Helpful Links for Counseling Center Staff Members
1. RISK MANAGEMENT FOUNDATION OF THE HARVARD MEDICAL INSTITUTIONS
Guidelines for Prescribing Psychiatrists in Consultative, Collaborative, or Supervisory Relationships
2. ATHEALTH.COM
Interview with Bryant Welch, JD, PhD
3. RISK MANAGEMENT FOUNDATION OF THE HARVARD MEDICAL INSTITUTIONS
Guidelines for Identification, Assessment, and Treatment Planning for Suicidality
4. FORENSIC PSYCHIATRY AND MEDICINE
Captive Patients, Captive Doctors: Clinical Dilemmas and Interventions in Caring for Patients in Managed Health Care
5. AMERICAN PSYCHOLOGICAL ASSOCIATION
Professional, Ethical, and Legal Issues Concerning Interpersonal Violence, Maltreatment, and Related Trauma
6. FORENSIC PSYCHIATRY AND MEDICINE
A New Resource for Managing Managed Care Malpractice Risks
7. AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW
Conducting Forensic Examinations on the Road: Are You Practicing Your Profession Without a License?
8. LEGAL MEDICINE
Medical Records
9. JOURNAL OF PSYCHIATRIC PRACTICE
Avoiding the Malpractice Snare: Documenting Suicide Risk Assessment
http://www.reidpsychiatry.com/columns/Stacy%2005-04.pdf
Suicide is the most common cause of action against mental health professionals.
10. AMERICAN PSYCHIATRIC ASSOCIATION
Patient Safety and Psychiatry: APA Recommendations http://www.athealth.com/apps/redirect.cfm?linkid=153
The report provides recommendations in the areas of adverse medication
events, seclusion and restraint, and suicide.
11. OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PREVENTION
When Your Child Is Missing: A Family Survival Guide http://www.ncjrs.org/pdffiles1/ojjdp/204958.pdf
Practitioners who work with families of missing children will find this resource helpful.
1. AMERICAN MEDICAL ASSOCIATION
Mental Health Effects of Family Violence
2. AMERICAN FAMILY PHYSICIAN
Case Studies in Partner Violence
3. JOURNAL OF MARRIAGE AND FAMILY
The Intergenerational Transmission of Spouse Abuse
4. NATIONAL ACADEMY PRESS
Understanding and Preventing Violence
5. NEW YORK STATE DEPARTMENT OF HEALTH
Guidelines for Integrating Domestic Violence Screening into HIV Counseling, Testing, Referral and Partner Notification
6. FAMILY VIOLENCE PREVENTION FUND
Preventing Domestic Violence: Clinical Guidelines on Routine Screening
7. THE DAVID AND LUCILE PACKARD FOUNDATION
Mental Health Services for Children Who Witness Domestic Violence
8. NATIONAL INSTITUTE OF JUSTICE
Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the Violence Against Women Survey http://www.ncjrs.org/pdffiles/172837.pdf
The survey gives data on women's and men's experiences with violent victimization. The report focuses on the findings related to women.
9. AMERICAN FAMILY PHYSICIAN
Case Studies in Partner Violence http://www.aafp.org/afp/991201ap/2569.html
This article provides two illustrative cases of domestic violence and intervention techniques.
10. POSTGRADUATE MEDICINE
The Hidden Health Menace of Elder Abuse http://www.postgradmed.com/issues/2003/04_03/editorial_apr.htm
As many as 2 million elderly persons in the U.S. experience physical, psychologic, or sexual abuse each year.
11. PEDIATRICS
Maternal Domestic Violence Screening in an Office-Based Pediatric Service
http://pediatrics.aappublications.org/cgi/reprint/108/3/e43.pdf
This study shows that maternal DV screening at well-child visits is practical. The material includes a sample questionnaire and a personal safety plan.
12. MINNESOTA CENTER AGAINST VIOLENCE AND ABUSE
Children Exposed To Domestic Violence: A Teacher's Handbook to Increase Understanding
and Improve Community Response http://www.lfcc.on.ca/teacher-us.PDF
The handbook explains the impact of violence on children and provides help for teachers in responding to students who are victims of violence.
