This book presents theoretical underpinnings of perinatal and pediatric bereavement, chapters on dimensions of perinatal and pediatric loss that have been of interest recently, and clinical interventions derived from research. It is divided into two sections. The first section has 10 chapters focusing on aspects of perinatal loss. It presents background content on various grief theories developed in the past five decades. These theories have expanded our understanding of the processes of death, dying, and bereavement. Grief after pregnancy loss can be more complicated for certain groups. The book provides a comprehensive overview of perinatal grief among lesbian couples and an overview of perinatal loss in adolescents, discussing normal adolescent growth and development, and using Sanders’s integrated theory of bereavement to discuss the common physical, emotional, social, and cognitive reactions to loss. The second section has eight chapters focusing on various aspects of caring for families whose children are dying or who have died, and caring for children who are grieving. Sometimes, the death of a child can occur under traumatic circumstances, setting the stage for very intense psychological responses. The book focuses on the impact of the cause of the death on posttraumatic stress responses and overall parental health after the traumatic loss of a child and describes supportive interventions for bereaved parents. Suicide is one of the most traumatic losses a family can experience. Finally, the book presents the importance of creating and capturing meaningful moments in the time leading up to and after the death of a child, focusing on the importance of relationships among families and professionals as they prepare for the child’s death.

This book is intended to provide to the eye movement desensitization and reprocessing (EMDR) clinician advanced tools to treat children with complex trauma, attachment wounds, and dissociative tendencies. It covers key elements to develop case conceptualization skills and treatment plans based on the adaptive information processing (AIP) model. A broader perspective is presented by integrating concepts from attachment theory, affect regulation theory, affective neuroscience, and interpersonal neurobiology. These concepts and theories not only support the AIP model, but they expand clinicians’ understanding and effectiveness when working with dissociative, insecurely attached, and dysregulated children. The book presents aspects of our current understanding of how our biological apparatus is orchestrated, how its appropriate development is thwarted when early, chronic, and pervasive trauma and adversity are present in our lives, and how healing can be promoted through the use of EMDR therapy. In addition, it provides a practical guide to the use of EMDR within a systemic framework. It illustrates how EMDR therapy can be used to help caregivers develop psychobiological attunement and synchrony as well as to enhance their mentalizing capacities. Another important goal of the book is to bring strategies from other therapeutic approaches, such as play therapy, sand tray therapy, Sensorimotor Psychotherapy, Theraplay, and Internal Family Systems (IFS) into a comprehensive EMDR treatment, while maintaining appropriate adherence to the AIP model and EMDR methodology. This is done with the goal of enriching the work that often times is necessary with complexly traumatized children and their families.

The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.

This book presents information about brain function and its chemical underpinnings in a way that contributes to a conceptual understanding of distress and subjective well-being. Chapter 1 of the book provides a history of thought in psychiatry and explains how we arrived at our current system for categorizing distress. The second chapter offers information on physiology, including brain circuits undergirding anxiety and depression, circuits for emotional or impulse regulation, and circuits for robust motivated behaviors. Information on pharmacology, including the major classes of drugs used to influence behaviour, and the issues over the regulation of pharmaceuticals are presented in the third chapter. This is followed by five chapters that consider categories of distress that afflict adults, namely, depression, anxiety disorders, psychotic disorders, bipolar disorders and addictions. Chapter 9 focuses on categories of distress in children such as pediatric bipolar disorder and depression. The last chapter of the book considers whether current diagnostic practices have served us well, looks at an alternative focus for delivering mental health services, and deals with those behaviors that promote flourishing and well-being.

This book provides a better understanding of emerging disabilities and their impact on all areas of life and explores implications for rehabilitation counseling practice, policy, and research. It first defines emerging disabilities and examines current societal trends that contribute to the onset and diagnoses of chronic illnesses and disabilities that are considered to be emerging in the United States. Then, the book provides an overview of medical, psychosocial, and vocational aspects that distinguish emerging disabilities from traditional disabilities. The first section of the book includes four chapters on emerging disabilities with organic causes or unknown etiologies. It examines disabilities and chronic illnesses that are characterized by chronic pain. The second section of the book examines the role of natural and sociocultural environments in creating new patterns and types of disabling conditions. It focuses on both lifestyle factors and climate change and how these contribute to the onset and/or exacerbation of chronic illness and disability and explains physical disabilities, chronic illnesses, and mental health conditions that result from violence. The final section of the book explores implications for rehabilitation practice, policy, and research to better respond to the unique concerns and needs of rehabilitation consumers with emerging disabilities. It suggests research topics, designs, and procedures for building upon our knowledge about the rehabilitation needs of emerging disability populations and developing evidence-based practices to facilitate successful rehabilitation outcomes for individuals in these populations.

This book is a response that fosters education, practice development, and professionalism. The bachelor of science in nursing (BSN) is the essential educational foundation to give nurses the knowledge to improve health outcomes and provide the highest quality care. It provides the essentials of nursing theory and the importance of having a philosophy of nursing that informs our professional role. The book is written to assist with the transition from the role of the LPN to the baccalaureate-prepared registered nurse (RN). Licensed practical nurses (LPNs) who enter a university to advance their education through seeking a baccalaureate of nursing degree often find the experience of socializing into the new professional role challenging. The book analyzes the change process, discusses Benner’s stages of clinical competence, examines the philosophy of nursing and describes stress reduction measures. The terms leadership and management are described, and the role of the baccalaureate-prepared nurse as leader and manager is explored. Finally the book talks about the Skill Competencies required for the Baccalaureate-Prepared Nurse-electronic health records (EHRs); the Technology Informatics Guiding Education Reform (TIGER) Movement; Simulated E-Health Delivery System (SEEDS) and Nursing Informatics Education Model (NIEM). The Quality and Safety Education for Nurses (QSEN) program was created in 2005 by an expert panel of nursing educators with the aim of preparing future nurses to continuously advance the quality and safety of the health care system in which they practice. The group developed six core competencies to be incorporated into nursing curricula: client-centered care; teamwork and collaboration; evidence-based practice; quality improvement; safety; and informatics.

This book enables the reader to learn information about psychosis and related illnesses, and develop an understanding of the benefits of early intervention in psychosis and skills for a successful interaction with a person with psychosis. It also helps the reader to learn strategies to support a young adult with psychosis in accessing treatment. The first chapter talks about schizophrenia spectrum disorders and its treatment options. Group therapy has shown to be highly effective in addressing symptoms and stressors associated with psychotic disorders. Chapter 2 introduces the different symptoms characteristic of a psychotic episode: positive symptoms, negative symptoms, disorganized symptoms, affective symptoms, and cognitive symptoms. Two associated symptom categories associated are abnormal motor behavior and level of insight. The third chapter provides knowledge that will be helpful in identifying if psychiatric symptoms are present and assisting when there may be concern about psychiatric stability. Chapter 4 builds on the knowledge and the skills that one has acquired and speaks specifically about assessment of safety and intervention strategies. There are a number of potential outcomes that can occur from helping a young adult with psychosis. The individual may require hospitalization in order to ensure safety and allow for the opportunity to reduce symptoms. The final chapter of the book provides a list of resources offering information on variety of mental health conditions and psychology.

The incidence of sexual assault and harassment experienced by members of the U.S. Armed Forces has reached epidemic proportions. Its victims often suffer from devastating, lifelong consequences to their careers, health, relationships, and psychological well-being. This book is written for mental health clinicians to help in understanding and treating military sexual trauma (MST). It addresses the complex circumstances of victims of sexual abuse in the military and how clinicians can meet the unique challenges of treating these clients. The book describes how MST differs from other forms of military trauma such as combat, and discusses its prevalence, neurobiology, and social contexts as well as unique stressors of betrayal, injustice, struggles with issues of reporting and disclosure, and impact on relationships and sexuality. It reviews current evidence-based interventions and offers insights on treating specific symptoms within MST, such as post-traumatic stress disorder (PTSD), anxiety, substance abuse, sleep disorders, and sexual dysfunction. Chapters discuss how a variety of psychotherapies can be used to treat MST, including prolonged exposure, cognitive processing, Eye Movement Desensitization and Reprocessing (EMDR), Seeking Safety, acceptance and commitment therapy, and somatic experiencing, as well as the Warrior Renew MST group therapy program. Clinicians who work with veterans and active duty personnel will find the book an essential guide to working with MST survivors.

This book provides a foundation for counselors planning to supervise clinicians working with individuals and groups, attain leadership positions within an agency, or open their own professional practice. It encompasses key information about supervisory roles and responsibilities, ethics, multicultural issues, evaluation, and due-process procedures along with administrative issues such as agency leadership, budgeting, information management, crisis management, and quality-improvement practices. The book is divided into two sections: supervision and agency management. Chapters 1 to 4 are dedicated to issues related specifically to the supervisory process, such as roles and responsibilities, ethics, and various due-process procedures. Individual and groups supervision, ethical issues in supervisory relationship as well as developmental models, counseling theory-based models, and social role models of supervision are also discussed. Chapters 5 to 10 focus on the aspects of agency management (including issues that pertain to private practice) that may be less familiar to counselors. Here, chapters focus on budgeting, information management, leadership, and marketing. The budgeting chapter gives the reader information about how to financially plan and provides the information in a very accessible manner. Another chapter in this section enables assisting supervisors, counselor educators, and agency managers to understand the nature of critical incidents and crisis response and subsequently develop the strategies necessary to incorporate this important concept into practice.

