PTSD — Clinical Guidance for Refugee Patients
This clinical resource section from the Migration Humanitarian Health Collective (MH2C), authored by Dr. Rita Watterson MD FRCPC MPH, provides guidance on recognising and managing post-traumatic stress disorder (PTSD) in refugee patients. It outlines key symptoms including hyperarousal, intrusive thoughts, avoidance, guilt, and sleep disturbance, and highlights somatic symptom presentations that are commonly observed in this population. The resource introduces the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) as a clinical tool, recommends against routine trauma screening while advising clinical vigilance, and includes a specialist referral pathway. This resource equips primary care providers with practical strategies for identifying and responding to PTSD in culturally sensitive clinical settings.
References
- PTSD — Clinical Guidance for Refugee Patients — Rita Watterson
Related Guides
Mental Health in Immigrants and Refugees — CMAJ 201
Evidence-based CMAJ 2011 primary care guide covering depression, anxiety, PTSD, and somatic presentations in immigrant and refugee populations.
WHO Fact Sheet: Refugee and Migrant Mental Health
WHO evidence summary on mental health in displaced populations — depression, anxiety, PTSD, psychosis, and barriers to care. Updated September 2025.
mhGAP Humanitarian Intervention Guide (mhGAP-HIG)
WHO clinical protocols for mental, neurological, and substance use conditions in humanitarian emergencies, designed for non-specialist health workers.