13. PSYCHIATRIC NEWS
Domestic Violence Overlooked In Same-Sex Couples
http://pn.psychiatryonline.org/cgi/content/full/37/12/22
At least one in four gay and lesbian partners will experience domestic violence in his or her lifetime.
14. AMERICAN PSYCHOLOGICAL ASSOCIATION
Issues and Dilemmas in Family Violence http://www.apa.org/pi/pii/issues/homepage.html
This document reviews the issues faced by practitioners working with clients involved in family violence and abuse.
15. HEALTH CANADA
Guidebook on Vicarious Trauma: Recommended Solutions for Anti-Violence Workers
http://www.hc-sc.gc.ca/hppb/familyviolence/pdfs/trauma_e.pdf
This guidebook is for those who work with abuse victims. It addresses the vicarious trauma suffered by these professionals.
1. AMERICAN FAMILY PHYSICIAN
Management of Bipolar Disorder
2. UNIVERSITY OF IOWA VIRTUAL HOSPITAL
Psychiatry: Mood Disorders
3. SCIENCE NEWS ONLINE
Pushing the Mood Swings
4. EXPERT CONSENSUS GUIDELINE SERIES
Medication Treatment of Bipolar Disorder 2000
5. JOURNAL OF CLINICAL PSYCHIATRY
Clinical Practice Guidelines for Bipolar Disorder from the Department of Veterans Affairs
6. MEDSCAPE
Bipolar Illness and Alcohol Abuse: Course and Treatment
7. AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Practice Parameters for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder
8. CHILD AND ADOLESCENT BIPOLAR FOUNDATION
Counseling Children With Bipolar Disorder: A Psychotherapist's Notes
9. eMEDICINE
Bipolar Affective Disorder http://www.emedicine.com/med/topic229.htm
The authors review the diagnosis and treatment of bipolar disorder.
10. AMERICAN FAMILY PHYSICIAN
Bipolar Disorder http://www.aafp.org/afp/20040401/bmj.html
This chapter on bipolar disorder is excerpted from Clinical Evidence Concise, published by the BMJ Publishing Group.
11. PRIMARY PSYCHIATRY
Cognitive-Behavioral Strategies for the Management of Bipolar Disorder http://www.primarypsychiatry.com/pdf/art_344.pdf
This article introduces cognitive-behavioral interventions for the management of bipolar disorder.
12. CLINICAL GERIATRICS
Bipolar Disorder in the Older Adult http://www.mmhc.com/altc/attachments/1059679920-Lantz.pdf
This is a case presentation of a 72-year-old married man with a history of bipolar disorder since the age of 25.
13. MEDSCAPE
Bipolar Disorder in Children and Adolescents: Diagnosis and Treatment http://www.medscape.com/viewarticle/457723_print
This article reviews current literature on the diagnosis and treatment of bipolar disorder in children and adolescents.
14. PRIMARY PSYCHIATRY
Pediatric Bipolar Disorder or Disruptive Behavior Disorder? http://www.primarypsychiatry.com/pdf/art_588.pdf
Bipolar disorder in children and teens can be difficult to diagnose.
15. THE BIPOLAR CHILD NEWSLETTER
Boredom and the Provocative Behavior of Children With Bipolar Disorder http://www.bipolarchild.com/newsletters/0402print.html
Children and adolescents with bipolar disorder seem particularly prone to bouts of boredom.
16. CHILD AND ADOLESCENT BIPOLAR FOUNDATION
Girls with Bipolar Disorder: Special Concerns http://www.cabf.org/printing/100704.htm
Girls with bipolar disorder face significant risks.
1. INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT
Major Depression in Specialty Care in Adults
2. AMERICAN COUNSELING ASSOCIATION
Positive Life Events as a Moderator of Stress-Related Depressive Symptoms in College Students
3. ANNALS OF INTERNAL MEDICINE
Assessing and Managing Depression in the Terminally Ill Patient
4. AMERICAN FAMILY PHYSICIAN
Depression and Sexual Desire
5. APA MONITOR
Eight Factors Found Critical In Assessing Suicide Risk
6. NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH)
Depression in Children and Adolescents
7. AMERICAN COUNSELING ASSOCIATION
Depression in Childhood and Adolescence: Working to Prevent Despair
Part 1: Part 2:
8. AMERICAN FAMILY PHYSICIAN
Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings http://www.aafp.org/afp/20020915/1001.html
This article reviews depression screening tools to be used with children, adolescents, adults, and the elderly.