This book describes innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services including primary care, health promotion, disease prevention, and behavioral health care to residents of underserved communities throughout the United States. The book provides a historical perspective on nurse-managed health centers (NMHCs), includes chapters on the practical aspects of starting and operating NMHCs, combined with case studies that illustrate the challenges, lessons learned, and successes of NMHCs, and deals with an assessment of the current status of NMHCs and a vision for their future. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform.

This book deals with evidence-based mental health and learning interventions for children and adolescents, and provides guidance on implementation in practice. It is a compendium of proven treatment strategies for resolving more than 40 of the most pressing and prevalent issues facing young people, and provides immediate guidance and uniform step-by-step instructions for resolving issues ranging from psychopathological disorders to academic problems, and is of relevance for both school-based and clinically-based practice. Issues covered include crisis interventions and response, social and emotional issues, academic/learning issues, psychopathological disorders, neuropsychological disorders, and the behavioral management of childhood health issues. The book covers several fields of study including applied settings, school crises, natural disasters, school violence, suicidal behavior, childhood grief, reading disabilities, math disabilities, written-language disorders, homework compliance, anger and aggression, bullying, and attention deficit hyperactivity disorder (ADHD). Each chapter follows a consistent format including a brief description of the problem and associated characteristics, etiology and contributing factors, and three evidence-based, step-by-step sets of instructions for implementation. Additionally, each chapter provides several websites offering further information about the topic.

This book incorporates an inclusive representation of women and girls across ages and cultures by examining the intersection of their identities and integrating experiences of women and girls around the world. The overarching themes of the book include an examination of the contextual elements that affect the female experience and a focus on prevention and intervention strategies to support the empowerment of women and girls throughout their life spans. The first section of the book provides a foundation for the book and offers a context for understanding gender socialization and the female experience. This section includes chapters introducing empowerment feminist therapy, gender socialization, intersectionality, and relational-cultural theory. The second section offers detailed information on developmental issues and counseling interventions for women and girls throughout their life spans. Chapters focusing on gender identity development, childhood, adolescence and young adulthood, and middle and older adulthood are included in this section. The third section provides an in-depth look at specific issues affecting women and girls and includes relevant background information and practical application for counselors. In this concluding section, readers will learn about violence against women and girls, educational and work environments, females and their bodies, and engaging men as allies. Each chapter includes helpful resources to further educate yourself and others, as well as practical suggestions for advocacy efforts that can help create social change. Prevention and empowerment are key themes and foci of the book, and counseling implications and interventions are offered for each area of concentration.

Play therapy has been recognized in the counseling profession as a developmentally appropriate model for working with children and adolescents. This book provides a comprehensive introduction to structured, prescriptive approaches to play therapy to those desiring to gain more information and knowledge about the use of different directive play therapy modalities. It introduces the unique integration of play therapy and different theoretical models and encompasses the essential concepts and practices of directive play therapy. Most importantly, the book shares some guidelines for planning and selecting toys and materials for a directive approach. It also incorporates settings and skills necessary for effective implementation and addresses common questions asked about the use of these. The book provides the exploration and detailed description of various theoretical approaches to directive play therapy: post-Jungian directive sandtray in play therapy, solution-focused play therapy, eye movement desensitization and reprocessing and play therapy, directive play therapy techniques in trauma-focused cognitive behavioral therapy, child parent relationship therapy, creativity in play therapy using technology, directive filial therapy models with very young children, humanistic sandtray therapy with children and adults, and directive approaches to working with parents. The distinctive techniques and processes of each of these approaches are explained. Finally, case examples are given to demonstrate their application and implementation.

This book offers suggestions regarding how pastoral counselors can navigate the changing landscape of mental health care in our current context to maintain unity amid our diversity. Pastoral counseling continues to evolve from its origins as a specialized ministry to an approach to mental health care offered in a wide array of contexts, including both religious and secular settings. The book first offers an introduction to the discipline of pastoral counseling by outlining a brief history of pastoral counseling as well as an understanding of how the discipline maintains unity amid the vast diversity of practices and practitioners. Then, it details pastoral counseling theory and practice according to three precepts: a way of being, a way of understanding, and a way of intervening. Next, the book reflects the religious diversity present among pastoral counselors and those they serve. It further illustrates special issues in pastoral counseling. These special issues further exemplify the distinctiveness of pastoral counseling as evidenced by the functions of referral, consultation, and collaboration, the education and supervision of pastoral counselors, and the use of both qualitative and quantitative research methods. In recognition of our increased technological abilities, as well as the dearth of mental health resources available in some geographic regions, the book guides the reader in understanding distance counseling and how to engage in an ethical distance counseling practice. Finally, the book builds on the theory and practice of pastoral counseling by offering a prophetic call for the future of the discipline.

This graduate-level, introductory textbook provides instructors and students with a comprehensive overview of the profession of clinical mental health counseling (CMHC). Designed to cover the Council for the Accreditation of Counseling and Related Educational Programs (CACREP) 2016 Standards and to provide an inclusive overview of the work of professional counselors, the book offers an in-depth exploration of the professional knowledge, skills, current issues, and dynamic trends in professional counseling that are essential parts of the educational journey of emerging clinicians. It provides readers with practical, applicable, real-world information upon which they can build through-out their programs of study and practice. Issues such as strength-based approaches, the various settings in which clinical mental health counselors may practice, record keeping and documentation, advocacy, professional roles, third-party payers and managed care, and self-care and professional development are vitally important to new counselors, and these subjects often are glanced over in an information-packed curriculum. In addition, the book covers the topics of crisis, disaster, and trauma, which constitute relatively new areas of emphasis within the CACREP Standards. Conceptually, it book looks at the history, roles, functions, settings, and contemporary issues of counseling through the lens of human ecological and integrated systems-of-care approaches. Unique to this particular textbook, and in juxtaposition to an ecological perspective of the individual, a focus on integrated systems of care in clinical mental health endeavors provides students with knowledge and skills that can help them to move seamlessly into the current world of work as clinical mental health counselors. The textbook is comprised of five sections, spanning the following clusters of CMHC-relevant information: (a) Introduction to Professional Counseling and Clinical Mental Health Counseling, (b) Working With Clients, (c) Practice Issues, (d) Working Within Systems, and (e) Client-Care and Self-Care Practices.

This book is dedicated specifically to increasing the confidence and professional competence of graduate students and early career professionals who use cognitive behavioral therapy (CBT) with children and adolescents. It shows some opening remarks for mental health professionals (MHPs) and trainees who are new to doing CBT and positive psychology (PP) treatments with kids suffering from an internalizing disorder. Behavioral activation is a tried-and-true stable of CBT. A common presenting complaint among depressed or stressed kids is poor sleep. The book shows some of the strategies for combating insomnia. Problem solving is another staple of CBT. The methodology for problem solving is a little bit different if it is done with an individual kid or in a family session. The factors to be considered to introduce communications training and problem solving in a family or an individual session are: age, maturity level, and psychological mindedness of the child. Exposure procedure is used for kids who are treated for anxiety. This chapter shows a list of common exposures among anxious youth. Physiological calming and coping thoughts are the two popular techniques for supporting exposures. Involving the parent is often key with doing exposures. The book also presents some of the principles and methodologies with regard to parent interactions. It is important for parents to be open with their kid about their thinking about the value of a mental health evaluation. Sometimes parents ask for guidance about how to have the discussion with their kid.

This book provides a comprehensive model for effectively blending the two main postmodern brief therapy approaches: solution focused and narrative therapies. It harnesses the power of both models the strengths-based, problem-solving approach of solution focused therapy (SFT) and the value-honoring and re-descriptive approach of narrative therapy to offer brief, effective help to clients that builds on their strengths and abilities to envision and craft preferred outcomes. The book provides an overview of the history of both models and outlines their differences, similarities, limitations, and strengths. It then demonstrates how to blend these two approaches in working with such issues as trauma, addictions, grief, relationship issues, family therapy, and mood issues. Each concern is illustrated using a case study from practice that focuses on individual adults, adolescents, children, or families. Sample client dialogues and forms are included to help the clinician guide clients in practice. SFT has provided therapists with new tools for working with clients who are dealing with substance abuse. The book provides a summary of research findings that have shown the effectiveness of the solution focused approach over the problem-focused approach. The narrative model invites clients to construct a new presentation in a problematic story (narrative) and develop a script for a preferred future (solution focused), with a newly crafted character, instigating new strategies for actions (solution focused), based on exceptions.

