Psychiatry on Tobago in 1989 Stefan

and antidepressant use were strikingly low on Tobago, when compared with the United Kingdom. Tobagonians were unlikely to médicalisedistressby presenting with overt psychological symptoms. Most local doctors felt that patients preferred spiritual support, e.g. from charismatic religious groups and traditional healers (some using obeah). A rich network of social and recreational groups may also give important support, as may 'liming' (a local conversational pastime). Tabanka (a local culture specific syndrome) may also be a non-