“…Vulnerability stems from colonial intrusion into a traditional lifestyle, rapid modernization, and cultural assimilation policies, which cause a loss of traditional knowledge and limit traditional adaptation strategies [ 78 , 79 ]. All these circumstances may be worsened by climate change affecting lifestyle and health, both physical (altering outdoor activities and diet) and mental (inducing stress, worry, depression, anxiety, trauma, and cognitive biases) [ 74 , 80 ], but also resulting in spiritual loss [ 56 ] caused by the transformation or the disappearance of sacred ritual important sites and the disrupted relationship with the land [ 81 ] that is the source of ancestral linkages [ 82 ], even leading to high rates of substance abuse, violence, and suicide [ 82 , 83 , 84 ].…”