
Contents
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Introduction Introduction
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Psychiatric treatment Psychiatric treatment
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Ethnicity and psychopharmacology Ethnicity and psychopharmacology
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Biological aspects Biological aspects
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Pharmacogenetics of drug-metabolizing enzymes Pharmacogenetics of drug-metabolizing enzymes
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The pharmacogenetics of drug-metabolizing enzymes The pharmacogenetics of drug-metabolizing enzymes
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CYP450s and environmental factors CYP450s and environmental factors
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Impact of non-biological factors Impact of non-biological factors
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Clinical examples of ethnic variation in medication response Clinical examples of ethnic variation in medication response
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Antidepressants Antidepressants
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Antipsychotic agents Antipsychotic agents
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Benzodiazepines Benzodiazepines
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Other medications Other medications
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Conclusion Conclusion
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References References
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57 Psychopharmacology and refugees, asylum seekers, and migrants
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Published:January 2021
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Abstract
Refugee, asylum seeker, and migrant populations may have experienced many adverse life events during time in their country and during the time of migration. As a result, many will experience common mental health problems, including anxiety, post-traumatic stress disorder, and depression. This chapter reviews the genetic and environmental factors that impact pharmacological interventions for the common mental health problems of these groups. Cultural and explanatory models may play a role in help-seeking, as well as therapeutic alliances and adherence. Cultures may carry different explanations for the use of medication. Pharmacodynamics and pharmacokinetic properties will vary across cultures. These will be affected by dietary factors, as well as genetic and biological factors. Recommendations are also included regarding the safe and effective approaches for treating these groups of patients with psychotropic medications.
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