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Perspectives in Global Mental Health   |    
Depression in a Latino Man in New York
Renato D. Alarcón, M.D.; María A. Oquendo, M.D.; Milton L. Wainberg, M.D.
Am J Psychiatry 2014;171:506-508. doi:10.1176/appi.ajp.2013.13101292
View Author and Article Information

Dr. Oquendo receives royalties for the Columbia Suicide Severity Rating Scale and has received financial compensation from Pfizer for the safety evaluation of a clinical facility; she was the recipient of a grant from Eli Lilly to support a year’s salary for the Lilly Suicide Scholar; she has received unrestricted educational grants or lecture fees from AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Janssen, Otsuko, Pfizer, Sanofi-Aventis, and Shire; her family owns stock in Bristol-Myers Squibb. Drs. Alarcón and Wainberg report no financial relationships with commercial interests.

Supported in part by NIH T32 grant MH096724.

From the Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, Minn.; and Columbia University and New York State Psychiatric Institute, New York.

Copyright © 2014 by the American Psychiatric Association

Received October 01, 2013; Accepted October 07, 2013.

Abstract

This case illustrates some of the issues that may affect a Latino patient’s presentation. Although the patient’s constellation of symptoms are classically representative of major depression, the patient also raises themes regarding the process of immigration, subsequent challenges in acculturation and identification with the host culture versus the culture of origin, and culture-specific notions about causes of symptoms. In addition to some of the special features of stigma in Latino cultures, the prominence of physical concerns in the presentation and the use of traditional healers contribute to the complexity of selecting appropriate interventions for this young man.

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