9. eMEDICINE
Depression http://www.emedicine.com/med/topic532.htm
Unipolar depression is one of the most commonly encountered psychiatric disorders.
10. THE JOURNAL OF CLINICAL PSYCHIATRY
Treating Depression: New Choices for a Chronic Problem http://www.psychiatrist.com/audiograph/nemeroff/jcpbook.pdf
To achieve maximum adherence to prescribed treatment, potential problematic side effects must be monitored and discussed.
11. PRIMARY PSYCHIATRY
Cognitive Therapy for Depression http://www.primarypsychiatry.com/pdf/art_341.pdf
This article presents a step-by-step approach to brief psychotherapy for the patient with depression.
12. CNS NEWS
Diagnosis and Treatment of Late-Life Depression http://www.athealth.com/apps/redirect.cfm?linkid=110
Late-life depression is a major public health problem.
(Free registration is required to access this article.)
13. JOURNAL OF COUNSELING AND DEVELOPMENT
Model of Depression in Adult Children of Alcoholics and Nonalcoholics http://www.counseling.org/publications/jcd/jcd_fall02.pdf
This study looks at the relationships between levels of depression and patterns of parental drinking behaviors. (May be slow to load.)
14. NATIONAL INSTITUTE OF MENTAL HEALTH
Men and Depression http://www.athealth.com/Consumer/disorders/depressionmen.html
Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year.
15. PATIENT CARE FOR THE NURSE PRACTITIONER
Meeting the Challenge of Suicide Prevention http://www.athealth.com/apps/redirect.cfm?linkid=111
Suicide prevention remains a major challenge for practitioners.
16. Some useful Books on Depression:
Darkness Visable by William Styron
An Unquiet Mind by Kay Redfeld Jamison
On the Edge of Darkness: Conversations About Conquering Depression by Kathy
Cronkite.
The Beast: A Journey Through Depression by Tracy Thompson.
Undercurrents by Martha Manning
Conquering the Beast Within by Cait Irwin
Depression as an Opportunity for Spiritual Growth, by Cheri Huber
Girl, Interrupted by Kaysen, S
A Brilliant Madness by Duke, P. & Hochman, G.
Leaves from Many Seasons: Selected Papers by Mowrer, O.H.
17. AMERICAN PSYCHIATRIC ASSOCIATION AND
AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Physicians MedGuide http://www.parentsmedguide.org/physiciansmedguide.pdf
Parents MedGuide http://www.parentsmedguide.org/parentsmedguide.pdf
The APA and the AACAP guides help patients, families, and clinicians make informed decisions about care for a child/teen with depression.
18. CONTEMPORARY PEDIATRICS
Demystifying the Black Box Warning on Antidepressants:
A Protocol for Safe Prescribing in Your Practice
http://www.athealth.com/apps/redirect.cfm?linkid=213
These recommendations provide a guide to monitoring patients for suicidal ideation. Includes monitoring forms.
19. PRIMARY PSYCHIATRY
Evidence-Based Psychotherapies for Depressed Adolescents:
A Review and Clinical Guidelines
http://www.primarypsychiatry.com/pdf/art_4910.pdf
This article reviews the rationale, treatment content, and effectiveness of four structured and targeted treatments.
20. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
Psychopathology and Marital Satisfaction:
The Importance of Evaluating Both Partners
http://www.apa.org/journals/releases/ccp725830.pdf
This research shows that each spouse's level of anxiety and depression predicted their own and their spouse’s level of marital satisfaction.
21. JOURNAL OF COUNSELING AND DEVELOPMENT
The Treatment and Prevention of Depression:
Implications for Counseling and Counselor Training
http://www.athealth.com/apps/redirect.cfm?linkid=182
Depression may be the most prevalent problem facing counselors today.
22. PATIENT CARE FOR THE NURSE PRACTITIONER
Keeping Up-To-Date in Treating Premenstrual Dysphoric Disorder
http://www.patientcarenp.com/pcnp/article/articleDetail.jsp?id=112811
Many women are more impaired by premenstrual symptoms such as depression, anxiety, mood swings, and anger than by physical changes.
