Morgellons is a medically contested diagnosis with foremost dermatological 
symptoms. Patients experience fibers emerging from the skin, together with a 
range of other somatic, psychiatric, and neurological complaints. Within the 
medical community, it is generally held to be a variation of delusional 
parasitosis/delusional infestation, which is usually treated with 
antipsychotics. Little attention has been paid in the literature to the ethical 
aspects of treating patients with Morgellons disease. The communicative 
strategies suggested in the literature display significant ethical issues, 
primarily the use of therapeutic privilege, i.e. withholding information from 
the patient. Since this limits patient autonomy, that approach is ethically 
problematic. Instead, the physician has an ethical obligation to respect the 
patient's autonomy, provide full information, and seek consent before initiating 
a psychiatric referral.