Alaa Shanbour1, Zaira Khalid2,1, Michael Fana3. 1. Department of Psychiatry, Central Michigan University, Saginaw, Michigan, USA. 2. 1000 Houghton Ave, Saginaw, MI 48602. Khali1z@cmich.edu. 3. Central Michigan University, College of Medicine, Mt Pleasant, Michigan, USA.