Culture, Medicine and Psychiatry

, Volume 31, Issue 4, pp 547–560 | Cite as

Qi-gong Psychotic Reaction in a Chinese American Woman

  • Wei-Chin Hwang
Clinical Case Study

Clinical History

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...


Depressive Symptom Mental Health Service Psychotic Symptom Romantic Relationship Psychotic Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Hwang, W. 2006 Adapting Psychotherapy to Better Meet the Needs of Ethnic Minorities. American Psychologist 61: 702–715.CrossRefGoogle Scholar
  2. Hwang, W., J. J. Wood, K. Lin, and F. Cheung 2006 Cognitive-Behavioral Therapy with Chinese Americans: Research, Theory, and Clinical Practice. Cognitive and Behavioral Practice 13: 293–303.CrossRefGoogle Scholar
  3. Jaspers, K. 1968 The Phenomenological Approach in Psychopathology. British Journal of Psychiatry 114: 1313–1323.CrossRefGoogle Scholar
  4. Lim, R. F., and K. Lin 1996 Psychosis Following Qi-gong in a Chinese Immigrant. Culture, Medicine and Psychiatry 20: 369–378.CrossRefGoogle Scholar
  5. Sancier, K. M., and D. Holman 2004 Commentary: Multifaceted Health Benefits of Medical Qigong. Journal of Alternative and Complementary Medicine 10:163–165.CrossRefGoogle Scholar
  6. Stephens, J. H., J. W. Shaffer, and W. T. Carpenter 1982 Reactive Psychoses. Journal of Nervous and Mental Disease 170: 657–663.CrossRefGoogle Scholar
  7. Ungvari, G. S., and P. E. Mullen 2000 Reactive Psychoses Revisited. Australian and New Zealand Journal of Psychiatry 34:458–467.CrossRefGoogle Scholar
  8. Ziguras, S., S. Klimidis, J. Lewis, and G. Stuart 2003 Ethnic Matching of Clients and Clinicians and Use of Mental Health Services by Ethnic Minority Clients. Psychiatric Services 41: 535–541.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of PsychologyClaremont McKenna CollegeClaremontUSA

Personalised recommendations