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MR, a 23-year-old Native American male, comes in to see you because he has been having anxiety and wants something to help him. He has been smoking pot and says he drinks to help himself too. MR tells you he is afraid that he will not get into heavenif he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.MR came to my clinic for help with his anxiety attack. Based on comprehensive history and the physical examination, I learn about his culture and alsoinvestigate about the source of his fear by asking him the appropriate questions to come with a diagnosis and treatment plan for his anxiety.An explanation of the specific socioeconomic, Kelley, M. N., & Lowe, J. R. (2018) explains in the article how culture can affect native American about their health. For example, the study based on the effect of stress on obesity that may affect the Native American. Since in this group of people, many of them isolated in the United States, and the result is culture, family, and community had a significant impact on health outcomes. Many people claimed that they are native American. Based on Brave Heart, M., 2016 "In 2010, 5.2 million individuals in the United States (US) reported their race as American Indian or Alaska Native (AIAN), either alone or in combination with other races; of these, 2.9 million identified as AIAN only ". Mental disorders are among the top ten leading causes of Indian Health Service (IHS) hospitalization and ambulatory care ".Moreover, there is more anxiety and panic disorder found among American Indian or Alaska Native (Brave Heart, M. et al. 2016). To illustrate, American Indian and Alaskan Native are people who have original people of North, South, or Central America. They maintain attachment in their community (Purnell, Larry D & Paulanka,Betty J. 2008 page 2).In term of spiritual, Native Americans practices traditional healing and folk medicine to Western medicine and even now, Native American rely on conventional remedies before visiting their health care providers (Allender, Judith Ann; Rector, Cherie; Warmer, Kristine D 2014). Their belief about health reflects total harmony with nature (Allender, Judith Ann; Rector, Cherie; Warmer, Kristine D 2014). Native
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Native Americans in the United States, Health care provider, Judith Ann