Ataque de nervios (Spanish pronunciation: [aˈtake ðe ˈneɾβjos], also known as "Puerto Rican syndrome") is a psychological syndrome mostly associated, in the United States, with Spanish-speaking people from the Caribbean, although commonly identified among all Iberian-descended cultures. Ataque de nervios translates into English as "attack of nerves", although it is used in its common cultural form to refer to a specific pattern of symptoms, rather than being a general term for feeling nervous. The condition appears in Appendix I of the revised fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as a culture-bound syndrome.
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