CHAPTER SEVEN
Psychosis
CASE VIGNETTES
Case 1
Within a year after immigrating to the United States, a 21-year-old Haitian woman was referred to a psychiatrist by her schoolteacher because of hallucinations and withdrawn behavior. The patient was fluent in English, although her first language was Creole. Her history revealed that she had seen an ear, nose and throat specialist in Haiti after her family doctor could not find any medical pathology other than a mild sinus infection. No hearing problems were noted and no treatment was offered. Examination revealed extensive auditory hallucinations, flat affect, and peculiar delusional ...
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