1 / 21

COMMON AND NOT SO COMMON PSYCHIATRIC DISORDERS IN THE LATIN POPULATION

COMMON AND NOT SO COMMON PSYCHIATRIC DISORDERS IN THE LATIN POPULATION. LARRY E. BANTA MD CMD PSYCHIATRIST. INTRODUCTION. PSYCHIATRIST IN PRIVATE PRACTICE CALDWELL ID SUBSPECIALTY INTEREST NEUROPSYCHIATRY/RARE DISEASES

nieve
Download Presentation

COMMON AND NOT SO COMMON PSYCHIATRIC DISORDERS IN THE LATIN POPULATION

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. COMMON AND NOT SO COMMON PSYCHIATRIC DISORDERS IN THE LATIN POPULATION LARRY E. BANTA MD CMD PSYCHIATRIST

  2. INTRODUCTION • PSYCHIATRIST IN PRIVATE PRACTICE CALDWELL ID • SUBSPECIALTY INTEREST NEUROPSYCHIATRY/RARE DISEASES • CONSULTANT TO NIÑOS DE BAJA NEAR ENSENADA AND PREVIOUSLY WITH NIÑOS DE MEXICO IN MEXICO CITY • CONSULTANT PSYCHIATRIST REGION III MENTAL HEALTH HISPANIC CLINIC

  3. CHALLENGES • INCREASE IN LATIN AMERICAN IMMIGRANTS • OVERLOADED SERVICES • VERY FEW CULTURALLY RELEVANT OR CULTURALLY SENSITIVE PROGRAMS • LACK OF UNDERSTANDING IN MANY LATIN COMMUNITIES OF MENTAL ILLNESS AND WHAT COULD BE DONE • TOO MANY GO UNDIAGNOSED AND UNTREATED

  4. EXPERIENCES • SALUD Y PROVECHO WAS STARTED IN EARLY 90’S BUT CLOSED IN 2005 • FIRST FEW WEEKS VERY FEW CLIENTS • SLOWLY BEGAN TO INTEGRATE MORE CULTURALLY SENSITIVE APPROACHES • UNCOVERED SO MANY IN NEED IT BECAME VERY BUSY • NOW WITH LARGER POPULATION VERY FEW SERVICES

  5. HEALTH AND WELFARE • MANY OF THE SALUD PATIENTS WERE MOVED TO HEALTH AND WELFARE MENTAL HEALTH • MOST DID NOT SHOW UP • CLINIC HAS NOT GROWN • FEW PRIVATE CLINICS PROVIDE SERVICES THAT ARE CULTURALLY SENSITIVE AND FEW HAVE BILINGUAL THERAPISTS OR PRESCRIBERS

  6. CULTURE • THE CONTEXT IN WHICH YOU GROW DEVELOP AND LIVE • DETERMINES ROOT VALUES, WORLD VIEW, EXPECTATIONS, RULES OF CONDUCT, • INTERPRETATION OF EVENTS, • UNDERSTANDING OF THE MEANING OF SYMPTOMS,

  7. CULTURE • WITHIN EACH CULTURE ARE MANY SUBCULTURES • MANY ARE BASED ON RELIGIOUS ORIENTATION • IN MEXICO VILLAGES WITH EVANGELICALS, CATHOLICS , AND ANIMISTS (TRADITIONAL PAGAN OR TRIBAL BELIEFS) EACH WITH DIFFERENT WORLD VIEW AND SET OF VALUES

  8. MENTAL DISEASE IN LATIN AMERICA • INCIDENT OF MAJOR MENTAL ILLNESS ROUGHLY EQUIVALENT WORLDWIDE • PAHO STATS: • DEPRESSION 4.9% • SCHIZOPHRENIA 1.0% • SUBSTANCE USE DISORDERS 5.7%

