Silence-Embedded Distress: A Case Report Conceptualizing a Culturally Mediated Trauma Phenomenon in Community-Based Mental Health Practice in Rwanda.

Silence-Embedded Distress (SED) highlights how psychological hardships and trauma in community settings may remain unspoken and undetected by conventional diagnoses. Culturally sensitive, community-based interventions can facilitate expression and recovery, emphasizing the importance of recognizing non-verbal and relational manifestations of psychological suffering.