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Compassionate listening - managing psychological trauma in refugees
1Foundation House Refugee Mental Health Clinic and Doutta Galla Community Health Centre Medical Service, Melbourne, Victoria, Australia. joanneg@labyrinth.net.au
Background:
The physical and psychosocial effects of trauma in refugees are wide ranging and long lasting. They can affect symptom presentation, the patient-doctor relationship and management of refugee victims of trauma.
Objective:
This article discusses how refugees survivors of trauma may present to the general practitioner and gives an approach to psychological assessment and management.
Discussion:
A strong therapeutic relationship built by patient led, sensitive assessment over time is the foundation to care. A management framework based on trauma recovery stages and adapted for general practice, is presented.
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