  9. SYMPTOMS AND DISEASES • MAJOR DEPRESSION IS AN ILLNESS CONSISTING OF A PERSISTENTLY SAD MOOD LOW ENERGY AND CAN BE ACCOMPANIED BY SUICIDAL BEHAVIOR • WHAT THE SYMPTOMS MEAN DETERMINE WHERE YOU GO FOR HELP • SADNESS GUILT LOW ENERGY: COULD HAVE RELIGIOUS SIGNIFICANCE, REFERRAL TO RELIGIOUS LEADER ETC. • NOT THE PROPER MEDICAL HELP NEEDED, SYMPTOMS PERSIST

  10. SYMPTOMS AND DISEASES • PSYCHOSIS FROM VARIOUS DISORDERS SUCH AS SCHIZOPHRENIA MAY BE INTERPRETED AS: • DEMONIZATION • SPIRITUAL RETRIBUTION • CURSE • IMBALANCES THAT REQUIRE TRADITIONAL REMEDIES

  11. COMMON DISORDERS • THE USUAL DISEASES • MAJOR DEPRESSION • BIPOLAR DISORDER • SCHIZOPHRENIA • ANXIETY DISORDERS OCD PTSD PANIC • SPECIAL PROBLEMS • ACCULTURATION STRESS • PTSD RELATED TO EVENTS IN COUNTRY OF ORIGIN

  12. CULTURE BOUND SYNDROMES • Locura: (Latin America) a severe form of chronic psychosis, attributed to an inherited vulnerability, the effect of multiple life difficulties, or a combination of the two. Symptoms include incoherence, agitation, auditory and visual hallucinations, inability to follow rules of social interaction, unpredictability, and possible violence.

  13. CULTURE BOUND SYNDROMES • Ataque de Nervios: an idiom of distress principally reported among Latinos from the Caribbean, but also among many Latin American and Latin Mediterranean groups. Symptoms include uncontrollable shouting, attacks of crying, trembling, heat in the chest rising to the head, and verbal or physical aggression. Ataques de nervios frequently occur as a result of a stressful family event, especially the death of a relative, but also a divorce or fight with a family member.

  14. CULTURE BOUND SYNDROMES • bilis and colera: part of a general Latin American idiom of distress and explanation of physical or mental illness as a result of extreme emotion, which upsets the humors (described in terms of hot and cold.) Bilis and colera specifically implicate anger in the cause of illness. • mal de ojo: (Spain and Latin America) the Spanish term for the evil eye. Evil eye occurs as a common idiom of disease, misfortune, and social disruption throughout the Mediterranean, Latin American, and Muslim worlds.

  15. CULTURE BOUND SYNDROMES • nervios: (Latin America) Idiom of distress, refers to a general state of vulnerability to stressful life experiences and to a syndrome brought on by such stresses. Symptoms may be very broad, but commonly include emotional distress, headaches, irritability, stomach disturbances, sleep disturbances, nervousness, easy tearfulness, inability to concentrate, tingling sensations, and dizziness

  16. CULTURE BOUND SYNDROMES • susto: an idiom of distress principally reported among Latinos in the U.S. and Latin America. Susto is an illness attributed to a frightening event that causes the soul to leave the body, leading to symptoms of unhappiness and sickness. Symptoms are extremely variable and may occur months or years after the supposedly precipitating event. Alternate names include espanto, pasmo, tripa ida, perdida del alma, and chibih • ANRG 170: Traditional Chinese Society, during February 1998. Updated 6 Sep 2001 and again on 18 Oct 2011

  17. CONCLUSION • THE CULTURE IN WHICH WE LIVE DETERMINES HOW WE EXPERIENCE SYMPTOMS • MENTAL ILLNESS IS A WORLDWIDE PROBLEM ACCOUNTING FOR 24% OF DISABLING ILLNESS • MODERN PROVEN APPROACHES CAN BE PROVIDED WITHIN AN ACCEPTABLE CULTURAL CONTEXT

More Related