Sociocultural Constructs in the Conceptualization of Adjustment Disorder in an Undocumented Mexican Female

Abstract

Latino immigrants of Mexican descent comprise the largest segment of the undocumented population in the United States and experience heightened risk for emotional distress. Despite this knowledge, psychological treatment for this group has received limited clinical attention regarding research and treatment options specific to this subpopulation. This case study describes the treatment of a young, undocumented, Mexican female diagnosed with adjustment disorder. Treatment was based on a cognitive-behavioral framework, which integrated cultural values within a socio-political context. Because treatment methods for adjustment disorder were found to be culturally inappropriate, outdated, or lacking empirical evidence, the clinician integrated various empirically supported methods. Treatment incorporated cultural values into cognitive-behavioral therapy methods. The sensitivity and awareness to culture by the clinician led to a successful treatment outcome.