Objective: Culture-bound syndrome is a term used to describe syndromes unique to certain cultures. We need to understand the origins of cognitions related to these syndromes. Methods: We present the case report of a patient with dhat syndrome and koro with no other psychiatric disorder. Results: The cognitions related to these two distinct culture-bound syndromes in our patient seem to have their origins from different sources. While those related to dhat anxiety are peer-group induced, the one related to koro-like symptoms seem to have been affirmed by an alternative medical practitioner. Conclusion: Mental health professionals dealing with patients having culture-bound syndromes need to get to the core of origin of various cognitions and beliefs that such patients bring into the consultation rooms.

This case report highlights a case of isolated sleep paralysis, a transient, generalized inability to move or speak that usually seen during the patient’s transitions between sleeping and wakefulness. Method: We report the case of a 44-year-old man with long standing recurrent isolated sleep paralysis and generalized anxiety disorder who sought help almost 20 years after the first onset of symptoms. The presenting manifestations of this disorder and its management are also discussed. Results: Isolated sleep paralysis is reported to occur with co-morbid anxiety disorders especially panic disorder. Its presentation may confuse the psychiatrist with other psychiatric disorders. Conclusion: It is important for psychiatrists to be aware of the presentation of a patient with isolated sleep paralysis and simultaneously understand the cultural undertones in such cases.