Abstract：
We describe the case of a 33-year-old pre-eclamptic Bhutanese woman who presented with postpartum hallucinations. We discuss our concern for postpartum psychosis versus a culturally appropriate phenomenon, with her diagnostic picture complicated by the use of interpreters and the intersection of culture and medicine. Top experts in the consultation-liaison (CL) field provide guidance for this clinical scenario based on their experience and a review of the available literature. This case highlights both the impact of language barriers and the challenges of interpreting psychiatric symptoms within a cultural context. Key teaching points include differential diagnoses for postpartum hallucinations, the importance of interpreting patient presentations within their unique cultural contexts and identities, and the impact of language interpretation on patient care. Specifically, we offer guidance on differentiating postpartum psychosis from a culturally appropriate phenomenon.
摘要：
我们描述了一名33岁的先兆子痫不丹妇女出现产后幻觉的情况。我们讨论了我们对产后精神病的关注与文化上适当的现象，她的诊断图片因使用口译员以及文化和医学的交叉而变得复杂。咨询联络（CL）领域的顶级专家根据他们的经验和对现有文献的回顾，为这种临床情景提供指导。此案例强调了语言障碍的影响以及在文化背景下解释精神症状的挑战。教学要点包括产后幻觉的鉴别诊断，在患者独特的文化背景和身份中解释患者陈述的重要性，以及语言解释对病人护理的影响。具体来说,我们提供有关将产后精神病与文化上适当的现象区分开的指导。
