Fabian M. Saleh, MD and H. Martin Malin, PhD, MA, LMFT
In treating patients whose sexual fantasies do not trigger an immediate legal duty to report, psychiatrists must be vigilant for signs that the patient intends to act on a fantasy.
Those who care for adolescents must advocate for timely disclosure of HIV diagnosis since the negative effects of late disclosure include social isolation, anxiety, loss of trust, and depression.