Folie à deux is included with Schizophrenia and Other Psychotic Disorders in DSM-IV and with Schizophrenia, Schizotypal, and Delusional Disorders in ICD-10, and is treated as though it were a separate psychotic illness. It would be better to treat it as an important clinical phenomenon which may be associated with other identifiable mental disorders. However, rather than encourage a pedantic argument, it is best simply to alert the clinician to its existence, its frequency, and, as will be explained, its importance.

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