Mental health issues for Asian Americans

One of fastest-growing population groups in recent decades, Asian Americans represent a vastly diversified and rich mixture of cultures, languages, be liefs, and practices, many of which differ widely from those of European Am ericans. As immigrants, Asian Americans have experienced and continue to ex perience various emotional and behavioral problems. However, they tend to u nderuse existing services except those that are culturally appropriate and Linguistically compatible. Misdiagnosis frequently occurs, and the existenc e of culture-bound syndromes points to a lack of precise correspondence bet ween indigenous labels and established diagnostic categories, Due to Asian traditions of viewing the body and mind as unitary rather than dualistic, p atients tend to focus more on physical discomforts than emotional symptoms, leading to an overrepresentation of somatic complaints. Traditional practi ces and healing methods are frequently used to alleviate distress both befo re and after patients and their family members approach the conventional me ntal health care system. Help seeking typically is a family venture. Asian patients respond well to highly structured therapeutic interventions such a s those used in behavioral, cognitive, and interpersonal models. When apply ing pharmacotherapy, clinicians should pay attention to Asians' unique resp onses to psychotropics, especially in regard to dosage requirements and sid e effects. Research in this area as well as on other important issues is in the early stage of development.