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Scholars, public officials, and reporters have described the violence of this decade as epidemic as the homicide rate has doubled for adolescents between 1984 and 1994. Current policy to combat youth violence is primarily reactive, focusing on increased punishments and spending millions of dollars each year on incarceration.
Providing the latest research on effective prevention and intervention strategies for reducing youth violence, Youth Violence: Prevention, Intervention, and Social Policy is a comprehensive resource for dealing with both perpetrators and victims of violence and understanding the risk factors facing youth.
It covers Results from tested prevention and intervention programs including practical descriptions, core components for success, evaluation findings, costs, and lessons learned from actual implementations Intervention techniques that teach prosocial behavior to antisocial youth Psychopharmacological and neurobiological issues in the treatment of violent youth The statistical predictability of adult aggression based on childhood aggression The effects of exposure to violence and the continuity of aggression from childhood to adulthood An integration strategy for a sound public policy toward prevention and treatment of violent youth
Complete with an extensive reference list of over 700 publications and studies, this practical volume appeals to a wide audience including sociologists, criminologists, psychiatrists, psychologists, social workers, educators, counselors, and nurses.
The editor and authors of Youth Substance Abuse and Co-occurring Disorders take an applied approach that serves the needs of clinicians, clinical researchers, and students in the fields of mental health, public health, and medicine (pediatrics, family medicine, and child and adolescent psychiatry, in particular). While the population of adolescents with SUD possesses diverse clinical characteristics, 70%--80% manifest comorbid psychopathology, known also as co-occurring disorders or dual diagnosis -- that is, the presence of one or more comorbid psychiatric disorders in addition to SUDs. These comorbidities can greatly complicate assessment and treatment, and this book provides clinicians with not only the theory behind the various approaches to SUD but also the practical knowledge that is essential to understand and treat psychiatric comorbidity in these adolescents.
Some of the most prominent investigators in the field have contributed scholarly chapters to the volume, which offers a multitude of useful features: An extensive examination of the etiology of SUD, focusing on whether psychopathology may precede SUD, as in the majority of cases, develop as a consequence of preexisting SUD, or originate from a common vulnerability Consistent emphasis on future directions in clinical research and treatment advancement, which helps the reader identify critical gaps in understanding the relationship between SUD and psychiatric comorbidity among youth Thorough, state-of-the art chapters on the developmental pathways and relationships between substance use and co-occurring psychiatric disorders, screening tools and interventions, and the full range of co-occurring disorders make the book ideal for instructional use Information on risk factors for development of SUD in adolescence, including psychiatric disorders in childhood such as disruptive behavior disorders, mood, anxiety disorders, etc.
Clinically useful and scientifically rigorous, Youth Substance Abuse and Co-occurring Disorders should stimulate further discussion and advancement of the field, ultimately resulting in improved and more effective services and intervention modalities for these youth.
In today's world of litigation and managed care, informed consent in psychiatric practice is more important than ever and providing detailed information about illnesses and medications to patients and their families is vital to informed consent.
The easy-to-read handouts on psychiatric illnesses and medications in the third edition of this immensely popular -- and above all, practical -- volume are key to helping patients and families understand their treatments before giving informed consent. This nuts-and-bolts resource is designed to help both beginning and seasoned clinicians get started and stay organized, providing a single source for the many practical forms, abbreviated rating scales and instruments, and information handouts for patients and their families used in daily clinical practice.
With an updated format of three rather than two sections, this invaluable reference has been revised as follows: Physician Forms -- Previous forms have been updated and revised, nonapplicable forms have been deleted, and new forms, such as a Medication Log, Clozapine Prescribing Guidelines and Monitoring Form, and Informed Consent to Treatment with Psychotropic Medications, have been added. Most significantly, long versions of rating scales have been replaced by abbreviated versions (e.g., the Brief Psychiatric Rating Scale was replaced with the 4-Item Positive Symptom Rating Scale and Brief Negative Symptom Assessment, and the Abnormal Involuntary Movement Scale was condensed to a single page), and new rating scales have been added, including the Brief Bipolar Disorder Symptom Scale and the Hamilton Depression Rating Scale.
Information about Psychiatric Illnesses for Patients and Families -- These handouts for patients and their families have been aggressively revised to include current information on new medications, with brand-new handouts about Alzheimer's disease, attention-deficit/hyperactivity disorder (ADHD), and anxiety disorders.
