Today a patient came to me with the typical history of Delusion of Parasitosis. He thinks that his middle ear cavity is infested with insects. He has already consulted many Dermatologists and ENT surgeons. Many of them have suggested psychiatric evaluation which the patient has vehemently declined. Textbooks say that the doctor should take a neutral stand neither accepting his delusion thereby reinforcing it nor out rightly rejecting the delusion which will antagonize the patient. I wrote the diagnosis down on a piece of paper and told him to go to the internet and study about the condition. If he returns to me, I will refer him to a psychiatrist. Drugs like pimozide are controlled in this country. It is difficult for a dermatologist to start such medications.