Mr. Pich and Mrs. Chan establishing care at son's request due to impending travel and the need for vaccinations and proper screenings

Cultural Dynamics

Medical Issues:

Screenings -- routine/age-based, recommended ones prior to travel

Vaccinations -- typhoid,malaria prophyalxis, etc. prior to traveling to Southeast Asia

Psychological

Tuberculosis -- testing, indications for treatment, latent vs active

Comorbidities (HTN, diabetes) -- desire to use alternative medications

PTSD- trigger: the need to return to Cambodia

CBT

Intergenerational family dynamics (son) -- balance between patient autonomy and input from family members to guide the visit

Cultural competence and cultural empathy improving health equity

Complementary/alternative medicine (coining) -- hesitancy towards Western therapies

Social Factors

ensuring effective communication (L.E.A.R.N)

Panic attacks vs organic/medical cause

Immigrants to United States -- visiting back to Cambodia (avoidance of trauma, financial, etc.)

Lifestyle/profession: Cannot maintain previous profession due to certification restrictions

Medicare (coverage for CBT?)

Education (Cambodia): Engineer, Teacher

Taboo/stigma around mental health

Isolation and lack of social support

Married, 1 Son

Run small retail market