Information about Medications for Patients and Families -- Extensively revised to consolidate the discussion of medications, or a drug class, from a long and short version (from previous editions) to a single version, these medication handouts have been expanded to include information on the second-generation antipsychotics, agents for treatment of ADHD, cognitive enhancers, recently introduced antidepressants, and the new mood stabilizers.
Medical students, psychiatric residents, and busy clinicians treating patients individually or in groups will appreciate the unsurpassed convenience of this indispensable volume, with its complete set of forms and protocols and comprehensive list of illness and medication handouts for patients and families.
Truly the ultimate in practicality, this edition, like the two previous editions, is packaged with easy-to-use, convenient electronic versions (in PDF files) on CD-ROM, enabling practitioners to print these forms as needed.
In Women in Psychiatry, 21 accomplished women psychiatrists in private practice, teaching institutions, hospitals, public health treatment programs, and leadership positions reveal both the challenges and rewards of being in a wide array of professional positions. The stories are heartfelt and personal as well as professional accounts of obstacles overcome and milestones achieved. In a field once completely dominated by men, nearly one-third of physicians who identified themselves as practicing psychiatry in the U.S. were women, and the diversity of their approaches to the practice of psychiatry is encouragingly illustrated in this book.
Women in Psychiatry clearly demonstrates where an interest in science or medicine can lead when combined with determination, guidance, experience, mentoring, perseverance, and organizational support. The featured women represent diverse backgrounds, ethnicities, positions, career pathways, and accomplishments. All the authors share lessons learned and provide recommendations on what they found helpful in achieving their goals of personal and professional fulfillment. These chapters present many common themes among women professionals both within and outside of psychiatry, including handling pregnancy and motherhood while building a career, the potential strain between women and men in the field, and some of the income and leadership role inequities that still exist. Features and benefits of Women in Psychiatry include: Insights into career paths through descriptions of pivotal events and decisions that shaped their careers as scientists. Perspectives and advice on how to balance personal and professional responsibilities, both in training and in practice. Illustrations of the role played by cultural and linguistic background, race, ethnicity, sexual orientation, religion, marital status, subspecialty, place of employment, and work setting. The importance of mentorship throughout the process, first as a recipient and ultimately as a mentor to other women entering the field. Strategies these authors used to accomplish goals and the various styles of leadership that helped them reach those goals. The historical context for understanding that until recent decades, despite irrefutable evidence that women in the biomedical professions are capable, there were few in most fields with the exception of nursing, dental hygiene, and elementary science teaching.
Women in Psychiatry is the ideal book for women who are considering a career in psychiatry or other areas of medicine. It is also a book for partners and spouses of women in medicine and psychiatry. It is an inspirational and educational document that women and men, whether in medicine or other, nonrelated careers, can value and appreciate through the recounting of personal and professional experiences that made a difference.
Women and Men: New Perspectives on Gender Differences presents data from the biological and social sciences that describe the state of research findings and contribute to our current understanding of gender differences, their range and extent, and how they are influenced and created by social, cultural, and biological factors.
Ten contributors from the diverse fields of anthropology, economics, education, endocrinology, neurophysiology, psychiatry, and women's studies come together to explore research on gender differences from a variety of perspectives.
Windows to the Brain is the only book to synthesize neuroanatomical and imaging research as it pertains to selected neuropsychiatric diseases, containing all of the Windows to the Brain papers published from 1999-2006 in the Journal of Neuropsychiatry and Clinical Neurosciences. These reader-friendly summaries by more than sixty contributors present modern imaging techniques that assist in the diagnosis of neuropsychiatric illness, enhanced by easily understood color graphics of the neuroanatomical circuits of behavior, memory, and emotion. They provide a basic understanding of how to apply a variety of imaging techniques to the study of adult neuropsychiatric disease and how to use neuroimaging to assist in diagnostic work-ups for conditions ranging from sleep disorders to epilepsy to borderline personality.
