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The World Organization of Family Doctors (WONCA) published the Culturally Sensitive Depression Guideline in 2004. This guideline recognises the difficulties faced by family physicians in the recognition and management of depression in patients from diverse cultural backgrounds. It explores the metaphor used by patients from different ethnic backgrounds when describing psychological distress. It recognises the importance of a longitudinal approach to history taking in general practice, recommends the use of interpreters to aid communication and proposes ‘look, listen and test’ as a schema for mental health assessment in primary care.