Qi-gong Psychotic Reaction in a Chinese American Woman
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A. Patient Identification
Ms. H is a 48-year-old divorced female Chinese American immigrant from Beijing who presented in a psychotic state to a county psychiatric emergency service facility in the western United States and was hospitalized for 3 days. She was later referred to an Asian-focused community mental health clinic for ongoing treatment.
B. History of Present Illness
Ms. H was placed on a voluntary, 72-h hold as a result of being judged to be gravely disabled and a danger to herself after she drove her car into a wall. She believed that she was invincible and wanted to test her superpowers in the crash. She was also hyperverbal and agitated, and her thoughts and speech were tangential, loose and disjointed. She was tearful and evidenced poor insight and judgment.
Ms. H reported that prior to hospitalization she practiced Qi-gong several times a week for approximately two years. Qi-gongis a form of meditative practice involving deep breathing, mental...