"Ms. D," a 65-year-old, elementary school-educated, Christian, Korean housewife, visited our outpatient clinic in May 2013. She initially complained of difficulty falling asleep, indigestion, chest discomfort, uncomfortable heat sensations, and anxiety. In an hour-long interview, she reported feelings of sadness, hopelessness, and hostility toward her husband, who was a pathological gambler. She said that she "often wished [she] was dead or [her] husband was dead" and that her "life had been wasted." Despite having these symptoms for years, this was only her second psychiatric visit, as she was concerned about stigma and "addiction to medication."
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