This book provides a unique resource guide with practical application for graduate students, counselor educators and supervisors, and mental health practitioners to prepare to meet the intense challenges of disaster response in the 21st century. Each section of the book defines, describes, and applies the knowledge, awareness, and skills to work in a variety of disaster mental health counseling scenarios. Considerations are given to working with a variety of different cultures and special populations. Chapters cover the medical aspects such as blast wounds, psychosocial adjustment issues such as chronic illnesses and disabilities (CIDs), career transitions and clinical interventions in disaster mental health counseling. Survivors of mass violence are at high risk for a wide range of psychiatric, neurobehavioral, and neurocognitive disorders as a result of experiencing extraordinary stressful and traumatic events. One of the chapters offers a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, a recently developed tool, Global Assessment of Empathy Fatigue (GAEF). The book goes beyond the traditional counseling theories and interventions text in that it offers real-world functional assessments, explains culturally relevant interventions, and provides readers with a structured approach for healing trauma; the Personal Growth Program to Heal Trauma (PGP-HT).

This book reflects the arduous procedure of breaking down thoughts into pieces that are easily comprehended and applicable. It is a text that contains a wealth of information that has been refined over time to reflect the latest thinking of scholars in the field of child and adolescent mental health. This well wrought manuscript of comprehensive chapters articulates the latest and best research in working with children and adolescents in a readable and engaging way. Thus, this book is clinical, theoretical, and practical. It is applicable to the myriad of concerns that counselors face in dealing with developmental problems and challenges. The book covers developmental theorists, theoretical viewpoints, multicultural matters, counseling stages, special populations, clinical applications, and ethical and legal considerations. In other words, all of the critical factors needed to understand and become involved with members of the two major populations addressed in this work are covered. The book emphasizes the powerful interconnections that support counseling central to children and adolescents. Potential users may find the book’s appeal lies in subject matter that can be flexibly used in both school and clinical mental health counseling settings. It offers practical applications for skill and theory development supplied by an impressive roster of counselor educators with a wealth of professional and clinical expertise. Moreover, the book assists in fostering graduate students in course engagement. This book is for counselor educators and counseling supervisors as they assist counselors-in-training and practicing counselors in acquiring a variety of child and adolescent-centered theories, modalities, and methods. The book can be adopted as the main textbook for a variety of class settings and will also appeal to educators, students-in-training, and supervisors in closely related fields including social workers and psychologists.

This book takes a look at the underlying causes of resisting cognitive-emotional-behavioral change and the methods used to overcome them. Written in present-action language, it gives an overview of the basic principles of Rational Emotive Behavior Therapy and Cognitive Behavior Therapy. The book presents the changes in the field that have taken place in the 20 years leading up to 2002, and integrates recent therapies into REBT, including psychotherapy, solution-focused therapy, and recent findings of experimental psychology. Resistance can be “natural”, or those resulting from emotional disturbance, extreme low frustration tolerance, fear of disclosure and shame, and feelings of hopelessness, among others. The book presents methods of contradicting and actively working against irrational beliefs that can be used with some of the most difficult clients. The book describes using REBT to overcome resistance with clients who have severe personality disorders. REBT counselors following REBT theory, welcome cultural (and other) diversity. They encourage their clients to stick to whatever customs and mores with which they were raised and to enjoy the unique advantages of these traditions.

One of the historical pillars of rehabilitation counseling has been the use of assessment throughout the rehabilitation process. With this historical emphasis, it is not surprising that the focus on assessment and the methods and techniques used have changed and evolved. As a result, students, practitioners, and researchers are on a constant quest for updated and current information to guide and inform practice, policy, and research. This constant quest for updated and comprehensive information is directly relevant to the assessment of individuals typically served by rehabilitation and mental health practitioners and is the focus of this book. To date, there has not been a book that has been able to provide a comprehensive discussion of topics applicable to service delivery across both setting. This book attempts to fill this gap. One factor that guided the development of this book was the authors’ goal to provide both the foundational information necessary to understand and plan the assessment process and combine this material with information that is applicable to specific population and service delivery settings. To achieve this goal, each of the chapters is written by leaders in the field who have specialized knowledge regarding the chapter content. The chapters provide practical hands on information that allows for easy incorporation of the material to rehabilitation and mental health practice. To further strengthen practical application, case studies and templates have been incorporated where applicable to highlight specific key aspects to promote application to service delivery. Second, this is the first assessment book to be developed after the Council on Rehabilitation Counselor Education and Council on the Accreditation of Counseling and Related Programs merger. Finally, the authors hope that the readers of this book can apply this information to enhance the overall quality of life of the individuals they work with, especially individuals with disabilities.

This book provides a basic reference for nurses caring for women and their families during the antepartum and postpartum periods. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values.

This book is a study guide/self-evaluation tool to prepare for the ABPN exam and MOC exam in vascular neurology. It is representative of the areas tested on the exam, including the standard clinical and basic science of stroke and some of the esoterica that appear on the exam. The book serves as a study guide for any neurologist, internist, or family practitioner interested in expanding his or her knowledge in this important field. The practice exam question-and-answer format is an effective and engaging study method, as opposed to a didactic review or summary reader. It is useful also to identify areas of weakness that require further study. The book has over 600 questions divided across fifteen sections. The fifteen sections are as follows: Basic Science; Vascular and Brain Anatomy; Clinical Pathology; Pharmacology and Pharmacokinetics; Epidemiology, Genetics, Primary Prevention; Ischemic Disease of the Brain and Spinal Cord; Hemorrhagic Disease of the Brain and Spinal Cord; Neuro-Ophthalmology; Cardiovascular Disease; Hematology; Pediatric Cerebrovascular Disease; Neurovascular Imaging; Clinical Trials and Ethics; Recovery and Rehabilitation; and Case Studies in Cerebrovascular Disease. The questions include cytotoxic edema following cerebral ischemia, internal carotid artery; cavernous malformations; thiazide diuretics; fibromuscular dysplasia; transient global amnesia; spinal epidural hematomas; ischemic optic neuropathy; atrial fibrillation; Von Willebrand disease; Perinatal ischemic stroke; cerebral microbleeds; modified Rankin scale; botulinum toxin and so on. Explanatory answers with appropriate references are included to facilitate learning. Most of the references are relatively recent, but for certain topics, the classic references, such as Niels Lassen’s work on incomplete cerebral ischemia and Anthony Furlan’s classic description of retinal ischemia presenting as visual change in bright light have been included.

This book serves as a clinical reference for all those encountering young and adult children of substance-abusing parents regardless of the setting. The book is divided into four parts. Part I provides an overview of the existing state of knowledge regarding children of substance-abusing parents and examines the developmental effects of alcohol and other drugs on children and implications for practice. Mentalization-based treatment holds the promise of providing a way to prevent and ameliorate emotional disturbance in children and adolescents. The chapters in Part II explore treatment issues across the life span of children of parents addicted to alcohol, tobacco, or other drugs, beginning with the prenatal impact through the stages of childhood, adolescence and adulthood. The emphasis is on those individuals who need treatment in a clinical setting. One of the chapters in Part III describes a variety of school-based and residential treatment programs aimed at adolescent children of substance-abusing parents, youngsters who are often at great risk to become the next generation of substance-abusing parents. Another discusses the treatment programs for the large, often overlooked, population of college students with substance-abusing parents. The last chapter in this section focuses on the programs for the growing number of children with substance-abusing incarcerated parents. The final section of this book includes four real-life personal accounts of individuals who grew up in substance-abusing families. Their descriptions of their early traumatic lives spent in an environment of domestic violence, shame and chaos reflect both the pain experienced by children of all ages as well as the resilience that is found in many such children.

Women have unique biopsychosocial factors that make them more vulnerable to mental illness. Many of these mental illnesses can elicit enormous physical, emotional, financial, and social barriers. This is books serves as a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. The book is divided into four sections. The first section deals with the role of cultural competence in mental health and the various types of violence such as sexual assault, rape and stalking perpetrated on women. It emphasizes key stressors specific to women that are precursors to mental illness. The second section looks at the mental disorders affecting special populations among women including girl children and adolescent females, and aged women. Disorders for other unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence are also discussed here. In the third section, chapters address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. The final section of the book is devoted to the discussion of the various psychiatric issues common to women: anxiety disorders; mood disorders; eating disorders; personality disorders; psychotic disorders; sleep disorders; substance abuse disorders; grief and loss; schizophrenia; and sexual dysfunction.

The field of counseling is an exciting and challenging career choice. It is a profession that has a prolific history of enabling person-centered counseling approaches for individuals, couples, partners, and families, and facilitates therapeutic services for children, adolescents, adults, and older adults. This book offers an excellent resource for graduate-level coursework that relates to an orientation to the counseling profession, professional issues, and special topic seminars, as well as other counseling-related coursework. It provides both contemporary insight and practical strategies for working with the complexity of real-life issues related to assessment, diagnosis, and treatment of diverse clients and their families. The book provides professionals with chapters organized into the 10 CACREP and CORE content areas that address the awareness, knowledge, and skills required to work with children, adolescents, individuals, groups, couples, families, and persons from diverse cultural backgrounds. The content areas are: professional counseling identity, ethical and practice management issues, case management and consultation issues, multicultural counseling awareness, counseling theories and techniques, career counseling and human growth, assessment and diagnosis, counseling couples, families, and groups, counseling specific populations, and contemporary issues in counseling.

