Challenges of Islamophobia: Psychiatric Considerations for Effectively Working with Muslim Patients

  • Fahad Khan


The significant change in the sociopolitical climate of the world after 9/11 in the United States and after 7/7 in the United Kingdom has undoubtedly created a tension between Islam and the West. Furthermore, this has increased the fears that continued conflicts between Islam and the West could lead to even more severe and global turmoil (Chomsky and Achcar). Perilous power: the Middle East & US Foreign policy: dialogues on terror, democracy, war, and justice. London: Paradigm Publishers; 2006). Islam is the second largest religion practiced in the world today with approximately 1.6 billion followers. In the United States, the estimated number of Muslims is between five and seven million followers, 1.1% of the total population (Pew Research Center. US Muslims concerned about their place in society. Pew Research Center; 2017). Muslims in America are among the most diverse groups of individuals. Of the 60% immigrant Muslim Americans, more than 75% are African Americans, Arabs, and South Asians (Pew. Muslim Americans: no signs of growth in alienation or support for extremism. 2011. Retrieved 11 04, 2013, from Pew Research: Center for the People and the Press. Since 9/11, increased Islamophobia has contributed to the process of racialization of Muslims and increased religious bigotry against Muslims with 45% of the general population considering Muslims to be violent (Pew Research Center. Muslim-Western tensions persist. Global attitudes project. Washington DC: Pew Research Center; 2011; Nussbaum. The new religious intolerance: overcoming the politics of fear in an anxious age. Cambridge, MA: Harvard University Press; 2012).

Islamophobia, along with diverse and complex cultural and religious systems, has undoubtedly created challenges for mental health providers. This paper will focus on understanding Muslim Americans and their specific needs and how to work effectively with Muslim American patients as a mental health practitioner.


