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The perception that both condom usage and antivirals can potentially modify the risk of transmission has led some to advocate the routine screening of asymptomatic individuals. One barrier to wider screening is the possibility of causing psychological harm to those who are asymptomatically infected. Rosenthal et al1 found no evidence that discovering they were positive led to frank psychiatric symptoms in most of their positive individuals. This is reassuring. However, the authors point out that the positive …