Where there is no psychiatrist

Mental illness happens everywhere in the world. I have seen Zambian patients with depression, anxiety, obsessive compulsive disorder, psychosomatic conditions and hysteria. Being aware of the cultural context is important, and good communication is essential. To get a history from patients, you need a good translator who can help you interpret patients’ symptoms. It may… Continue reading Where there is no psychiatrist

Another Day, part 2

A woman was sitting on the steps of the clinic, gazing at the ground. I was told that she had mental health problems and wouldn’t speak. She was pregnant and had indicated that she had belly ache. A nurse had prescribed paracetamol and the woman had tried to take all the tablets. I sat down… Continue reading Another Day, part 2