23. CURRENT PSYCHIATRY ONLINE
Exercise for Depression:
It Really Does Help - Here's How To Get Patients Moving
http://www.currentpsychiatry.com/article_pages.asp?AID=763&UID=25953
Physical activity boosts the power of medications and psychotherapy.
(Complimentary registration required to access article.)
24. AMERICAN FAMILY PHYSICIAN
Efficient Identification of Adults with Depression and Dementia
http://www.aafp.org/afp/20040915/1101.html
The 2002 U.S. Preventive Services Task Force report recommends screening adults for depression to improve detection and patient outcomes. This article reviews screening instruments.
1. AMERICAN MEDICAL NEWS
Broadening the Role of Forgiveness in Medicine
2. NATIONAL ALLIANCE FOR THE MENTALLY ILL (NAMI)
3. AMERICAN MEDICAL ASSOCIATION
Guidelines for Physician-Patient Electronic Communications
4. AMERICAN MEDICAL NEWS
New Psychotropics Under Development
5. AMERICAN RADIOWORKS
Jailing the Mentally Ill
6. MEDSCAPE
Solution-Focused Therapy Exploits the Pluses (You will need to register with Medscape to access this article. Registration is free.)
7. PDR.NET
PDR for Herbal Medicines PDR.net offers information on herbal medicines, including indications and side effects. Click on PDR for Herbal Medicines in the left navigation bar. You will have to register to gain access to the herbal medicine search. Registration is free.
1. AMERICAN FAMILY PHYSICIAN Successful Management of the Obese Patient
2. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY
AACE/ACE Position Statement on the Prevention, Diagnosis, and Treatment of Obesity
3. MERCK MANUAL Obesity
4. MERCK MANUAL Binge Eating Disorder
5. NATIONAL HEART LUNG AND BLOOD INSTITUTE
Practical Guide to the Identification, Evaluation and Treatment of Overweight and Obesity in Adults
6. AMERICAN FAMILY PHYSICIAN
Taking a Nutrition History: A Practical Approach for Family Physicians
7. NATIONAL ACADEMY PRESS Weighing the Options
8. NASA AND NATIONAL INSTITUTE ON AGING
Exercise: A Guide from the National Institute on Aging
9. CHILDHOOD AND ADOLESCENT OBESITY
AtHealth Friday Progress Notes
http://crystal.palace.net/~llama/selfinjury/
http://www.selfinjury.com/ (Treatment Resource)
1. AMERICAN FAMILY PHYSICIAN
Social Anxiety Disorder: A Common, Underrecognized Mental Disorder
2. JOURNAL OF CLINICAL PSYCHIATRY
Consensus Statement on Social Anxiety Disorder from the International Consensus Group on Depression and Anxiety
3. ARCHIVES OF GENERAL PSYCHIATRY
Social Phobia or Social Anxiety Disorder: What's in a Name?
4. MEDSCAPE
Social Anxiety Disorder: Common, Disabling, and Treatable
5. JOURNAL OF CLINICAL PSYCHIATRY
Psychotherapy in the Overall Management Strategy for Social Anxiety Disorder
6. JOURNAL OF CLINICAL PSYCHIATRY
How Is Recovery From Social Anxiety Disorder Defined?
7. JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY
Cross-Cultural Evidence for the Fundamental Features of Extraversion
8.AMERICAN ACADEMY OF PEDIATRICS
Guide to Your Child's Symptoms: Fears/Phobias
9. PSYCHIATRIC TIMES
Social Phobia: Treatment Issues
10. AMERICAN FAMILY PHYSICIAN
Social Anxiety Disorder: A Common, Underrecognized Mental Disorder http://www.aafp.org/afp/991115ap/2311.html
Social phobia is a highly prevalent yet often overlooked psychiatric disorder.
11. JOURNAL OF COUNSELING AND DEVELOPMENT
Understanding and Treating Social Phobia http://www.counseling.org/publications/jcd/jcd_winter04.pdf
This article is designed to help counselors better understand the nature and treatment of social phobia.
12. MEDSCAPE
Social Anxiety Disorder: Common, Disabling, and Treatable http://www.medscape.com/viewarticle/405792_print
This condition is common, with a lifetime prevalence of up to 13%, and one third of affected persons have major dysfunction.
