Mental Health Issues for Asian Americans

• Published in: Psychiatric services (Washington, D.C.) Vol. 50; no. 6; pp. 774 - 780
• Main Authors: Lin, Keh-Ming, Cheung, Freda
• Format: Journal Article
• Language: English
• Published: Washington, DC American Psychiatric Publishing 01.06.1999; American Psychiatric Association
• Subjects: Asian Americans - psychology; Attitude to Health; Biological and medical sciences; Complementary Therapies; Culture; Family - psychology; Humans; Medical sciences; Mental Disorders - therapy; Mental health; Mental Health Services - standards; Mental Health Services - utilization; Organization of mental health. Health systems; Patient Acceptance of Health Care; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychotherapy; Social psychiatry. Ethnopsychiatry; Somatoform Disorders - ethnology; Terminology as Topic; United States; United States; North America; America; Human; Ethnic origin; Asiatic; Treatment; Cultural environment; Use; Mental health; Mental disorder; Health service; Review; Diagnosis
• ISSN: 1075-2730; 1557-9700
• DOI: 10.1176/ps.50.6.774

One of fastest-growing population groups in recent decades, Asian Americans represent a vastly diversified and rich mixture of cultures, languages, beliefs, and practices, many of which differ widely from those of European Americans. As immigrants, Asian Americans have experienced and continue to experience various emotional and behavioral problems. However, they tend to underuse existing services except those that are culturally appropriate and linguistically compatible. Misdiagnosis frequently occurs, and the existence of culture-bound syndromes points to a lack of precise correspondence between indigenous labels and established diagnostic categories. Due to Asian traditions of viewing the body and mind as unitary rather than dualistic, patients tend to focus more on physical discomforts than emotional symptoms, leading to an overrepresentation of somatic complaints. Traditional practices and healing methods are frequently used to alleviate distress both before and after patients and their family members approach the conventional mental health care system. Help seeking typically is a family venture. Asian patients respond well to highly structured therapeutic interventions such as those used in behavioral, cognitive, and interpersonal models. When applying pharmacotherapy, clinicians should pay attention to Asians' unique responses to psychotropics, especially in regard to dosage requirements and side effects. Research in this area as well as on other important issues is in the early stage of development.