Book contents
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
8 - Common diagnoses
Published online by Cambridge University Press: 26 August 2022
Book contents
- Seeking Asylum and Mental Health
- Seeking Asylum and Mental Health
- Copyright page
- Contents
- The Authors
- Foreword
- Acknowledgements
- Glossary
- Introduction
- 1 Why do people seek asylum? The global context
- 2 Seeking asylum in the United Kingdom
- 3 Seeking asylum and mental health
- 4 Access to mental health care
- 5 Assessing mental health needs
- 6 Interpreting assessment findings
- 7 Formulation and diagnosis
- 8 Common diagnoses
- 9 Intervention: the essentials
- 10 Specific interventions
- 11 Children, families, and young people
- 12 Records and reports
- 13 Improving mental health services
- 14 Therapeutic complexity
- 15 Working with people seeking asylum
- Some resources
- Index
- References
Summary
Specific diagnoses have specific implications, and this chapter examines these. Prevalence of specific conditions is difficult to establish, but some broad findings are reviewed. Specific diagnoses are then considered in turn, looking at their conceptual basis and potential misunderstandings, diagnostic criteria and the difficulty of categorising symptoms, and the implications of making, or not making, each.For each diagnosis the authors consider how culturally normal reactions may wrongly be labelled as ‘symptoms’ but equally how problems may be wrongly ascribed to ‘culturally normal’ experience. Some diagnoses may be overlooked, especially if difficulties are ascribed to cultural factors – substance abuse, traumatic brain injury, intellectual disability and neuroatypicality.
Situations where there is no diagnosis, or changing and overlapping diagnoses are reviewed.Fabrication is considered, and the value and hazards of raising the possibility in an assessment.
Keywords
- Type
- Chapter
- Information
- Seeking Asylum and Mental HealthA Practical Guide for Professionals, pp. 150 - 165Publisher: Cambridge University PressPrint publication year: 2022
References
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]. Washington DC and London: American Psychiatric Publishing.Google Scholar
Blackmore, R., Gray, K., Boyle, J., et al. (2020). Systematic Review and Meta-analysis: The Prevalence of Mental Illness in Child and Adolescent Refugees and Asylum Seekers. J Am Acad Child Adolesc Psychiatry, 59(6): 705–14.Google Scholar
Bogic, M., Njoku, A., and Priebe, S. (2015). Long-term mental health of war-refugees: a systematic literature review. BMC Int Health Hum Rights, 28: 15–29.Google Scholar
Bogic, M., Ajdukovic, D., Bremner, S., et al. (2012). Factors associated with mental disorders in long-settled war refugees: Refugees from the former Yugoslavia in Germany, Italy and the UK. British Journal of Psychiatry, 200(3): 216–23.CrossRefGoogle ScholarPubMed
Braakman, M. H., Kortmann, F. A. M., and Van Den Brink, W. (2009). Validity of ‘post-traumatic stress disorder with secondary psychotic features’: A review of the evidence. Acta Psychiatrica Scandinavica, 119: 15–24.CrossRefGoogle ScholarPubMed
Brandt, L., Henssler, J., Müller, M., Wal, S., Gabel, D., and Heinz, A. (2019). Risk of Psychosis Among Refugees: A Systematic Review and Meta-analysis. JAMA Psychiatry. 76(11): 1133–40. https://doi.org/10.1001/jamapsychiatry.2019.1937.CrossRefGoogle ScholarPubMed
Brewin, C. R., Cloitre, M., Hyland, P., et al. (2017). A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD. Clinical Psychology Review, 58: 1–15.Google Scholar
Bryant, R. A. (2019). Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges. World Psychiatry, 18(3): 259–69. https://doi.org/10.1002/wps.20656.CrossRefGoogle ScholarPubMed
Cloitre, M. (2020). ICD-11 complex post-traumatic stress disorder: Simplifying diagnosis in trauma populations. The British Journal of Psychiatry, 216(3): 129–31.CrossRefGoogle ScholarPubMed
De Silva, U., Glover, N., and Katona, C. (2021). Prevalence of complex post-traumatic stress disorder in refugees and asylum seekers: Systematic review. BJPsych Open, 7(6): E194. https://doi.org/10.1192/bjo.2021.1013.CrossRefGoogle ScholarPubMed
Fazel, M. (2020). Child refugee mental health needs – in conversation. Association for Child and Adolescent Mental Health. www.acamh.org/blog/associate-professor-mina-fazel-child-refugee-mental-health-needs-in-conversation/ (Last accessed April 2021).Google Scholar
Giacco, D., Laxhman, N., and Priebe, S. (2018). Prevalence of and risk factors for mental disorders in refugeees. Seminars in Cell & Developmental Biology, 77: 144–52.CrossRefGoogle Scholar
Laban, C. J., Komproe, I. H., Gernaat, H. B. P. E., et al. (2008). The impact of a long asylum procedure on quality of life, disability and physical health in Iraqi asylum seekers in the Netherlands. Soc Psychiat Epidemiol, 43: 507–15.Google Scholar
Rohlof, H., Knipscheer, J. W., and Kleber, R. (2014). Somatization in refugees: A review. Soc Psychiatry Psychiatr Epidemiol, 49(11): 1793–804. https://doi.org/10.1007/s00127-014-0877-1.Google Scholar
Sen, P., Arugnanaseelan, J., Connell, E., et al. (2018). Mental health morbidity among people subject to immigration detention in the UK: A feasibility study. Epidemiology and Psychiatric Sciences, 27(6): 628–37.Google Scholar
Sen, P., Crowley, G., Moro, C., Slade, K., Khan, A. A., and Forrester, A. (2021). Mental health in immigration detention: A comparison of foreign national ex-prisoners and other detainees. CBMH, 1–14. https://doi.org/10.1002/cbm.2207.CrossRefGoogle Scholar
Sowey, H. (2005). Are refugees at increased risk of substance misuse? Redfern, NSW:Drug and Alcohol Multicultural Education Centre.Google Scholar
World Health Organisation (2018). International Classification of Diseases, 11th Revision [ICD-11]. www.who.int/classifications/icd/en/.Google Scholar