“…Similarly, symptoms may be colored with religious themes, such as hallucinations containing mystical elements (Bilu & Witztum, 1993;Greenberg & Brom, 2001;Witztum, Greenberg, & Buchbinder, 1990). Furthermore, Orthodox Jews may experience obsessions or compulsions that relate to observance of Jewish laws of purity, prayer, or dietary requirements (Bilu & Witztum, 1993;Burt & Rudolph, 2000;Greenberg & Witztum, 1994b;Hoffnung, Aizenberg, Hermesh, & Munitz, 1989). It can thus be daunting for someone not multiculturally competent to differentiate normative religious practice from aberrant behavior.…”