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is the result of the first significant revision of the publication DSM-IV in 1994. With advances in research and clinical applications, modifications were needed to accurately frame client symptom presentation and reflect the changes and advances in science and technology. The collection of cases presented in the book has been compiled from seasoned clinicians that have experienced complex client symptomology. These cases illustrate real world examples of actual clients seen in practice. The details of the cases are organized to provide readers with examples of case conceptualization examples, as well as, diagnostic impressions, conclusions, and treatment recommendations. The book provides a practical and realistic way for students in such mental health professions as clinical psychology, counseling psychology, counseling, and social work to put the new DSM-5 into practice by presenting actual clinical experiences from practitioners. By exploring detailed clinical vignettes, this text offers trainees the opportunity to explore their own ideas on symptom presentation, diagnosis, and treatment planning with a full range of disorders and conditions covered in the DSM-5. The book provides vignettes, but also explores the rationale behind diagnostic criteria and connects diagnostic criteria in the DSM-5 with symptomology in the case. In addition, each case includes a discussion of treatment interventions that is crucial for students in helping professions. These treatment considerations are inclusive of a wide range of evidence-based approaches as appropriate for each case. Techniques/treatment recommendation section will allow the reader to understand how colleagues have conceptualized the case and how specific interventions have been effective in treatment. The goal is for students to enhance their case conceptualization skills and sharpen their ability to understand symptom presentation in light of diagnosing.

This book offers an in-depth look at the ways in which contemporary undergraduate students may differ from past generations, as well as noting how some things never change, such as needs related to finding social support, romantic intimacy, and academic achievement. It first provides a brief overview of the various developmental transformations that are taking place within the many levels of cognitive, affective, and physiological development of emerging adults. The book then considers the typical counseling concerns that counselors can expect to meet across the academic year. Next, it addresses the social concerns of students as they seek to find the best way to fit in on campus. It addresses the growing diversity of college campuses as well as provides counselors with guidance on helping their clients connect into the campus community. Then, the book moves into ways to assist clients who are facing unexpected hurdles, including grief over the loss of significant others; difficulties with self-esteem and self-image presented by the competitive culture of college-age females; and navigational challenges in romantic relationships that may be more intense and sexually tinged than prior high school relationships had been. Specific mental health disorders that frequently appear in the college-age population are also addressed in the book. The book provides guidelines for treatment and intervention that are relevant to college counselors working within a brief counseling framework. Topics include eating disorders, substance abuse, depression, anxiety, self-injury, suicidal students, obsessive-compulsive disorder, and impulse-control disorders. Finally, the book provides readers with ideas for promoting student well-being beyond the counseling office.

The experience of life-threatening illness is one of the most difficult situations that individuals and their families ever have to face. This book is meant to be a guide for anyone counseling or offering professional care to persons with life-threatening illness. Living with life-threatening illness is the theme of this book as it describes the particular challenges that individuals, families, and caregivers face at varying points, namely prediagnostic phase, diagnostic phase, chronic phase, recovery phase and terminal phase, during serious illness. After a brief introduction on the terminology, Chapter 2 of the book reviews those caregivers who have impacted history, placing this work in its context as well as highlighting newer developments such as concurrent care. This is followed by two chapters addressing the particular ethical and systematic stresses that those persons who counsel or care for individuals with life-threatening illness may experience, causing moral distress. People respond to life-threatening illness in a variety of ways, and accordingly, Chapter 5 considers the range of responses to life-threatening illness, which individuals, their families, and their caregivers may experience. Developmental, psychological and social factors and generational differences affect the ways that an individual responds to life-threatening illness. Five other chapters describe particular issues that arise at different points during the experience of life-threatening illness. Chapter 12 considers the ways in which families might be affected by the illness and offers suggestions for counseling families that are coping with the illness of a family member.

Historically, mental health clinicians were trained to refer clients’ spiritual issues to pastoral professionals. However, the current requirement for competence with diverse cultural concerns in counseling and psychotherapy may include those of a religious nature. This book helps therapists and counselors gain competence in working with clients who are dealing with spiritual issues in their lives. It offers counselors and psychotherapists who lack experience or comfort in dealing with spiritual issues ways of understanding the nature of spirituality. The book is divided into three parts. Part I orients clinicians to respectfully help clients who have spiritual and religious issues. It provides basic information about Western and Eastern spiritual worldviews and provides a basic framework for competently addressing spiritual issues for clients of any faith. Part II of the book discusses four ways in which spirituality can inform psychotherapy, spiritual work in the context of a therapeutic relationship, in the context of a complex situation, in the interpretation of experience, and in the movement to behavior enactment. In Part III, the book addresses specific issues therapists may encounter such as the issue of truth, clients’ uncertainties in faith, struggles with oppressively rigid faith communities, grief and loss, and abuse at the hands of religious community leaders. Specific recommendations for providing therapeutic help as well as case examples drawn from actual practice provide practical guidelines for enhancing spiritual competency in psychotherapy.

This book on child and adolescent dissociation provides the reader with a window into the fractured minds of traumatized children and adolescents and offers an effective pathway toward healing. It delves into the inner workings of vulnerable children’s use of dissociation. An in-depth discussion of the Star Theoretical Model (STM), an inclusive theoretical model that examines five intersecting theories attachment, neurobiology, developmental theory, family systems, and dissociation provides a solid foundation for understanding how and why children dissociate and also a road map to guide traumatized children toward successful recovery. One of the chapters deals with 16 warning signs such as auditory hallucinations which are suggestive of dissociation in children and adolescents. Familiarity with the warning signs can enhance proper evaluation for dissociation so that children can receive appropriate treatment and care. The Adolescent Dissociative Experiences Scale (A-DES) is a commonly used checklist to assess for dissociative symptoms. A phase-oriented treatment model specifically designed for dissociative children will help them develop integrative functions. Another chapter focuses on helping children to further develop their skills in self-reflection, mindfulness, and somatic awareness, along with managing traumatic triggers and learning to calm down the overactive stress-response system. The book also deals with creative art therapy interventions for adolescents with dissociation and integrating dissociative treatment and eye movement desensitization and reprocessing therapy (EMDR) therapy with children with trauma and dissociation.

This book demonstrates a logical approach to the nervous system that should serve the student throughout medical school rotations, postgraduate residency training, and medical practice during the lifelong learning task of evaluating patients with neurological problems. After a brief introduction to the concept of localization, Chapter 2 of the book deals with the brain and spinal cord of the central nervous system (CNS). The brain includes the cerebrum, cerebellum, and brainstem, and is organized into the four lobes of each cerebral hemisphere, plus the basal ganglia, thalamus and hypothalamus (diencephalon), brainstem, and cerebellum. Chapter 3 discusses the function of peripheral nerves and cardinal signs of peripheral nerve disease such as weakness, wasting and areflexia, and reviews the anatomical organization of peripheral nervous system (PNS). The fourth chapter includes special applications of neuro-logic covering coma, epilepsy, movement, vertigo, cord compression, and autonomics. The autonomic nervous system (ANS) enables, modulates, and controls the automatic functions we take for granted during day-to-day life until something goes awry. Chapter 6 focuses on the frontal lobe and associated subcortical structures that are the areas most involved in the pathogenesis of many psychiatric syndromes. The neurological examination is designed to assist with the localization of a patient’s disturbance affecting the nervous system. The exam consists of examination of mental status, cranial nerves, and that of other elements, namely motor, sensory and reflexes.

The ability to properly interpret and develop independence and proficiency in neuroradiological studies is crucial for all neurologists. A visual memory of a clinical case is retained and absorbed in a way traditional text readings are not. In this book, each topic is introduced with a brief clinical scenario to reinforce this connection, and the text is populated with a broad array of neuroimages, including CT, MRI, MRA, and angiography. Every topic begins with a brief case scenario and image-based diagnosis, and is followed by a short introduction to the disorder, clinical presentation, radiographic appearance, diagnostic hallmarks, differential diagnosis, and treatment. The abundantly illustrated book covers the following major areas of neurology: ischemia including ischemic stroke and brainstem stroke syndromes; hemorrhage including amyloid beta related angiitis (ABRA) and cerebral amyloid angiopathy (CAA); arteriovenous malformations; neoplastic diseases such as primary central nervous system neoplasm; pituitary disorders; cystic lesions; demyelinating diseases such as multiple sclerosis (MS) and optic neuritis (ON); epilepsy including frontal and temporal lobe epilepsies and limbic encephalitis (LE); infectious diseases such as HIV dementia complex; neurodegenerative diseases including Alzheimer’s disease (AD), Huntington’s disease and Parkinson’s disease; toxic and metabolic disorders such as central pontine myelinolysis (CPM) and cyclosporine toxicity; pediatric neurological diseases including acute cerebellar ataxia, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS), and septo-optic dysplasia; neurocutaneous syndromes; trauma; and some miscellaneous diseases such as Behcet’s disease.