13. CNS SPECTRUMS
Cognitive-Behavioral Therapy for Social Anxiety Disorder: Supporting Evidence and Future Directions
http://www.cnsspectrums.com/pdf/art_337.pdf
This paper describes different modalities of CBT for SAD, including exposure, cognitive restructuring, relaxation training, and social skills training, and reviews the evidence supporting their efficacy.
14. THE PRIMARY CARE COMPANION
Fear in the Presence of Others http://www.psychiatrist.com/pcc/pccpdf/v03n02/v03n0209.pdf
This is a case presentation of a patient who was treated with a brief course of cognitive therapy.
15. eMEDICINE
Separation Anxiety and School Refusal
http://www.emedicine.com/ped/topic2657.htm
The goal of treatment is to facilitate the child returning to normal developmental functioning.
16. CONTEMPORARY PEDIATRICS
Making Friends: Helping Children Develop Interpersonal Skills http://www.athealth.com/apps/redirect.cfm?linkid=148
Developing competence in social relationships is critical for children and adolescents.
17. CENTER FOR MENTAL HEALTH IN SCHOOLS
Anxiety, Fears, Phobias, and Related Problems: Interventions and Resources
http://smhp.psych.ucla.edu/pdfdocs/Anxiety/anxiety.pdf
The packet has materials on anxiety problems and interventions.
1. AMERICAN PSYCHIATRIC ASSOCIATION
Practice Guideline for the Treatment of Patients With Eating Disorders
2. VIRTUAL HOSPITAL
Pharmacotherapy of Eating Disorders
3. AMERICAN FAMILY PHYSICIAN
The Female Athlete Triad
4. JOURNAL OF MARRIAGE AND THE FAMILY
The Critical Shapes of Body Image: The Role of Culture and Family in the Production of Eating Disorders
5. JOURNAL OF COUNSELING AND DEVELOPMENT
Supervision for Counselors Working With Eating Disorders Groups: Countertransference Issues Related to Body Image, Food, and Weight
(Adobe Acrobat Reader is needed to access this document. Scroll to the first article.)
6. THE JOURNAL OF GENDER-SPECIFIC MEDICINE
Gender-Related Aspects of Eating Disorders: A Guide to Practice
7. MEDSCAPE
No Single Answer to Treating Binge Eating Disorder
(Free Medscape registration is required.)
8. NOVA ONLINE
Dying to Be Thin This is the companion Web site to the recent PBS television broadcast on eating disorders.
9. AMERICAN FAMILY PHYSICIAN
Diagnosis of Eating Disorders in Primary Care http://www.aafp.org/afp/20030115/297.html
Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women.
10. eMEDICINE
Eating Disorder: Bulimia http://www.emedicine.com/ped/topic298.htm
Topics include clinical information and assessment, differentials, treatment, and follow-up. (Free site registration required to access this article.)
11. JOURNAL OF COUNSELING AND DEVELOPMENT
Caretaking, Separation From Parents, and the Development of Eating Disorders
http://www.counseling.org/publications/jcd/jcd_spring98.pdf
This study explores the relationship between eating disorders, codependency, and separation/individuation difficulties. (May be slow to load.)
12. MEDSCAPE
Psychologic and Physiologic Effects of Dieting in Adolescents http://www.medscape.com/viewarticle/442892_print
The paper reviews the potential adverse physiologic and psychosocial consequences associated with teen dieting.
(Free Medscape registration required to access this article.)
13. MONITOR ON PSYCHOLOGY
Partners in Illness: Patients Trading Thinness Tips http://www.apa.org/monitor/mar02/partners.html
Treatment facilities work to curb the sharing of starvation tips among patients.
14. ARCHIVES OF GENERAL PSYCHIATRY
Risk Factors for Binge Eating Disorder http://www.athealth.com/apps/redirect.cfm?linkid=68
Binge eating disorder appears to be associated with exposure to risk factors for psychiatric disorder and for obesity.
15. MONITOR ON PSYCHOLOGY
Binge-Eating Disorder: What's the Best Treatment? http://www.apa.org/monitor/mar02/binge.html
Researchers debate whether psychological or weight issues should be treated first.
16. KCTS PRODUCTIONS
Perfect Illusions: Eating Disorders and the Family http://www.pbs.org/perfectillusions
This documentary focuses on the role of the family in the evolution and treatment of and recovery from eating disorders.
