally without complications. Never before in our clinic had the onset of delusional parasitosis been identiﬁed. For this reason, other causes such as sleeplessness or marital discord cannot be excluded. Stimulant medications can play a vital role in patients suﬀering from ADHD and depression. As in all clinical decisions the potential beneﬁts of treatment should be weighed against potential adverse events. References [1] M. Hamilton, “A rating scale for depression.,” Journal of Neu- rology, Neurosurgery, and Psychiatry, vol. 23, pp. 56–62, 1960. [2] C. K. Conners, D. Erhardt, and E. Sparrow, Conners’ Adult ADHD Rating Scales (CAARS), Multihealth Systems, New York, NY, USA, 1999. [3] T. Millon, C. Millon, R. Davis, and S. Grossman, MCMI- III Manual, Pearson Education, Minneapolis, Minn, USA, 3rd edition, 2006. [4] S. Mattis, Dementia Rating Scale Professional Manual, Psycho- logical Assessment Resources, Odessa, Fla, USA, 1973. [5] R. M. A. Hirschfeld, J. B. W. Williams, R. L. Spitzer et al., “Development and validation of a screening instrument for bipolar spectrum disorder: the mood disorder questionnaire,” American Journal of Psychiatry, vol. 157, no. 11, pp. 1873–1875, 2000. [6] K. D. Gadow and J. Sprafkin, The Symptom Inventories: An Annotated Bibliography, Checkmate Plus, Stony Brook, NY, USA, 2009. [7] S. Flann, J. Shotbolt, B. Kessel et al., “Three cases of delusional parasitosis caused by dopamine agonists,” Clinical and Experi- mental Dermatology, vol. 35, no. 7, pp. 740–742, 2010. [8] R. Nicolato, H. Correˆa, M. A. Romano-Silva, and A. L. Teixeira Jr, “Delusional parasitosis or Ekbom syndrome: a case series,” General Hospital Psychiatry, vol. 28, no. 1, pp. 85–87, 2006. [9] B. K. Kenchaiah, S. Kumar, and P. Tharyan, “Atypical anti- psychotics in delusional parasitosis: a retrospective case series of 20 patients,” International Journal of Dermatology, vol. 49, no. 1, pp. 95–100, 2010. 3