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Clinical Pitfalls in the Diagnosis of Ataque de Nervios: A Case Study

Columbia University

Maria A. Oquendo

Columbia University, moquendo{at}neuron.cpmc.columbia.edu

Ruth Graver

Columbia University

Ataque de nervios (attack of nerves) is an idiom of distress generally thought of in relation to Caribbean Hispanics. The following case study discusses the presentation of ataque de nervios in a Colombian female. This case study provides insight into a different presentation of ataque de nervios in a new population that clinicians should be aware of in order to ensure accurate diagnosis. Ataque de nervios is a distinct syndrome that does not fully correspond with any single DSM-IV diagnosis. However, there is overlap between symptoms in this condition and those in conventional clinical diagnoses. Common problems in deriving an accurate differential diagnosis are discussed. Implications for treatment are also reviewed, with an emphasis on a comprehensive approach to treatment that supports the client’s norms and values.

Key Words: ataque de nervios • Colombia • culture-bound syndrome • differential diagnosis • idioms of distress

Transcultural Psychiatry, Vol. 46, No. 3, 463-486 (2009)
DOI: 10.1177/1363461509343090


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