Background
Depression, and its associated anxiety, is very common in
the community and frequently managed in general practice.
Yet it remains a problematic concept. Differing views of
depression influence both clinical practice and research.
Objective
This article discusses the way each patient’s culture
interacts with other important contexts of clinical practice
to shape how depression is understood and managed.
Discussion
Cultural and linguistic diversity interacts with
socioeconomic factors in determining the known prevalence
of depression and anxiety. Detection of depression may be
shaped by expectations and assumptions of both the general
practitioner and patient. Language and communication
barriers mean interpreters are critical to mental health care.
Culturally sensitive care for depression requires a reflective
approach based on a negotiated understanding of the
patient’s experiences and symptoms.
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