抄録
Various difficulties were encountered when a patient suffering from mild but aggressive schizophrenia complained to a newspaper about a tooth extraction appointment. The patient was a 23- year-old female receiving outpatient psychiatric treatment for schizophrenia. She also complained several times to our hospital by telephone. Her psychiatrist later became aware of the situation and was able to resolve the issue. The fact that we were unaware that she was being treated for schizophreniawhen she visited our department raises various points requiring serious reflection, including with regard to the method of making appointments. This experience highlighted the difficulty of handling a schizophrenic patient who visits without referral from a psychiatrist, and the importance of establishing reliable routine procedures.