Integrated, color-coded graphics present functional anatomical information in a manner that promotes understanding and use in clinical practice, while the text encompasses a wide range of diseases and injuries across the adult lifespan. The book is organized into four sections that will help readers increase their appreciation of the wide range of research and clinical applications for imaging in neuropsychiatry: chapters on imaging techniques discuss underlying principles, strengths and weaknesses, and applications; chapters on specific diseases demonstrate a range of investigative techniques; anatomy/circuit chapters focus on particular brain structures or functional neuropsychiatric circuits; and final chapters present image-based approaches to understanding or selecting treatment options. Some of the applications described are: Use of fMRI in posttraumatic stress disorder to reveal the delicate balance between the structures of the emotion and memory tracks; Use of high-resolution MRI and nuclear imaging to distinguish between panic disorder and simple partial seizure disorder; Use of functional imaging studies to detect corticobasal degeneration, as a means of better understanding dementia; Use of newer imaging techniques in identifying progressive multifocal leukoencephalopathy, to enable more rapid and reliable tailoring of individual therapy for HIV; Use of functional neuroimaging in the study of fear, in order to better understand and treat anxiety-based psychiatric disorders; Use of neuroimaging studies in conversion disorder, showing implications for the disruption of selfhood in dissociative identity disorder and schizophrenia; Use of FDG-PET scans to look for predictors of treatment response in childhood-onset obsessive-compulsive disorder. Windows to the Brain can help bring less-experienced readers up to speed on advanced imaging and anatomical details that pertain to the modern practice of neuropsychiatry. It is must-reading for specialists in neuropsychiatry and cognitive/behavioral neurology, or for general psychiatrists with an interest in neuroimaging.
Whether it is patients' anxiety at being in the physician's office, psychiatric disorders that may impair attention and concentration, skepticism at the effectiveness of medication, or the physician's own busyness, there are varied reasons why patients may not request all of the information they need about a psychiatric medication that is being prescribed or why physicians may not provide it.
What Your Patients Need to Know About Psychiatric Medications, Third Edition, remedies this problem by offering clear, accurate, and accessible information on more than 70 medications from all of the major medication classes, from antianxiety medications such as diazepam and lorazepam, to antidepressants such as fluoxetine and sertraline, to stimulants for attention-deficit/hyperactivity disorder such as dexmethylphenidate and oral methylphenidate.
Updated to reflect new medications that have come into the marketplace and changes to the dosing, format, and methods of prescription of existing medications, the book evaluates each medication in eight categories: General information Dosing information Common side effects Adverse reactions and precautions Risk in during pregnancy and breast-feeding Potential drug interactions Overdose Treatment summary
With its quick-reference format, What Your Patients Need to Know About Psychiatric Medications, Third Edition, is not just an invaluable resource for clinical social workers, clinical psychiatrists, psychiatric nurses and residents, and community and psychiatric pharmacists. It is also a source of accessible, jargon-free guidance for patients, who can leave the physician's office with tangible material about their specific medication, which they can retain and refer to later.
If you care for someone with a mental illness -- whether as a family member, friend, or practitioner -- this hands-on reference is for you. The acclaimed What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry is now available in a long-awaited second edition. Like the first, it is written in a simple, concise style for the layperson -- and is packed with need-to-know information on adult psychiatric disorders, including their causes, approaches to treatment, and what caregivers can do to help. It is an excellent resource for therapist's waiting room.
What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry features a wealth of immediately usable guidance for caregivers. It's an excellent text for introduction to psychiatry classes in colleges and nursing schools for helping students develop valuable knowledge and skills to apply in practice.
This one-stop resource is the first place to turn for practical guidance for the latest research-based techniques. You'll Get a solid understanding of the causes of psychiatric disorders, including stress, genetics and heredity, and emotional and physical problems Develop hands-on skills for the full range of emotional and mental disorders, including psychosomatic disorders, anxiety, substance abuse, sexual problems, loss, personality and mood disorders, schizophrenia, and cognitive disorders such as Alzheimer's disease Find out how the psychiatrist should function in the patient-caregiver-doctor relationship -- and learn how to choose a psychotherapist.
This second edition has been extensively revised and updated with new information on diagnostic techniques and brain scans, the role of genetics, new medications and psychotherapeutic approaches, and more. In addition, it features a unique and illuminating look at mental health in our post-9/11 nation, including the rising incidence of posttraumatic stress disorder.
Whether you're a social worker or psychologist, nurse or other professional, friend or family member, you'll get a sound framework to help you achieve better results.
Caring for a person with mental illness requires knowledge, skill, understanding, and strength. What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry gives you a source of guidance and techniques that will make you more confident and successful in your role as practitioner or caregiver.
This handbook provides clinicians with timely and useful information that will help psychiatrists obtain optimal coverage of services for patients. Among the issues addressed are frequently encountered problems, confidentiality, contracting, and the process of utilization management.
Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model.
