Addressing existential and psychosocial issues in bipolar disorder group therapy may improve outcome. This approach deserves further thorough investigation.

This article describes the author's personal and professional dilemmas, encountered as a psychiatrist in the process of migration from Central Europe to New Zealand. The dilemmas include: (i) personal experiences in the stages of migration, (ii) struggles within the author's own multi-ethnic community, (iii) biculturalism, (iv) the unexpected seriousness of psychopathology, and (v) the tendency for overidentification. Professionals in a cultural transition should be aware that personal and professional challenges are interconnected. The concepts of loyalty, relational ethics and existential humanism were valuable in the resolution of these dilemmas.

This work was carried out in collaboration between all authors. Author MGV designed the study. Author LJM reviewed the psycho-social history and edited the paper. All authors treated the patient in the hospital and author four and five reviewed the literature on neurocysticercosis and organized neuroimaging results. All authors read and approved the final manuscript.

No abstract