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Yoruba Therapy

Yoruba Therapy

I recently read that the prevalence of major depression in the USA is 10% of the population but in Nigeria it is only 0.8%. Now assuming that depression is universal which appears to be likely and that it has to a varying degree a biological substrate which propels the symptoms, it may be that the Yoruba of Nigeria view it differently and therefore the clinical presentation becomes masked. In traditional cultures depression often presents as somatic in the form of headaches or abdominal pain, or as trance states (dissociation).

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Pareidolia: Believing is Seeing

Pareidolia: Believing is Seeing

I have always enjoyed the study of philosophy as a mental sharpening stone. Finding truth involves search for either factual (empirical) evidence or through engaging in dialectic, the centre piece of philosophical inquiry.

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Community Psychiatry Part 3

Community Psychiatry Part 3

Among the childhood psychiatric conditions seen at the clinic, by far attention deficit disorders were the most prevalent. More common in boys, and usually associated with learning disability, the cause is thought to be essentially biochemical, in the form of deficits in dopamine metabolism (though norepinephrine plays a role) and involves the connections between the reticular activating system (awareness centre), the limbic system (fight or flight, aggression, emotions) and the forebrain (reason, intellect).

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Community Psychiatry Part 2

Community Psychiatry Part 2

Anxiety disorders, major depression, chronic dysthymia and addictions are the bread and butter of community mental health.

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Community Psychiatry Part 1

Community Psychiatry Part 1

Back in the day when I worked with community mental health, the majority of people seen suffered from the problems of daily living as in work stress or marital discord. Many others, denizens of the walking wounded, afflicted with anxiety and depression, and soldiering on “looking for meaning in the silent barren Godless eternity known as suburbia” as one patient waxed existential.

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