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Assessing the patient’s social background is essential in crafting the most appropriate strategy to deal with her mental disorder. Sara was born in Japan to a native American father and a Japanese mother. She describes her mother as a meek and quiet Japanese woman. The family migrated to the US when Sara was eight years old, and she recalls this transition as one of the most challenging periods in her life. She states that only her grandmother loved her but sadly passed away when Sara was only fifteen years old. Sara’s grandmother’s death had an immensely adverse impact on her and continues to shape her mental health trajectory. Combined with the various symptoms she exhibits, Sara’s complex social background creates a series of massive legal, ethical, and diversity issues.

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