Problem-solving therapy (PST) is a psychosocial intervention, generally considered to be under a cognitive-behavioral umbrella, that is geared to enhance one’s ability to cope effectively with both minor (e.g., chronic daily problems) and major (e.g., traumatic events) stressors in order to attenuate extant mental health and physical health problems. Rather than representing an updated volume of the theoretical and empirical literature on PST or social problem solving, the purpose of this book is to serve as a detailed treatment manual and to delineate general intervention strategies of contemporary PST that are required to effectively conduct this intervention approach. The book first briefly presents an overview of the theory underlying PST as well as the supportive research that documents its efficacy across various populations and clinical problems. Next, it offers an overview of problem-solving assessment and treatment planning as well as general clinical considerations. In order to achieve the treatment goals, the specific treatment objectives for PST can be thought of as: enhancing positive problem orientation, decreasing negative problem orientation, fostering planful problem solving, minimizing avoidant problem solving, and minimizing impulsive/careless problem solving. In order to achieve the treatment goals and objectives, PST focuses on training clients in four major problem-solving toolkits. The four toolkits include: problem-solving multitasking, the Stop, Slow Down, Think, and Act (SSTA ) method of approaching problems, healthy thinking and imagery, and planful problem solving. The book describes these toolkits and provides for detailed clinical guidelines in order to effectively conduct PST.

This book is designed for nurses who are beginning to work field of pediatrics, and can be a great asset to the novice nurse who is orienting to the unit, or even to the student nurse who is beginning a clinical rotation in the specialized area of pediatric nursing. It presents suggestions on how to communicate and work with children using age-appropriate techniques. The book is divided into three parts. Part I deals with the pediatric principles with chapters highlighting the tips for working with children, discussing immunizations, preventive care and anticipatory guidance for the well child care. Physical examination and reporting child abuse are also described. The role of the pediatric nurse is focused in the second part, which discusses health care delivery and hospitalization. The nurse’s role in medical administration is also explained in this section. Part III reviews the common pediatric disorders such as emotional or behavioural disorders, neurologic and chromosomal disorders, skin disorders, respiratory disorders, cardiovascular disorders, blood and lymphatic disorders, gastrointestinal disorders, genitourinary disorders and muscoskeletal disorders. The book ends with a discussion on communical diseases of childhood.

This book is a major contribution to furthering the understanding of trauma in general, and the schizophrenias in particular The first chapter of the book explores the links between trauma, psychosis, and schizophrenia. Next, the book deals with the phenomenology and diagnostic entities of dissociation, psychosis, and schizophrenia. Chapter 3 explores the phenomenology of dissociation and psychosis, and outlines a semistructured model of history taking and a review of how to examine the mental state. The fourth chapter deals with the current psychotherapies that are applied to psychosis and schizophrenia and explores the work around Eye Movement Desensitization and Reprocessing (EMDR) therapy for psychosis and schizophrenia. The Indicating Cognitions of Negative Networks (ICoNN) paradigm is a methodology that adapts and adds to the standard EMDR therapy model, so knowing where and why we are making a change is professionally and clinically important. EMDR therapy utilizes an information processing model, which is proposed to be innate: the adaptive information processing (AIP) model. Chapter 7 helps the reader to understand the justifiable optimism when applying EMDR therapy to psychosis and to equip clinicians with the skills to identify those people experiencing psychosis who are most suitable for EMDR therapy. The book looks at how to generate a case formulation and develop a treatment plan in general before looking at the specifics of the ICoNN model’s methodology, which is done with the aid of four clinical examples.

With Eye Movement Desensitization and Reprocessing (EMDR) treatment, children can overcome their low self-esteem; control their impulses; modify their behaviors in school; change their relationships with peers, teachers, and family members; organize their lives; and, essentially, change their low opinions of themselves. This book focuses on providing advanced training and support for therapists to be successful in using EMDR with child clients, and documents a standardized protocol for using EMDR with children for training and research purposes. It begins with a review of Adaptive Information Processing (AIP) theory applied to EMDR with children and an abbreviated review of research on using EMDR with child clients. The second chapter explains how to get started using EMDR, before describing the steps in the EMDR protocol in case conceptualization with child clients. Six other chapters explain the goals for the specific phases of the EMDR protocol, with directions for each session, instructions for the therapist, and finally, a script for therapists to use with child clients. The phases include discussions on case conceptualization, preparation, assessment, desensitization, installation, body scan and closure, and reevaluation. The Assessment Phase of EMDR therapy includes specific procedural steps including distilling the core belief schema including negative cognition (NC) and positive cognition (PC). Additional chapters describe advanced management skills for using EMDR with special populations and explore cognitive interweaves (CI) to help the therapist when the child/teen experiences blocked processing.

Systemic-oriented clinicians may have an innate aversion to the linear-focused syndrome approach to conceptualizing mental health disorders within individuals. This book offers practical strategies for systemic-oriented clinicians to harmonize the perceived mutual incompatibility between an individual’s dysfunction and commonly used systemic theories and techniques. Users of the book will appreciate the clarification provided on understanding relational problems associated with the onset, progression, and expression of psychiatric symptoms–while incorporating an understanding of parent–child, sibling, extended family, and significant other relationship issues in overall clinical formulation. The book also advances the discussion about relational and cultural features, family systems assessments, family systems interventions, and ethical and legal implications when working with clients and their family members with identified DSM-5 disorders. Each chapter focuses on a specific diagnosis or category of diagnoses from the DSM-5. Seven sections in each chapter guide the reader to explore how best to integrate DSM-5 diagnoses from a systems perspective: DSM-5 and family systems, relational and cultural features, family systems assessments, family systems interventions, ethical and legal implications, case conceptualization, and summary. Each chapter concludes with a summary of the relevant points, providing a focused understanding of the presented disorder and how to address it systemically.

This book contains over 800 questions with answers and detailed explanations covering all areas of the complex subspecialty of clinical neurophysiology. It is divided into eight chapters covering anatomy and physiology, electronics and instrumentation, nerve conduction studies and electromyography, electroencephalography (EEG), evoked potentials and intraoperative monitoring, sleep studies, ethics and safety, and advanced topics including quantitative EEG, magnetoencephalography, transcranial electrical stimulation, autonomic testing, and more. Liberal use of image-based questions illustrating the full spectrum of neurophysiologic tests and findings build interpretive skills. Questions are randomized and include both case-related questions in series and stand-alone items to familiarize candidates with the question types and formats they will find on the exam. This book is recommended for its intended audience and candidates for board certification in a field of clinical neurophysiology. It can be a useful resource for fellows during their training. The book is in a Q&A format with answers and detailed rationales to facilitate recall of must-know information and help identify knowledge gaps for further study. The book provides case-based questions in series to simulate full range of board question types. It includes numerous state-of-the-art digital images to ensure familiarity with studies and findings that form a significant part of any certifying exam and contains a unique Pearls for Passing chapter, Chapter 9, for quick review of key facts.

This book focuses on the practice of child psychotherapy, the theories and treatment practice. The book is divided into three parts. The first part dwells on the need for developmentally grounded child psychotherapy. It explores theories of human development, also referred to as developmental psychology and educational theory in order to understand how children are challenged to learn, and reviews theories that speculate how love and our earliest relationships impact health and well-being. Part II assimilates the developmental theory into the pragmatics of child psychotherapy. It discusses the pragmatics of providing child psychotherapy with considerations for therapists, focuses on the legal and ethical challenges that arise when providing child psychotherapy, and reviews the types of assessment tools that cover all phases of development, including emotional, social, developmental, educational, and psychological. The third part presents the best practices in child psychotherapy. Here, models of evidence-based practice in child psychotherapy are reviewed with examples of what each model offers to the treatment process. These theories also describe what the therapist brings to psychotherapy based on the therapist’s belief of what therapy looks like and the therapist’s role in the relationship with the client. One of the chapters guides the therapist through case conceptualization that integrates the most efficacious treatment interventions into the eight-phase template of eye movement desensitization and reprocessing (EMDR). Basic issues such as sleeping, feeding, emotional dysregulation, and learning issues are also discussed with common responses and references to provide to parents through a developmentally grounded practice.