Islamophobia Muslim Mental health Psychiatric considerations Medications Therapy 



  1. 1.
    Abbott D, Springer P, Hollist C. Therapy with immigrant Muslim couples: applying culturally appropriate interventions and strategies. J Couple Relatsh Ther. 2012;11(3):254–66.CrossRefGoogle Scholar
  2. 2.
    Abu Raiya H, Pargament K, Mahoney A, Stein C. A psychological measure of Islamic religiousness: development and evidence for reliability and validity. Int J Psychol Relig. 2008;18(4):291–315.CrossRefGoogle Scholar
  3. 3.
    Abudabbeh N. Counseling Arab American families. In: Communian A, editor. The family and family therapy in international perspective. Trieste: Edizioni Lint Trieste; 1998. p. 115–26.Google Scholar
  4. 4.
    Abu-Ras W. Barriers to services for Arab immigrant bartered women in a Detroit suburb. J Soc Work Res Eval. 2003;1(4):49–65.Google Scholar
  5. 5.
    Al-Krenawi A, Graham J. Culturally sensitive social work practice with Arabs clients in mental health settings. Health Soc Work. 2000;25:9–22.PubMedCrossRefGoogle Scholar
  6. 6.
    Al-Krenawi A, Graham J. Marital therapy for Arab Muslim Palestinian couples in the context of reacculturation. Fam J. 2005;13:300–10.CrossRefGoogle Scholar
  7. 7.
    Aloud N, Rathur A. Factors affecting attitudes towards seeking and using formal mental health and psychological services among Arab Muslim populations. J Muslim Ment Health. 2009;4:79–103.CrossRefGoogle Scholar
  8. 8.
    Al-Subaie A, Alhamad A. Al-Jun¯un: mental illness in the Islamic world. Madison: International Universities Press; 2000.Google Scholar
  9. 9.
    Amri S, Bemak F. Mental health help-seeking behaviors of Muslim immigrants in the United States: overcoming social stigma and cultural mistrust. J Muslim Ment Health. 2012;7(1):43–63.Google Scholar
  10. 10.
    Bagby I, Perl P, Froehle B. The mosque in America: a national portrait. A report from the mosque study project. Washington, DC: Council on American-Islamic Relations; 2001.Google Scholar
  11. 11.
    Berry J. Immigration, acculturation, and adaptation. Appl Psychol Int Rev. 1997;46(1):5–34.Google Scholar
  12. 12.
    Bird L, Amer M, Barnett E, Barnes L. Muslim patients and health disparities in the UK and the US. Arch Dis Child. 2007;92(10):922–6.CrossRefGoogle Scholar
  13. 13.
    Bouhdiba A, Sheridan A. Sexuality in Islam. London: Saqi Books; 2006.Google Scholar
  14. 14.
    Chrisman A, Adam B, Abassi F, Malik Z. Issues to consider when engaging with Muslim youth in psychiatric care. American Academy of Child & Adolescent Psychiatry. 2016.
  15. 15.
    Ciftci A, Jones N, Corrigan P. Mental health stigma in the Muslim community. J Muslim Ment Health. 2013;7(1):17–32.CrossRefGoogle Scholar
  16. 16.
    Corrigan P, Larson J, Rusch N. Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry. 2009;8(2):75–81.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    El-Zein A. Islam, Arabs, and the intelligent world of the jinn. New York: Syracuse University Press; 2009.Google Scholar
  18. 18.
    Gallup. Muslim Americans exemplify diversity, potential. 2009. Retrieved 10 14, 2013, from Gallup World:
  19. 19.
    Ghorbani N, Watson P, Geranmayepour S, Chen Z. Measuring Muslim spirituality: relationships of Muslim experiential religiousness with religious and psychological adjustment in Iran. J Muslim Ment Health. 2014;8(1):77–94.CrossRefGoogle Scholar
  20. 20.
    Goffman E. Stigma: notes on the management of spoiled identity. New York: Simon and Schuster; 1963.Google Scholar
  21. 21.
    Haque A. Religion and mental health: the case of American Muslims. J Relig Health. 2004;43(1):45–58.CrossRefGoogle Scholar
  22. 22.
    Hodge D, Nadir A. Moving toward culturally competent practice with Muslims: modifying cognitive therapy with Islamic tenets. Soc Work. 2008;53(1):31–41.PubMedCrossRefGoogle Scholar
  23. 23.
    Inayat Q. Islamophobia and the therapeutic dialogue: some reflections. Couns Psychol Q. 2007;20(3):287–93.CrossRefGoogle Scholar
  24. 24.
    Johnson T. Muslims in the United States. 2011. Retrieved 10 10, 2013, from Council on Foreign Affairs:
  25. 25.
    Khan Z. Attitudes toward counseling and alternative support among Muslims in Toledo, Ohio. J Muslim Ment Health. 2006;1:21–42.CrossRefGoogle Scholar
  26. 26.
    Leary K. In the eye of the storm. Psychoanal Q. 2006;75(1):345–63.PubMedCrossRefGoogle Scholar
  27. 27.
    McMinn M, Dominquez A. Psychology and the Church. Hauppauge: Nova Science; 2005.Google Scholar
  28. 28.
    Mir G, Meer S, Cottrell D, McMillan D, House A, Kanter J. Adapted behavioural activation for the treatment of depression in Muslims. J Affect Disord. 2015;180:190–9.PubMedCrossRefGoogle Scholar
  29. 29.
    Muslim Americans Demographic Facts. Retrieved 08 20, 2017, from 2010.
  30. 30.
    Padela A, Curlin F. Religion and disparities: considering the influences of Islam on the health of American Muslims. J Relig Health. 2013;52(4):1333–45.PubMedCrossRefGoogle Scholar
  31. 31.
    Padela A, del Pozo P. Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective. J Med Ethics. 2011;37(1):40–4.PubMedCrossRefGoogle Scholar
  32. 32.
    Padela A, Killawi A, Heisler M, Demonner S, Fetters M. The role of imams in American Muslim health: perspectives of Muslim community leaders in Southeast Michigan. J Relig Health. 2010;50:359–73.CrossRefGoogle Scholar
  33. 33.
    Pew Research Center. Muslim Americans: middle class and mostly mainstream. Washington, DC: Pew Research Center; 2007.Google Scholar
  34. 34.
    Pumariega A, Rothe E, Mian A, Carlisle L, Toppelberg C, Harris T, Gogineni RR, Webb S, Smith J, American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI). Practice parameter for cultural competence in child and adolescent psychiatric practice. J Am Acad Child Adolesc Psychiatry. 2013;52(10):1101–15.PubMedCrossRefGoogle Scholar
  35. 35.
    Risper-Chaim V. Islamic medical ethics in the twentieth century. 1st ed. Leiden: Brill Academic Publishers; 1993.Google Scholar
  36. 36.
    Sabry W, Vohra A. Role of Islam in the management of psychiatric disorders. Indian J Psychiatry. 2013;55(2):S205–14.PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Safran J, Muran J, Eubanks-Carter C. Repairing alliance ruptures. Psychotherapy. 2011;48(1):80–7.PubMedCrossRefGoogle Scholar
  38. 38.
    Shibre T, Negash A, Kullgren G, Kebede D, Alem A, Fekadu A, Jacobson L. Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol. 2001;36:299–303.PubMedCrossRefGoogle Scholar
  39. 39.
    Sirin S, Fine M. Hyphenated selves: Muslim American youth negotiating identities on the fault lines of global conflict. Appl Dev Sci. 2007;11(3):151–63.CrossRefGoogle Scholar
  40. 40.
    Tummala-Narra P. Cultural competence as a core emphasis of psychoanalytic psychotherapy. Psychoanal Psychol. 2015;32(2):275–92.CrossRefGoogle Scholar

Suggested Reading

  1. 41.
    Chomsky N, Achcar G. Perilous power: the Middle East & U.S. foreign policy: dialogues on terror, democracy, war, and justice. London: Paradigm Publishers; 2006.Google Scholar
  2. 42.
    Nussbaum MC. The new religious intolerance: overcoming the politics of fear in an anxious age. Cambridge, MA: Harvard University Press; 2012.CrossRefGoogle Scholar
  3. 43.
    Pew. Muslim Americans: no signs of growth in alienation or support for extremism. 2011. Retrieved 11 04, 2013, from Pew Research: Center for the People and the Press.
  4. 44.
    Pew Research Center. Muslim-Western tensions persist. Global attitudes project. Washington, DC: Pew Research Center; 2011.Google Scholar
  5. 45.
    Pew Research Center. US Muslims concerned about their place in society. Washington, DC: Pew Research Center; 2017.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Fahad Khan
    • 1
  1. 1.Khalil CenterLombardUSA

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