anything. Somatic symptoms accompanying susto may include muscle aches and pains,
cold in the extremities, pallo r, headache, stomachache, and diarrhea. Precipitating events
are diverse, and include natural phenomena, an imals, interpersonal situations, and super-
natural agents, among others.
Three syndromic types of susto  (referred to as cibih  in the local Zapotec language) have
been identified, each ha ving different relationships with psychiatric diagnoses. An interper-
sonal susto  characterized by feelings of loss, aban donment, and not being loved by family,
with accompanying symptoms of sadness, poor  self-image, and suicidal ideation, seemed to
be closely related to major depressive disorder. When susto  resulted from a traumatic event
that played a major role in shaping symptoms and in emotional processing of the experience,