This manual distills simple and practical ways to employ eye movement desensitization and reprocessing (EMDR) therapy scripted protocols and forms to effectively utilize the entire EMDR therapy eight-phased treatment with infants, toddlers, young children, preteens, and teens from a developmental perspective. It provides step-by-step directions, session protocols, scripts, and forms for each phase of the protocol, along with instructions for integrating techniques and tools from play, art, sand tray, and other helpful therapies. The various phases of EMDR therapy are: case conceptualization, preparation, assessment, desensitization, installation, body scan, closure and reevaluation. A therapist can use a cognitive interweaves (CI) when reprocessing is blocked, when the child/teen is looping, when time is running out, or when it is necessary to expedite the session so that the client does not remain in a highly activated state. Resource development and installation (RDI) is used when the child/teen does not appear to have adequate tolerance to use EMDR therapy; bilateral stimulation (BLS) is used to install the resource. Mapping and graphing tools help to organize the EMDR therapy, especially with children, and can be integrated into the eight-phases of treatment. While using a fidelity questionnaire, a therapist can monitor his or her own adherence to the phases in order to improve practice and prevent therapist drift, application of a blocking beliefs questionnaire is used to discern the blocking beliefs of children and adolescents.

Infusion therapy can be delivered safely and effectively in the home setting. Successful home care agencies provide knowledgeable and qualified home care nurses and have structures and processes in place to ensure quality patient care. As an invaluable resource, this book can provide the framework for an effective home infusion therapy program that ensures optimal outcomes and patient safety. The first part of the book addresses the foundations of home infusion therapy. It describes the author’s model for safe infusion therapy, which provides a framework for the subsequent chapters. This model predicts that positive outcomes, including the absence of infusion therapy-related complications, patient satisfaction, and health care provider satisfaction, are maximized when four aspects of care are addressed during the home care planning process and during the process of providing care. The part discusses the importance of patient education. The role that patients and caregivers play in home infusion therapy is what makes home care unique. The nurse’s skill in teaching patients is equally important to any infusion administration skills. The part also describes concepts in infection prevention, an important goal of infusion therapy in all health care settings. The second part of the book addresses access devices and methods, including peripheral catheters, the growing use of midline catheters, and central vascular access devices, as well as subcutaneous infusion and intrathecal catheters. The final part of the book includes a chapter on infusion methods and issues followed by infusion therapy-specific chapters. Each of these chapters follows a similar format based upon the author’s model.

The years that encompass the period of adolescence are largely socially constructed and dependent upon the norms, beliefs, and behaviors of society. Adults interacting with teens, whether in their personal or professional lives, know the rewards, challenges, and sometimes the mysteries of these experiences. This book is designed to assist nursing and health care professionals to understand and to be successful in these interactions, to have positive impacts on teens, and to advocate effectively for youth. Teen development is an ongoing process of engagement with friends, adults, and institutions, and teens’ own perspectives that frame their individual responses, thoughts, and actions. Knowledge of brain development helps us to understand some aspects of teen behavior characteristic of early, middle, and late adolescence. Adolescent development, factors affecting teen health, suggestions for working and communicating with teens, and issues impacting adolescents in six holistic health domains, namely physical, intellectual, emotional, spiritual, sexual, and relational are addressed in the book. Selected issues facing teens with acute and chronic illness, matters associated with teens and technology, legal and ethical issues, and the marginalization of youth challenge readers to ponder their perceptions about adolescents.

Compulsive sexual behavior and sexual addiction treatment models were introduced over 30 years ago and sparked a debate that has yet to be resolved. With hundreds of sexuality, addiction, neuroscience, and psychological studies and thousands of psychotherapists providing specialized clinical interventions, there is still no consensus regarding etiological or best treatment practices for out of control sexual behavior (OCSB). This book provides clinicians a resource for establishing an individual and/or group psychotherapy relationship with men wanting to change and to improve their sexual health. It is divided into three sections. Section I establishes the foundation for a sexual health approach to addressing OCSB. It reviews how our sexual health framework supports essential relationship skills to prepare client and therapist to enjoin in a collaborative process of change. Further, it introduces a dual-process model of human behavior to contextualize the internal and external factors that contribute to a client’s OCSB. The OCSB assessment process assists men in becoming sexually educated about fixated sexual turn-ons and then developing a realistic and sexologically informed sexual health plan for integrating these turn-ons into their overall sexual lives. Section II outlines the OCSB screening procedure and assessment plan. It describes the dual purpose of identifying vulnerability factors and competing motivations that contribute to sexual behaviour problems and the psychotherapy techniques research suggests enhance client motivation for behavior change. Section III discusses combined individual and group therapy principles and practices designed to facilitate corrective emotional experiences and support men moving toward their personal vision of sexual health.

This book emphasizes the importance of sleep across states of health, health care settings, and at all stages of human development. It uses an evidence-based approach to synthesize and integrate nursing and interdisciplinary research on sleep to serve as a foundation for curriculum, teaching, practice, and researchactivities. The book is divided into four units. Unit I addresses aspects of normal sleep, including normal sleep physiology and behavior and developmental and gender aspects. In Unit II, the book provides an overview of the importance of sleep and its consequences from an epidemiological perspective, extant sleep-related nosologies, and a guide to sleep assessment. Unit II also discusses the epidemiology, consequences, assessment, and treatment of the sleep disorders such as insomnia, sleep-related breathing disorders including central sleep apnea (CSA), parasomnias, narcolepsy and circadian rhythm disorders (CRD), and psychaitric and pediatric disorders, the health disparities associated with sleep disorders, and provides an overview of complementary and alternative therapies for sleep. Unit III focuses on integration of the clinical research on sleep into specific settings where many nurses work (occupational health, primary care, acute care, long-term care, psychiatric settings, pediatric primary care, pediatric acute care, and maternal-child health). In Unit IV, the book presents suggestions about ways to integrate sleep and sleep disorders into pre-licensure and graduate nursing education, ideas about the future of nursing practice related to sleep, and proposed directions for future research.

This book is meant to be a practice resource for a medical-surgical nurse and guides the nurse through the most common conditions seen on the medical-surgical unit. It covers assessment, key clinical skills/procedures, and documentation of care in an easily digestible, bulleted format. Clinical chapters organized by body system for easy reference present common conditions seen in medical-surgical nursing and unit emergencies, along with focused assessments and PQRST system, lab work overview, related procedures and skills, a documentation guide, and common medications including those for pain management. The medical conditions and emergencies and their treatments discussed in the book are: neurological deficits, cardiac events, respiratory emergencies, gastrointestinal conditions, genitourinary alterations, wound infection, hip fracture, and endocrine disorders. Chapters also cover pre-operative and post-operative care for all conditions. Evaluation of level of consciousness (LOC) and mentation are the most important parts of the neurological exam. The final chapter is a must-have resource guide, including common pain scales; calculation guides; documentation scales for blood pressure, edema, and pulse; intramuscular technique hints; fall and restraint reduction guides; prevention of central line infection; syringe-size guides; intravenous solution review; intake and output guide.

This book provides foundational knowledge and skills pertaining to ethical and evidence-based practice for mental health providers engaging in or considering using distance modalities to treat clients. Targeting day-to-day application, the book explains the core functions of Telemental Health counseling (TMH) and its use across a broad spectrum of mental health modalities and settings. Using the framework of the American Counseling Association divisions, American School Counselors Association, and Council on the Accreditation of Counseling and Related Education Programs core areas to examine TMH, the book provides instructions to develop skills that readers can apply directly to their own counseling interactions. Providing a wealth of information based on empirical and impartial views, the book helps readers examine the benefits and risks of distance counseling in various settings. It encompasses the history of TMH, ethical codes, legal guidelines, and recent research. Case studies and opportunities for self-reflection enable readers to envision distance counseling in real-world contexts, ask critical questions, and form conclusions about its utility in their practice. The book includes critical content pertaining to the COVID-19 crisis, expands the view of distance counseling to include such varied professionals as mental health, school, family, couple, rehabilitation, addiction specialists, etc. It presents abundant case studies to provide context and practical application, addresses the positive and negative aspects of practicing distance counseling and includes ethical issues in each chapter pertaining to designated core areas or specialty. The book presents Questions of Practice to foster critical thinking regarding the use of TMH in specific roles or functions and offers Voices from the Field with real-world examples focusing on practicing TMH within the designated core areas or specialties. It emphasizes ethical, practical, and logistical TMH practice in all chapters.

This book aims to build a bridge between mental health and health care professionals by exploring the emotional layer of the patient experience and how people can work together to improve the quality of care at every level for every patient. It focuses primarily on helping adults manage the psychological and emotional effects of medical trauma. The first part of the book defines medical trauma and explains the unique characteristics, cases, and effects of this experience. Using ecological perspective as a framework, a model of medical trauma is created to incorporate four of the major contributing factors (the patient, diagnosis/procedures, medical staff, and treatment environment). The second part of the book presents new models, protocols, and the best practices for meeting the mental health needs of adult patients who experience medical trauma, and explores prevention and intervention strategies that can be employed across the continuum of care. It highlights examples of health care systems and organizations that have successfully applied innovative ideas for treating the whole person as well as share ideas not yet tested but worth pursuing. The second part is organized based on three levels of patient care: primary care (Level I Medical Trauma), specialist trauma (Level 2 Medical Trauma), and acute trauma (Level 3 Medical Trauma). It closes with a discussion of the implications for the future of health care and a presentation of ideas for innovation and continued improvement of the patient experience.

