Abstract
The authors outline six steps to develop culturally sensitive treatment for traumatized refugees, which focus on somatic symptoms. Among Cambodian refugees with posttraumatic stress disorder, the authors describe a somatic presentation (viz., neck-focused panic attacks) that forms a key aspect of trauma-related disorder, how those panic attacks are generated, and a treatment that specifically targets those panic attacks. Evidence of treatment efficacy is provided through a multiple-baseline, across-subjects design (N = 3), and one treatment case is described to illustrate clinical presentation and treatment.