Abstract
This paper analyzes nervios among Central American refugees living in the United States. Nervios is analyzed as personal descriptions of distress, statements about family relations, and commentaries on the broader social forces affecting people’s lives. A description of the clinical presentations of 28 Salvadorans who suffer from nervios and an indepth analysis of an extended interview with a nervios sufferer are presented to examine the multiple meanings of nervios. Nervios is identified as a powerful idiom of distress used by Latinos to express concerns about physical symptoms, emotional states, and changes both in the family and in the broader society.