The genogram is regularly used in transcultural consultations. These are offered as a second line of treatment to migrant families whose care is stagnant or complicated by cultural issues. The contribution of a genogram can be illustrated through the situation of Sandra, a 32-year-old patient of Cape Verdean origin with a chronic anxiety disorder. Her anxiety fixation concerns her inability to perceive the presence of the dead, unlike the rest of her family, who possess this gift. She says she feels isolated from her family, especially as she feels acculturated.