Difficulties in Assessing Mental Status of Deaf Patients

Previous studies have shown that cultural differences between Deaf patients and hearing healthcare practitioners can lead to the overdiagnosis of psychotic disorders. Gawad & Helminiak present a case report of a Deaf 34-year-old man who was referred to a hospital psychiatric unit from a jail. He had had 3 prior admissions and had been diagnosed with schizophrenia each time. His rapid recovery after therapy was initiated led the authors to conclude that he was not schizophrenic but had experienced either a manic episode or the effects of substance abuse. The authors describe how the presentation of Deaf people in distress, the differences between communication in ASL versus English, and the lack of standardized and validated ASL mental assessment tools can lead to the misdiagnoses of psychotic disorders in this population. They conclude by offering advice for healthcare practitioners on assessing the mental status of Deaf patients. Gawad, N.A. & Helminiak, A. (2018). Lo...