17. THE PRIMARY CARE COMPANION
Bulimia Nervosa: A Primary Care Review http://www.psychiatrist.com/pcc/pccpdf/v05n05/v05n0505.pdf
This article discusses the history, presentation, and tools needed for recognizing and treating bulimia nervosa.
18. AMERICAN ACADEMY OF PEDIATRICS
Identifying and Treating Eating Disorders http://www.athealth.com/apps/redirect.cfm?linkid=174
This statement reviews the role of pediatricians in the management of eating disorders.
19. eMEDICINE
Female Athlete Triad http://www.emedicine.com/sports/topic163.htm
Females who participate regularly in sports may develop disordered eating, menstrual dysfunction, and decreased bone mineral density.
20. JOURNAL OF COUNSELING AND DEVELOPMENT
Supervision for Counselors Working With Eating Disorders Groups: Countertransference Issues Related to Body Image, Food, and Weight http://www.athealth.com/apps/redirect.cfm?linkid=175
The article describes examples of countertransference and guidelines for supervision of female counselors. (May be slow to load.)
21. CLINICAL GERIATRICS
Anorexia Nervosa in an Older Woman: Eating Disorders as Chronic Conditions
http://www.mmhc.com/cg/attachments/10-04-Lantz.pdf
This is a case presentation of a 68-year-old woman who was dieting and exercising excessively.
22. PRIMARY PSYCHIATRY
Comorbidity of Bipolar Disorder and Eating Disorders: What Can the Clinician Do http://www.primarypsychiatry.com/pdf/art_604.pdf
It is important for clinicians to be aware of the comorbidity that exists between bipolar disorder and eating disorders.
23. POSTGRADUATE MEDICINE
Eating Disorders in Adolescents with Type 1 Diabetes http://www.postgradmed.com/issues/2001/04_01/hoffman.htm
Disordered eating behavior is pervasive among adolescents with type 1 diabetes mellitus.
24. THE NATIONAL CENTER ON ADDICTION AND SUBSTANCE ABUSE
Food for Thought: Substance Abuse and Eating Disorders http://www.athealth.com/apps/redirect.cfm?linkid=176
Individuals with eating disorders are up to five times likelier to abuse alcohol or illicit drugs.
According to the NIMH, anxiety disorders affect an estimated 13 percent of children and adolescents during any given six-month period of time. THE NIMH recently announced the results of a study that found a medication to be more than twice as effective as a placebo in treating anxiety in children and adolescents (http://www.nimh.nih.gov/events/prrupp.cfm).
1. AMERICAN ACADEMY OF FAMILY PHYSICIANS
Generalized Anxiety Disorder Anxiety disorders, such as generalized anxiety disorder (GAD), panic disorder and social phobia, are the most prevalent psychiatric disorders in the U.S. Treatment consists of pharmacotherapy and various forms of psychotherapy.
2. JOURNAL OF COUNSELING AND DEVELOPMENT
Assessment and Diagnosis of DSM-IV Anxiety Disorders The article reviews assessment and diagnosis of anxiety disorders and comorbidity. (You will need the Adobe Acrobat Reader to access this document. Scroll down to page 97 of the reader, which is page 209 of the actual document.)
3. JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY
The Age of Anxiety? Birth Cohort Change in Anxiety and Neuroticism, 1952-1993 Two meta-analyses find that Americans have shifted toward substantially higher levels of anxiety and neuroticism during recent decades.
4. AMERICAN PSYCHIATRIC ASSOCIATION
Practice Guideline for the Treatment of Patients With Panic Disorder The guideline outlines diagnostic assessment, epidemiology, and treatment of panic disorders and provides a review of comorbid disorders.
5. POSTGRADUATE MEDICINE
Blocking the Cycle of Panic Disorder In this article, the authors describe typical and atypical presentations of panic attacks and summarize effective pharmacologic and cognitive-behavioral therapies.
6. UNIVERSITY OF IOWA FAMILY PRACTICE HANDBOOK
Pharmacologic Treatment of Panic Disorder Specific treatment goals include preventing panic attacks, reducing intensity of attacks, decreasing anticipatory anxiety and eliminating agoraphobic avoidance. General goals include restoration of functioning and quality of life and preventing recurrences and complications.