This book focuses on common mental illnesses and weaves both the psychodynamic and neurobiological concepts into evidence-based strategies for nursing interventions. It provides information on descriptive psychiatric diagnoses, quality and safety education for nurses (QSEN) criteria, and NANDA-based care plans, case scenarios, evidence-based practice, patient and family education tips, drug summary lists, and complementary and alternative therapy approaches. The book also provides new information on psychopharmacology, compassion fatigue and a recovery model, use of informed consent, and cognitive behavioral therapy. Psychiatric-mental health nursing care is practiced in multiple settings across the health care continuum. Patients of all ages in need of psychiatric-mental health nursing care can be found in hospitals, community agencies, and residential settings. Critical thinking and clinical decision making are crucial elements to ensure that the patient’s needs are assessed, relevant problems are identified, and therapeutic nursing interventions are planned, implemented, and evaluated. Clinical decision making based on critical thinking is similar across all clinical settings. One unique dimension of critical thinking in psychiatric-mental health nursing is the importance of the interpersonal relationship as a major healing factor in delivering psychiatric nursing care. The book focuses on how psychiatric nurses integrate the concepts of critical thinking, clinical decision making, and the nursing process within the interpersonal relationship to address patient needs and delivery of nursing care.

This book was designed to be a high-speed review – a last-minute gut check before the Pediatric Nursing Certification Board (PNCB) and American Nurses Credentialing Center (ANCC) exam day. The authors created this review, which is a quick summary of the key topics one'll encounter on the exam, to supplement their certification preparation studies. They encourages the reader to use it in conjunction with other study aids to ensure the readers are as prepared as possible for the exam. This book follows the most recent exam content outlines from the PNCB and ANCC, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified pediatric nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: Complications: Problems that can arise with certain disease states or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical-thinking questions to test one’s ability to synthesize what one learned; and List of Abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms.

This book has been designed to be a high-speed review—a last-minute gut check before the C-EFM^® exam day. The authors created this review, which is a quick summary of the key topics one”ll encounter on the exam, to supplement their certification preparation studies. They encourage the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows the National Certification Corporation’s (NCC) most recent exam content outline. It uses a succinct, bulleted format with sample electronic fetal monitoring (EFM) tracings to highlight essential knowledge. The aim of the book is to help the readers solidify their retention of information in the month or so leading up to their exam. It is written by certified nurse practitioners who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including the following: Complications: Problems that can arise with certain patient conditions or procedures; Nursing Pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations or when to transfer care; Pop Quizzes: Critical thinking questions to test ones’ ability to synthesize what they learned; and List of Abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. Chapters cover maternal and fetal physiology, internal and external fetal monitoring equipment, fetal assessment methods, EFM pattern recognition, fetal and maternal complications, ethical and legal issues, and more.

Treating Depression With EMDR Therapy: Techniques and Interventions introduces EMDR DeprEnd, a pathogenic memory-based EMDR therapy approach. DeprEnd has been demonstrated in a number of studies and meta-analyses to be at least as effective as—and often more effective than—other guideline-based therapies in treating depression, including cognitive behavioral therapy. EMDR DeprEnd is particularly helpful with chronic and recurrent depression that does not respond well to other treatments. Written by the international research team who developed this quick-acting and efficient therapy, this book provides clinicians with the evidence-based tools they need to integrate EMDR DeprEnd into their practices. Treating Depression With EMDR Therapy explains a step-by-step approach to processing the pathogenic memory structures that are the basis of most depressive disorders and ways to address both Depressive and Suicidal States. Real-world case studies incorporate the often-co-occurring trauma-based disorders found in depressive patients. These are practical “how-to” chapters, including one devoted to drawing integration with numerous examples of actual patient drawings as clients go through the EMDR process. Abundant illustrations enhance understanding of stress- and trauma-based depressive disorders and the successful interventions that improve client outcomes. Protocol scripts for therapist and client also help prepare readers to provide optimal treatment to their clients.

This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.

This book was designed to be a high-speed review—a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book, written by certified critical care nurses, follows the American Association of Critical-Care Nurses’ (AACN®) most recent exam content outline, and uses a succinct, bulleted format to highlight what one need to know. It will help the readers solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information, including: complications: Problems that can arise with certain disease states or procedures; pearls: Additional patient care insights and strategies for knowledge retention; Alerts: Need-to-know details on how to handle emergency situations; pop quizzes: Critical-thinking questions to test your ability to synthesize what you learned; medication tables: Handy tables at the end of each body system chapter highlighting the indications, mechanisms of action, contraindications, and adverse effects of commonly administered medications; and list of abbreviations: A useful appendix to help guide you through the alphabet soup of clinical terms. We know life is busy. Being able to prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.

This book was designed to be a high-speed review —a last-minute gut check before the exam day. The authors created this review, which is a quick summary of the key topics one’ll encounter on the exam, to supplement to their certification preparation studies. They encourages the readers to use it in conjunction with other study aids to ensure they are as prepared as possible for the exam. This book follows Competency & Credentialing Institute’s (CCI®) most recent exam content outlines, and uses a succinct, bulleted format to highlight what one need to know. The aim of this book is to help one solidify their retention of information in the month or so leading up to their exam. It is written by certified perioperative nurses who are familiar with the exam and the content one need to know. Special features appear throughout the book to call out important information, including: complications: problems that can arise with certain disease states or procedures; pearls: additional patient care insights and strategies for knowledge retention; alerts: need-to-know details on how to handle emergency situations or when to transfer care; pop quizzes: critical-thinking questions to test our ability to synthesize what we learned; unfolding scenarios: case studies that develop over the course of the chapter to challenge our critical -thinking skills; and list of abbreviations: a useful appendix to help guide us through the alphabet soup of clinical terms. We know life is busy. Being able xto prepare for our exam efficiently and effectively is paramount, which is why the authors created this book. One have come to the right place as they continue on their path of professional growth and development. The stakes are high, and the authors want to help us succeed.

This fifth edition is updated with new, evolving theories, and provides an increased focus on specific practical applications for meeting the clients’ needs in an increasingly diverse and ever-changing socio-cultural landscape. It also attempts to address the dramatic changes mentioned above, including the Pandemic, economic instability, Black Lives Matter and climate change. The dramatic and unprecedented changes in the environment challenge us to adapt the theoretical conceptualizations, methods, and strategies for working with clients. The book provides an updated vision for working with transitions, with the integration of new theories, along with Schlossberg’s timeless model. It is predicated on several assumptions. The book includes enhancing resilience and coping, illuminated by updated literature and discussion of applications of Schlossberg’s theory and 4 S model–a model that offers effective techniques to understand and successfully navigate life transitions. The book addresses the roles of hope, optimism, and mattering. It also deepens the discussion of race, ethnicity, sexual orientation, and social justice, along with intersectionality regarding multiple identities as diverse individuals and their families navigate life transitions. The book highlights the role of escalating changes in the current global, political and socio-cultural landscape. It focuses on the increasing importance of helping adults navigate transitions and integrates Schlossberg’s unique transition model with both classic and emerging theories to guide adults in transition. The book discusses sociocultural and contextual factors in shaping the coping process and presents culturally sensitive strategies and interventions. It emphasizes social justice concerns and advocacy on behalf of underrepresented populations and delivers rich and diverse case studies focused on transition issues. The book includes updated learning activities and exercises to enhance understanding.

Aside from the study of theories of counseling and psychotherapy, there is probably no other area of study that is more related to the everyday practice of counseling that than the area of professional ethics. This book is a major revision of the prior edition, providing continuity to faculty who has used the book in teaching courses on ethics in counseling, but with notable changes and additions. The new edition has a distinct and timely focus on counseling as a profession. A new section provides material that not only applies to mental health practice generally, but it applies specifically to specialty practice with chapters specifically titled and focused on counseling specialties. Many of the early chapters are updated versions of those that appeared in the earlier edition. The book has been organized to provide the developing mental health professional with a clear and concise overview of ethical issues in counseling and psychotherapy. It intends to provide a thorough and scholarly foundation, defining ethical concepts and practice, legal issues, methods for clarifying values, decision-making models, and contemporaneous and emerging issues. The book is broad in its coverage of the most practiced specialties in mental health practice, and provides an efficient and effective overview of the broad scope of particular areas addressed in counseling. The specialities addressed are: mental health counseling; school counseling; couple, marital, and family counseling; rehabilitation counseling; addictions counseling; career counseling; and group counseling. It is hoped that this book will inspire ethically sensitive counselors and psychotherapists who will reflect before acting and who will consult with educated colleagues at those moments when ethical dilemmas arise. Ethical counselors and psychotherapists are those who have the best interests of their clients at heart, and who also respect the rights that derive from being professionals.

