Discussing Religion and Mental Health with a Cisgender Woman

by | Mar 31, 2023

Patient Name

Amber Fadem

Reason for Visit

Patient doesn’t believe in anti-depressants due to her religious faith. She called this appointment to discuss her trouble sleeping and frequent headaches. She has been seen a couple of times by other providers, and was prescribed Ambien for help sleeping and muscle relaxers for back spasms in the past.


Telehealth visit for a Family Practice Clinic – First visit with the practitioner they are seeing today.

Sexual Orientation, Gender Identity and Expression (SOGIE)

  • Gender Pronouns: She/Her
  • Sex Assigned at Birth: Female
  • Gender Identity: Female
  • Sexual Orientation: Heterosexual


You have 20 minutes to conduct this visit.


Take a medical history and discuss diagnosis and treatment options with this patient.


There will be verbal feedback with the SP following the encounter.

Learning Objectives

  • The learner will demonstrate the ability to gather appropriate medical history, history of present illness, develop a treatment plan, and provide patient education and/or referral in a culturally competent manner in a telehealth setting. (PA Competency B2.07/B2.04)
  • The learner will demonstrate the ability to assess the patient’s spiritual/religious and health in a sensitive and appropriate manner. (PA Competency B2.06d)
  • The learner will demonstrate the ability to interpret the GAD-7 (Generalized Anxiety Disorder 7 Scale) and the PHQ-9 (Depression Scale)
  • The learner will demonstrate the ability to provide medical care to a patient with consideration for religion and/or spirituality (PA Competency B2.06d/B2.08/B2.05/B2.04).
  • The learner will demonstrate the ability to discuss a treatment plan, in a culturally sensitive manner, with consideration for adherence to the treatment plan (PA Competency B2.12a)

Who Should Participate?

This scenario is a fit for all healthcare providers, including Nurses, PAs, NPs, MDs, and DOs. Though widely applicable, this scenario was written specifically for PAs, and has been mapped to the PA curriculum competencies.


Johnna Yealy Ph.D., PA-C

Dr. Yealy has a long history in PA education. She has served as the founding director of three PA programs in various settings. Her PhD in Global Health Science Education prepared her well for health profession curriculum development and assessment. Dr. Yealy’s focus in contributing to the Simclusive series is to train health professionals to treat all patients with dignity and respect.

Struggling to meet curriculum needs in cultural competency and diverse patient populations?

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