However, in Castillo's zeal for broadening a disease-centered psychiatry to a more holistic perspective he terms client-centered psychiatry, he glosses over some of the clinical realities psychiatrists face. For example, mentioning that numerous reports indicate that witchdoctors, shamans, and religious leaders are capable of getting good clinical results, he says, "It is not necessary to diagnose a 'possessed' patient with schizophrenia and provide medications to obtain a good outcome." This statement flies contrary to current scientific data on the treatment of schizophrenia. I believe it is crucial to provide a differential diagnosis of various conditions that may mimic "possession" phenomenon (2). If the disorder turns out to be schizophrenia, the use of medications is essential, particularly in treating the acute phase of the illness.