title: Compassionate listening - managing psychological trauma in refugees.
abstract: BACKGROUND
  The physical and psychosocial effects of trauma in refugees are wide ranging and long lasting. They can affect symptom presentation, the patient-doctor relationship and management of refugee victims of trauma.
  
  
  OBJECTIVE
  This article discusses how refugees survivors of trauma may present to the general practitioner and gives an approach to psychological assessment and management.
  
  
  CONCLUSIONS
  A strong therapeutic relationship built by patient led, sensitive assessment over time is the foundation to care. A management framework based on trauma recovery stages and adapted for general practice, is presented.
authors.affiliation: Foundation House Refugee Mental Health Clinic and Doutta Galla Community Health Centre Medical Service, Melbourne, Victoria, Australia. joanneg@labyrinth.net.au
authors.forename: Joanne
authors.initials: J
authors.lastname: Gardiner
authors.forename: Kate
authors.initials: K
authors.lastname: Walker
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D002648:Child; D003142:Communication; D004645:Empathy; D006801:Humans; D010817:Physician-Patient Relations; D012036:Refugees / Q000523:psychology*; D035862:Vulnerable Populations; D014947:Wounds and Injuries / Q000503:physiopathology / Q000523:psychology*; D055815:Young Adult