The paramount tool for the use of SCID-5-AMPD, the User's Guide for the SCID-5-AMPD provides readers with an essential manual to effectively understand and use any SCID-5-AMPD module. Integrating an overview of the DSM-5 Alternative Model, this companion guide provides instructions for every SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary.
The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. The User's Guide for the SCID-5-AMPD fully explicates each module -- available individually or in customized sets: Module I is devoted to the dimensional assessment of self and interpersonal functioning using the Level of Personality Functioning Scale. Module II focuses on the dimensional assessment of the five pathological personality trait domains and corresponding 25 trait facets. Module III is a comprehensive assessment of each of the six specific personality disorders of the DSM-5 Alternative Model, as well as Personality Disorder--Trait-Specified, and includes a global assessment of the level of personality functioning.
Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will find the SCID-5-AMPD a valuable tool in the assessment and study of personality disorders.
The Structured Clinical Interview for DSM-5 Disorders -- Clinician Version (SCID-5-CV) guides the clinician step-by-step through the DSM-5 diagnostic process. Interview questions are provided conveniently along each corresponding DSM-5 criterion, which aids in rating each as either present or absent. A unique and valuable tool, the SCID-5-CV covers the DSM-5 diagnoses most commonly seen in clinical settings.
The User's Guide for the SCID-5-CV provides comprehensive instructions on how to use the SCID-5-CV effectively and accurately. It not only describes the rationale, structure, conventions, and usage of the SCID-5-CV, but also discusses in detail how to interpret and apply the specific DSM-5 criteria for each of the disorders included in the SCID-5-CV. A number of sample role-play and homework cases are also included to help clinicians learn how to use the SCID-5-CV.
Together with the SCID-5-CV, the User's Guide for the SCID-5-CV will prove invaluable to clinicians, researchers, interviewers, and students in the mental health professions who seek to integrate time-tested interview questions corresponding to the DSM-5 criteria into their DSM-5 diagnostic assessment process.
The Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) is a semistructured diagnostic interview for clinicians and researchers to assess the 10 DSM-5 Personality Disorders across Clusters A, B, and C as well as Other Specified Personality Disorder. Designed to build rapport, the SCID-5-PD can be used to make personality disorder diagnoses, either categorically (present or absent) or dimensionally. The SCID-5-PD includes the indispensable User's Guide for the SCID-5-PD, as well as a handy self-report screening questionnaire for patients or subjects, the Structured Clinical Interview for DSM-5® Screening Personality Questionnaire (SCID-5-SPQ).
The SCID-5-PD is the updated version of the former Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The SCID-5-PD name reflects the elimination of the multiaxial system in DSM-5. Although the DSM-IV Personality Disorder criteria are unchanged in DSM-5, the SCID-5-PD interview questions have been thoroughly reviewed and revised to optimally capture the construct embodied in the diagnostic criteria. In addition, a dimensional scoring component has been added to the SCID-5-PD.
The basic structure of the SCID-5-PD is similar to the other SCID-5 interviews (such as the Research Version, SCID-5-RV; and the Clinician Version, SCID-5-CV) that cover non--personality DSM-5 disorders. Features include the following: Questions assessing the DSM-5 criteria for each of the 10 personality disorders: Avoidant Personality Disorder, Dependent Personality Disorder, Obsessive-Compulsive Personality Disorder, Paranoid Personality Disorder, Schizotypal Personality Disorder, Schizoid Personality Disorder, Histrionic Personality Disorder, Narcissistic Personality Disorder, Borderline Personality Disorder, and Antisocial Personality Disorder. A User's Guide for the SCID-5-PD containing essential guidance for use of the SCID-5-PD, including an appendix of a completed SCID-5-PD and SCID-5-SPQ for a sample patient. An optional SCID-5-SPQ that serves as a brief, 20-minute self-report screening tool to reduce the time of the SCID-5-PD clinical interview. The SCID-5-SPQ requires an eighth grade or higher reading level (as determined by the Flesch-Kincaid formula). Its 106 questions correspond directly to each first question in the full SCID-5-PD.
The SCID-5-PD can be used in various types of research studies, just as the SCID-II. It has been used to investigate patterns of Personality Disorders co-occurring with other mental disorders or medical conditions; select a group of study subjects with a particular Personality Disorder; investigate the underlying structure of personality pathology; and compare with other assessment methods for Personality Disorders.
The SCID-5-PD will serve as a valuable resource to help clinicians and researchers more accurately diagnose Personality Disorders.
