hardrefugeeasylum-seekercultural-competencesomatizationtraumaphased-treatmentconfidentiality
A 38-year-old woman from the Democratic Republic of Congo who arrived as an asylum seeker six months ago is referred to the PMHNP through a community health center. She presents with insomnia, recurrent nightmares, hypervigilance, somatic complaints of diffuse body pain and headaches, and social withdrawal. She is accompanied by a bilingual community health worker who provides interpretation from Lingala. When asked directly about traumatic experiences, she becomes silent and averts her gaze. She has no prior mental health treatment history. She expresses concern about whether information shared in the session could affect her asylum case. The PMHNP plans the assessment approach. Which of the following most accurately reflects evidence-based considerations for psychiatric assessment of refugee and asylum-seeking populations?