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Families give their savings to natural and religious healers as well as wizards, to try to cure the mysterious condition of their loved ones. A small percentage of the people find their way to the psychiatrist in Matagalpa. This psychiatrist works half an hour a day in a public policlinic to give consultants to people who cannot afford private clinics.
The psychiatrist merely notes down the sex and age of the patient, asks what kind of medication he or she is taking, and writes a prescription. The Ministry of Health provides the policlinic with classical antipsychotics which are free of charge for the people visiting the psychiatrist.
The medication is usually prescribed in old-fashioned high doses. Sometimes there are no more medicines available; as a result, the people have to buy them at the pharmacy. For extremely psychotic patients, the psychiatrist sends the patient to the only psychiatric hospital in the capital city Managua.
The transportation to the hospital is to be paid by the family members themselves. Since July of , a second psychiatrist was employed in Matagalpa. This psychiatrist has morning shifts at the hospital in the city and contrary to the other doctor, she works with files.
An appointment needs to be made for a consultation. On that day, the visitors are assisted on a first come, first serve base. Thus, a waiting period of four hours is no exception.