Understanding Mental Disorders: Your Guide to DSM-5® is a consumer guide for anyone who has been touched by mental illness.
Most of us know someone who suffers from a mental illness. This book helps those who may be struggling with mental health problems, as well as those who want to help others achieve mental health and well-being.
Based on the latest, fifth edition of the Diagnostic and Statistical Manual of Mental Disorders -- known as DSM-5® -- Understanding Mental Disorders provides valuable insight on what to expect from an illness and its treatment -- and will help readers recognize symptoms, know when to seek help, and get the right care. Featured disorders include depression, schizophrenia, ADHD, autism spectrum disorder, posttraumatic stress disorder, and bipolar disorder, among others.
The common language for diagnosing mental illness used in DSM-5® for mental health professionals has been adapted into clear, concise descriptions of disorders for nonexperts. In addition to specific symptoms for each disorder, readers will find: Risk factors and warning signs Related disorders Ways to cope Tips to promote mental health Personal stories Key points about the disorders and treatment options A special chapter dedicated to treatment essentials and ways to get help Helpful resources that include a glossary, list of medications and support groups
What is addiction? How do you know if someone is addicted? Are some people more prone to addiction than others? Are some drugs more addictive than others? How can you help someone who doesn't want help?
Understanding Drugs of Abuse is designed to bring the everyday reader face-to-face with drugs of abuse and addiction. Through frank, no-nonsense explanations of the stimulants, depressants, psychedelics, and inhalants, this accessible guide will help the reader to understand how drugs of abuse affect thinking, behavior, perceptions, and emotions. It also examines the effects addiction has on the addict's family.
Understanding Drugs of Abuse demystifies the treatment process by explaining what types of treatment are available, what actually happens during treatment, and what patients and their families can expect during the treatment process. The book also describes the recovery process and will help people identify good recovery -- as well as recognize poor recovery and the warning signs of relapse. Perhaps most important, Understanding Drugs of Abuse explains how friends and family can intervene when someone they love does not want help.
Because the use of prescribed medications by people with substance use disorders can be misunderstood or even be dangerous, this book presents practical information about medications and recovery. It also explores the unique problems of adolescents who are addicted, as well as people with the dual disorders of a psychiatric and substance use disorder. Understanding Drugs of Abuse will also help the reader understand the role of genetics and other influences on addiction to alcohol, the most widely abused drug of all.
One of the major challenges for mental health professionals today is to successfully treat violent patients. The mental health professional is obligated to go beyond containment and control to provide understanding, complete assessment and accurate diagnosis, and humane and effective treatment.
Understanding and Treating Violent Psychiatric Patients is a one-of-a-kind, comprehensive guide to assessment, management, understanding, and treatment of violent patients. The first section encompasses practical guides to treatment for both children and adults. It discusses commonly encountered problems in the treatment of violent adult inpatients and includes a brief guide to pharmacological treatments. A chapter is devoted to the treatment of abnormal aggression in children and adolescents. The second section delves into a more conceptual and broadly focused approach to understanding violent patients. It covers the relationship between dissociation and violence, as well as the relationship between psychiatric disorders and violence, and addresses impulse control and the treatment of impulsive patients.
Heavily researched and clinically focused, this new title is a must read for psychiatrists, psychologists, psychiatric social workers, psychiatric nurses, or any mental health professional needing a better approach to understanding and treating violent patients.
Understanding and Treating Borderline Personality Disorder: A Guide for Professionals and Families offers both a valuable update for mental health professionals and much-needed information and encouragement for BPD patients and their families and friends. The editors of this eminently practical and accessible text have brought together the wide-ranging and updated perspectives of 15 recognized experts who discuss topics such as A new understanding of BPD, suggesting that individuals may be genetically prone to developing BPD and that certain stressful events may trigger its onset New evidence for the success of various forms of psychotherapy, including Dialectical Behavior Therapy (DBT), in reducing self-injury, drug dependence, and days in the hospital for some groups of people with BPD Pharmacology research showing that the use of specific medications can relieve the cognitive, affective, and impulsive symptoms experienced by individuals with BPD, as part of a comprehensive psychosocial treatment plan New resources for families to help them deal with the dysregulated emotions of their loved ones with BPD and to build effective support systems for themselves
Yet much remains to be done. Research on BPD is 20 to 30 years behind that on other major psychiatric disorders such as schizophrenia and bipolar disorder. Despite evidence to the contrary, much of the professional literature on BPD continues to focus on childhood trauma, abuse, and neglect as triggers for BPD -- to the detriment of both patient and family.
