Question

A 19-year-old Indigenous university student presents to counselling services with low mood, poor sleep, and intrusive memories related to experiences of racism in school and family stories of residential schools. She denies active suicidal intent but feels disconnected from her culture. According to Indigenous health and CanMEDS frameworks, what is the most appropriate initial physician response?

Accepted Answer

Explore her experiences of racism and intergenerational trauma, offer trauma-informed care, and collaboratively connect her with culturally grounded supports if she wishes

Answer

Focus only on prescribing an antidepressant without further discussion

Answer

Recommend she avoid thinking about these issues and concentrate on studies

Answer

Explain that historical issues are not relevant to current health

Answer

Immediately contact campus security because of perceived risk

Practice question