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Real World Therapy Considerations for Treating Koreans

This article explores therapy considerations when treating Korean patients, including cultural differences, language barriers, and strategies for delivering bad news. It also provides resources for further support.

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Real World Therapy Considerations for Treating Koreans

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  1. Real World Therapy Considerations for Treating Koreans Jimmy Kim, Psy.D.

  2. Introduction • Hello… • LIJMC: ZHH • 200 +

  3. No Disclosures or Financial Relationships

  4. Conservative Estimates Asians comprise 5% of the population in the US but approximately 60% of the world’s population

  5. Asian Americans: background • United States: Individualism • Asians: Collectivistic • Medical & Somatic Complaints • Model Minority: Pros & Cons

  6. Asian Patients • Come in Worse… • Recognition of Family’s Efforts • Begin by Validating to Dispel Embarrassment

  7. Helping Families • A time to educate families • Dispel myths and provide realistic expectations • Resources such as NIMH website as well as in the community

  8. Treating The Patient • Use of Certified Translators • Translator Phones • Severe Paranoia = No Phone • Director, Lawyer from MHLD: Meds over Objection, State Hearing for Retention

  9. Subtle Notes • Asians ≠ Asian Mental Health Professionals • Powerful Stigma = Shame • Depends on Level of Assimilation to their Identity

  10. Manners & Behaviors • Huddle before meeting to Focus on message • Bowing: Should I or Shouldn’t I? • Translating in short bursts and in real time • Direct eye contact & Seating

  11. Delivering Bad News • Streamline Communication amongst Treatment Team members • Reduce likelihood of injury through preparation

  12. Therapy on an Inpatient Service • Should I or Shouldn’t I? • Akin to Crisis Intervention • Something > Nothing • Professional Responsibility < Moral Compass

  13. In Summary • Not necessarily reducing negative mental stigma • Best to provide information regarding services and access

  14. Resources • Hamilton Madison House: Korean Clinic (718) 899 – 8918 • Lifenet.nyc (Korean Community) • NIMH.NIH.gov

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