Table 1

Considerations in Deciding Course of Action After Receiving Unsolicited Email From an Unknown Person

Determine whether the sender's identify can be verified. Could it be a person other than who the sender claims to be?
Potential for creation of doctor–patient relationship with duty of care if you reply, despite lack of ability to examine or obtain collateral information in a potentially complex case
Licensing and malpractice concerns if sender is not in state
Potential for the e-mailer to misinterpret your response
False expectations: potential for lack of appropriate action by e-mailer because he believes that he is following psychiatric advice, or alternatively, because he is waiting for a reply from the psychiatrist