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An eye for detail.(letters to the editor)(Letter to the editor)

National Review

| July 14, 2008 | Ingersoll, Elliott | COPYRIGHT 2008 National Review, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Dr. Rob Long--I was greatly distressed to learn that your client Hillary Clinton had stabbed you in the eye with a pencil. As I'm sure you know, the best predictor of violent behavior is past violent behavior, so I was surprised at your lack of precaution with this particular woman.

Be that as it may, as a colleague, I wanted to offer some consultation on the case. Regarding medications, you are mistaken about "blockading" D2 receptors with Zyprexa and Seroquel. These block some D2 receptors, but primarily block serotonin receptors. The older, "typical" antipsychotics, such as thorazine, exclusively block D2 receptors. You note that the medications had little impact on the client's delusions; this is not unusual with deep-seated delusions reinforced by equally deluded followers.

The symptoms you listed seem explainable as manifestations of mania and depression, indicating that the client may be suffering ...

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