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Message: <blockquote data-quote="HarryMTieboutMD" data-source="post: 16318249">I had to reopen this thread because I LOVE this post!   The NMDA fad has become ridiculous; some psychiatrists will use any excuse to order it.  Just because its mechanistically linked to a biological hypothesis of schizophrenia and was sensationalized in a book does not justify ordering the test for any young female with new onset psychiatric symptoms (which happens btw).   The last thing I want is parents who read  Brain on Fire insisting that I order the test (and threatening to get their non MD hospital administrator friends involved when I explain that its not indicated) when I have zero degree of clinical suspicion.   As Splik pointed out, if I am considering NMDAR encephalitis, I need to be thinking about other "organic" causes of psychiatric symptoms, and I would probably consult neuro for the complete workup (most is mentioned in Splik's thread) just so I am not missing anything.</blockquote>

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