Families of people with BPD must deal with an array of burdens in coping with the illness, often without basic information. The chapters on families and BPD give voice to the experience of BPD from the perspective of individuals and family members, and offer the hope that family involvement in treatment will be beneficial to everyone.
Above all, this book is about the partnership between mental health professionals and families affected by BPD, and about how such a partnership can advance our understanding and treatment of this disorder and provide hope for the future.
An estimated seven million American adults have attention deficit hyperactivity disorder. Understanding and Treating Adults With Attention Deficit Hyperactivity Disorder provides accurate, timely information about the nature and treatment of this disorder. Written in a collegial style, this resource combines evidence-based material with clinical experience to address problems in diagnosing and treating adults with ADHD. Dr. Doyle shows how diagnostic and treatment methods in children with ADHD also apply to affected adults. He examines the role of medications, including new agents that expand the range of therapeutic choices.
Understanding the evolution of the concept and treatment of ADHD in children illuminates current thinking about the disorder in adults. Dr. Doyle presents guidelines for establishing a valid diagnosis, including clinical interviews and standardized rating scales. He covers genetic and biochemical bases of the disorder. He also addresses the special challenges of forming a therapeutic alliance -- working with coach caregivers; cultural, ethnic, and racial issues; legal considerations; and countertransference issues.
He explores a range of options for treating adult ADHD: Detailed facts about using medication, with specific information on both CNS stimulants and nonstimulant medications. He also discusses highly touted medications that are actually ineffective.
Full coverage of comprehensive treatment approaches beyond medication -- focusing on cognitive behavioral therapies, among others. He uses a detailed clinical example drawn from several patients to illustrate issues involved in treating ADHD adults over time.
Complete review of conditions that may require treatment before ADHD can be addressed. Many ADHD adults struggle with comorbid anxiety, affective disorders, and substance abuse. Dr. Doyle explains how overlooked ADHD can complicate the treatment of other disorders. He provides strategies for the patient with medication-resistant or treatment-refractory ADHD.
The book provides in-depth discussion of such issues as the impact of ADHD in the workplace, including steps for maximizing job satisfaction; special considerations related to women; and the effect of ADHD on families. A useful appendix helps readers and patients find reliable information about ADHD on the Internet, allowing clinicians to develop an e-prescription to supplement medication and other interventions.
Dr. Doyle advocates the promise of enhanced life prospects for adults with ADHD that effective treatment provides. Besides addressing the special challenges of ADHD adults, Dr. Doyle conveys the rewards of working with patients who prove resourceful, creative, and persistent.
Underestimated, under-researched, and often poorly understood, the body-focused repetitive disorders nevertheless cause human suffering that is serious, persistent, and pervasive. These disorders can occur in both adults and children and manifest themselves as hair pulling (trichotillomania), pathologic skin picking, thumb sucking, and nail biting. Although these disorders are common, very few medical students and residents hear them addressed in lectures or know where to begin when confronted with a patient presenting with these behaviors. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors seeks to remedy this situation by synthesizing the latest research on body-focused repetitive disorders and presenting it in a systematic, easy-to-grasp manner.
Much has changed in the more than a decade since the last book on this topic was published. This new volume reflects the most current and substantive research into the etiology and symptoms of body-focused repetitive disorders and therapeutic options. Organized in logical fashion, it begins with a review of the clinical characteristics, moves on to diagnosis and evaluation, and concludes with a full review of treatment options. Special features include: Extensive material to help clinicians and patients understand the underlying purpose of engaging in these behaviors, which include, reducing tension, regulating strong emotion, and alleviating boredom. Separate chapters on adults and children, who may have a different presentation and a different set of treatment options. An additional chapter focuses on the role of the child patient's family in the diagnosis and treatment of the disorder. Thorough coverage of the full range of treatments -- including psychotherapy, medication, and alternative treatments -- which provides the clinician with an evidence-based approach to treating patients. Discussion of the psychobiology of hair pulling and skin picking, which allows the reader to understand and contextualize the disorder from a neurological perspective and offers clues that may assist in optimizing treatment. A presentation style that is detailed enough for clinicians, yet accessible enough for a lay audience, including patients with the disorder and the families who seek to understand and support them.
Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors fills a critical gap in the literature by addressing this common and frequently debilitating disorder in an utterly current, highly practical, and wholly compassionate manner.