CHAPTER TWO
Depression
CASE VIGNETTES
Case 1
Mrs. Etse, a 28-year-old Micronesian woman, began to complain of appetite loss and multiple aches and pains about two weeks prior to presentation. She had consulted the local folk medicine practitioner, and was treated with an unidentified herbal preparation, which did not relieve her symptoms. Her husband brought her to the medical dispensary in the capital city. At presentation the patient was disheveled, cachectic, dehydrated, and hypotensive. She expressed beliefs that her husband had been unfaithful and that she had been neglectful to her mother-in-law. When questioned, she ...
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