Significance of cultural beliefs in presentation of psychiatric illness: a case report of selective mutism in a man from Nepal.

Abstract:

:A 22-year-old active duty E1 Nepalese male who recently emigrated from Nepal suddenly exhibited strange behaviors and mutism during Advanced Individual Training. After receiving care from a hospital near his unit, he was transferred to Walter Reed Army Medical Center Inpatient Psychiatry for further evaluation and treatment. Although he was admitted with a diagnosis of psychosis not otherwise specified (NOS), after consideration of cultural factors and by ruling out concurrent thought disorder, a diagnosis of selective mutism was made. To our knowledge this is the first reported case of selective mutism in a soldier. This case serves as a reminder of the need for cultural awareness during psychological evaluation, diagnosis, and treatment of patients.

journal_name

Mil Med

journal_title

Military medicine

authors

Babikian S,Emerson L,Wynn GH

doi

10.7205/milmed.172.11.1213

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

1213-6

issue

11

eissn

0026-4075

issn

1930-613X

journal_volume

172

pub_type

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