Anxiety and depression in asylum-seekers

Abstract

was suspected of causing reversible neutro penia during a cold (Meylan et a!, 1995). The same patient did not develop neutrope nia at re-challenge two years later (Bondolfi eta!, 1996). In anothercase, agranulocytosis was reported after risperidone was com bined with clozapine (Godleski & Sernyak, 1996). We report a case of risperidone induced leucopenia and neutropenia in a patient who had previously developed blood dyscrasia on clozapine. A 63-year-old White male patient with a 45-year history of chronic paranoid schizophrenia was unsuccessfully treated with almost every antipsychotic that came on the market. Clozapine treatment was stopped because of leucopenia (white blood count (WBC) 2.5 x i0@/l, neutrophil count 1.2 x 10'Il). During the next 10 months the patient did not receive antipsychotics and the psychotic symptoms gradually wor sened. One week after risperidone 2 mg b.i.d was added to 100 mg methotrimepra zinc the WBC fell from 4.5 to 3.2 x i0@/l and the neutrophil count from 3.7 to 2.3 x 10@/l.During the next six months the WBC and neutrophil counts were slowly

Social work with refugees and asylum seekers: A rationale for developing practice

“…In another study (Cunningham and Cunningham,I997), PTSD and similar symptoms were associated with 191 refugee clients who had experienced torture and trauma. McKelvey and Webb ( 1997), however, found no association between psychological distress and refugee camp conditions or levels of social support, and Rodenburg et al, (1997) suggest there is no link between detention and high stress or psychiatric morbidity.…”