This book serves as a clinical guide to assist clinicians in prescribing psychotropic medications to address mental health conditions. It is used to assist clinicians to understand the key aspects of psychopharmacology. This is the first practical guide for novice and experienced nurse practitioners for explaining and choosing appropriate psychiatric medications. This clinical reference is ideal for students and all clinically oriented healthcare professionals since it provides concise, bulleted-style text for easy access to pertinent information. The book offers readers a broad understanding of the key aspects of psychotropic medications used in general psychiatry and primary-care settings and includes strategies to ease medication decision-making and evidence-based best practices to select and manage psychotropic medications. It is organized into two parts. Part I begins with an overview of general pharmacological principles and a brief overview of neurotransmitters, and covers the rationale for medication use and the risks and benefits of the major classes of psychotropic medications. Part II includes medications across drug classes that are divided by age population and includes practice management strategies, safety considerations, drug interactions, identification of side effects and adverse reactions, basic laboratory test recommendations, treatment options, and self-management strategies. The book ends with important concepts for patient and/or caregiver education and advocacy. It is intended for clinical healthcare providers, including physicians, nurses, APRNs, and other healthcare clinicians who need a practice guide, test review, or clinical resource guide that is easy to access and use.

This comprehensive introductory text for counselors-in-training delivers foundational concepts through the lens of advocacy and intersectionality. This book emphasizes exploration of the individual and collective effect of local, national, and global social issues on clients and their communities, and imparts real-world experiences from authors and clinical experts who provide personal accounts of challenges and successes in their practices.

The text examines key evidence-based counseling theories with an in-depth focus on trauma-informed counseling, and prompts reflection and dialogue about critical issues in counselor development. It introduces specific counseling micro-skills, techniques, and modalities, and describes the varied settings in which counselors can practice. Engaging activities that foster self-analysis and self-actualization illuminate the path to becoming a professional counselor.

This book primarily is founded upon the credence gleaned from Dr. Vannatta’s published dissertation that demonstrated through a rigorous systematic content analysis of Group Counseling course syllabi used to prepare students at the graduate level to conduct group counseling programs and interventions, while learning group leadership skills, and understanding group dynamics and so forth, minimally included evidence of multiculturalism being incorporated in the courses. It provides content, experiential activities, strong case applications in group leadership across every chapter. The book also provides a detailed case illustration that includes a solid foundation of the goals, purpose, membership, and other group dynamics. It uses different examples to bring to life the learning objectives of the chapter. The cases attempt to provide a broad spectrum of group leaders, coleaders, and group members. The use of multiple cases affords the reader some consistency of engaging in the material while reflecting on applying specific aspects of group leadership. Additionally, the book has an entire chapter that includes a variety of creative and thoughtful case illustrations to highlight special topics centered on a myriad of multicultural considerations. Finally, it pays particular attention to providing information on leading groups, like most group counseling texts on the market; however, it expands the market by offering counselor educators, doctoral students and early career professionals strategies on providing supervision to masters’ level practitioners.

As humans navigate the different ages of life, they pass through different stages of development. Mental health professionals rely on various theories, treatment modalities, and ongoing research to inform their best practice; this book supports the reader to do so in a culturally responsive, humble, self-reflective way, in order that the clients will be ethically and effectively served across the lifespan. It is organized in a way that makes it interesting, entertaining, and relevant. The book is organized in two parts. Part one uses three chapters to provide an overview of lifespan development, theories of human and lifespan development, and theories of intersectionality and identity development. These chapters provide the foundation from which to explore relevant developmental concepts as they apply to people at various ages and stages of development. Part two cover different ages and stages of development. It presents each age and stage in a two-chapter sequence. The first chapter in each sequence will introduce a case study of a client belonging to a particular age group. The second chapter in each age and stage will anchor specific theories, models, and presents clinical interventions to working with the identified case. New and relevant research will be included to further contextualize the application of the theory. The book inspires the lifelong learners as scientist-practitioners, with ongoing openness to revising what one “know”, even as one become more clear about what appears to be self-evident.

Designed as a last-minute gut check for the certification exam, this guide, written by medical-surgical nurses, provides quick, digestible nuggets of the most pertinent topics they encounter on the Medical-Surgical Nursing Certification Board (MSNCB) and American Nurses Credentialing Center (ANCC) exams. It can be used in conjunction with other study aids to ensure nurses are as prepared as possible for the exam. The certification helps to ensure quality patient care, indicates expert knowledge in the area of practice, and builds trust on the part of the patient and facility. It also establishes a high level of standards within healthcare, strengthens the nurse’s resume and job qualifications, and increases the potential for earning power. The book follows the most recent exam content outlines from the Certified Medical-Surgical Registered Nurse (CMSRN®) Certification Examination and the Medical-Surgical Nursing Board Certification Examination blueprints and uses a succinct, bulleted format to highlight what nurses need to know. It helps nurses solidify their retention of information in the month or so leading up to their exam. Special features appear throughout the book to call out important information including complications, nursing pearls, alerts, pop quizzes, and a list of abbreviations. The nursing pearls cover additional patient care insights and strategies for knowledge retention. The alerts include need-to-know details on how to handle emergency situations or when to transfer care. The pop quizzes cover critical-thinking questions to test nurses’ ability to synthesize what they have learned. Nurses encounter ethical dilemmas in caring for patients, including issues concerning access to care, informed consent, and treatment goals. Legal issues for nurses include both professional-centered and patient-centered concerns. The book deals with these professional and legal issues and the ways to address them. It serves as a quick refresher for registered nurses preparing for their certification examination.

This book is a much-needed update that offers an in-depth and comprehensive exploration of the variety of relevant issues concerning clients’ traumatic, crisis-related, and disaster events that commonly are encountered by professional counselors and other mental health professionals. The textbook is framed, theoretically, within a systemic paradigm, including important recent physiological and neurobiological understandings of the impact of trauma on individuals. The book is organized into six sections. Section I offers a foundation for understanding the various trauma-associated issues. In fact, it tries, with a great deal of intentionality, in the first three chapters, to construct a trauma scaffold of foundational knowledge, upon which students can build increasingly more complex conceptualizations of more nuanced clinical issues associated with trauma. Section II explicates relevant constructs, such as loss and grief; these constructs continue to build upon and expand the trauma scaffolding of the first section. It also offers information about the traumatic events that may be experienced by specific age groups, people who are vulnerable, and other particular populations. Section III begins with his explication of the moral psychology of evil. Section IV presents a broader systemic context for understanding the effects of trauma on groups of people. Section V analyzes assessment methods and interventions associated with psychological trauma. It identifies and discusses the larger scope of integrative approaches to trauma, crisis, and disaster intervention, thus emphasizing the importance of more systemic models. Section VI begins by presenting ethical perspectives on trauma work. It explicates vicarious traumatization, highlighting the need for counselor selfawareness. It also focuses on the importance of mindfulness-based self-care for counselors, encouraging clinicians to be healing counselors rather than wounded healers.

When parents are not comfortable giving their children words for some of the most powerful physical and emotional experiences they will have in life, a veil of secrecy is created around the subject of sex that children carry with them into adulthood. Whether one want to embrace sex therapy as a niche for their practice, or one want to be a provider who “does” sex, this book is a clear, pragmatic entrance into helping clients of all kinds resolve sexual concerns—a raft of sorts to help navigate what can be a confusing area of human experience. In this updated version of the text, the author have worked with intention to be inclusive of sexual and gender minorities by not only updating the specific chapter regarding serving their needs, but by referring to current research about this population throughout. It becomes a book one can turn to again and again when almost any client presents with a sexual concern, reminding that there exists an approach and information to calmly tackle common, and uncommon, sexual problems. The book is a straightforward, inclusive, plain language textbook designed to take the provider who knows very little or who might be uncomfortable about sex to a place of knowledge and competence. This new edition covers: current research on sexual and relationship issues in sexual/gender minorities (S/GM); updated approaches to considerations of gender identity; the application of mindfulness in the treatment of sexual problems; expanded information regarding the sexological ecosystem; treatment of out of control sexual behavior and the new compulsive sexual behavior disorder ICD-11 diagnosis; and ethical considerations in making referrals of S/GM clients.

At the heart of this innovative text is the strengths-based Attachment-Focused Trauma Therapy for Adults (AFTT-A) model that facilitates healthier functioning and attachment patterns for adult clients. This model uses a multimodal, step-by-step approach to restructuring the internal personality system to reclaim the authentic “Self” by providing new attachment experiences for “Child” parts of Self and negotiating new adult-life roles. AFTT-A orients all inner personality components to the present moment in which unmet childhood needs for nurturing and protection can be met within clients themselves. The book delivers a sequence of scripted protocols that access and activate the client’s own strengths, creating an internal system of resources and using bilateral stimulation to deepen positive affective shifts.

Throughout the book in Pause and Reflect sections, the authors encourage therapists to think about their own attachment patterns that emerge in therapy sessions and implement activities to enhance personal self-awareness and improve attunement to clients. Short vignettes and e cerpts from client sessions illustrate the model’s application, and end-of-chapter Points to Remember and Troubleshooting tips reinforce key concepts and underscore common therapy challenges and their solutions. The AFTT-A model is useful not only for EMDR therapists but can also be easily integrated with non-EMDR models of trauma therapy.