7. SOUTHERN MEDICAL ASSOCIATION
Anxiety Disorders in Children and Adolescents The authors review the spectrum of anxiety in children and adolescents, treatment options, and guidelines on when to refer to a mental health practitioner. (The Adobe Acrobat Reader is needed.)
8. CLINICAL GERIATRICS
Diagnosis and Management of Anxiety in the Geriatric Patient As with other psychiatric disorders, anxiety disorders are underdiagnosed in the elderly population.
The Schizophrenia Wellness Center (Medscape) Lots of informative research, pharmacology, and patient links
1. eMEDICINE
Schizophrenia http://www.emedicine.com/emerg/topic520.htm
Schizophrenia is a chronic psychotic disorder with onset typically occurring in adolescence or young adulthood.
2. AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY Practice Parameters for the Assessment and Treatment of Children and Adolescents with Schizophrenia http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=3017
The guidelines provide recommendations for the assessment and treatment of schizophrenia in children and adolescents.
3. CNS NEWS
An Overview of Antischizophrenic Medications http://www.athealth.com/apps/redirect.cfm?linkid=114
Antipsychotic medications are the mainstay of the pharmacologic treatment of schizophrenia. (Free registration is required.)
4. THE JOURNAL OF CLINICAL PSYCHIATRY
Rethinking the Treatment of Psychotic Disorders http://www.psychiatrist.com/pcc/pccpdf/v04n05/v04n0506.pdf
In the right patient at the right time, cognitive therapy can be a useful adjunct in the treatment of patients with schizophrenia.
5. JOURNAL OF HOME CARE MEDICINE
Medical Comorbidity in Patients With Schizophrenia http://www.athealth.com/apps/redirect.cfm?linkid=115
Patients with schizophrenia have higher mortality rates and are more likely to die of preventable causes than the general population.
6. CNS NEWS
Treating Schizophrenia in the Correctional Setting http://www.athealth.com/apps/redirect.cfm?linkid=116
Treating correctional populations requires a different approach. (Free registration is required to access this article.)
7. NEUROPSYCHOLOGY
Memory-Delineated Subtypes of Schizophrenia: Relationship to Clinical, Neuroanatomical, and Neurophysiological Measures http://www.athealth.com/apps/redirect.cfm?linkid=117
Schizophrenia may not be one single disease but rather an array of disorders.
8. THE JOURNAL OF CLINICAL PSYCHIATRY
Intervention Strategies for Suicidality http://www.psychiatrist.com/audiograph/meltzer/jcpbook.pdf
Suicide is a major cause of morbidity and mortality in patients with schizophrenia.
1. MENTAL HEALTH: A REPORT OF THE SURGEON GENERAL
Attention-Deficit/Hyperactivity Disorder The report reviews prevalence, etiology, diagnostic criteria, and treatment options.
2. AMERICAN ACADEMY OF PEDIATRICS
Diagnosis and Evaluation of the Child With Attention-Deficit/Hyperactivity Disorder
This clinical practice guideline provides recommendations for the assessment and diagnosis of school-aged children with ADHD. (You will need the Adobe Acrobat Reader to access this document.)
3. AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP)
The Child with ADHD: Using the AAP Clinical Practice Guideline Primary care clinicians frequently are asked by parents and teachers to evaluate a child for ADHD; early recognition, assessment and management of this condition can redirect the educational and psychosocial development of most children with ADHD.
4. AMERICAN PSYCHOLOGICAL ASSOCIATION (APA)
Combination of Drug and Behavior Interventions Are Most Effective for Treating Teenagers with ADHD A new study appearing in the current issue of Experimental and Clinical Psychopharmacology found that methylphenidate (Ritalin), in combination with a behavior modification intervention, improved teen's diagnosed with ADHD performance on a range of academic measures.
5. UCLA SCHOOL MENTAL HEALTH PROJECT
Attention Problems: Intervention and Resources This packet serves as a starting point for increasing awareness of assessment and treating of attention problems. (Adobe Reader is needed to access this document)
6. MEDSCAPE - JOURNAL OF THE AMERICAN PHARMACEUTICAL ASSOCIATION Medication Management in Primary and Secondary Schools The management of medications in primary and secondary schools is emerging as an increasingly urgent problem. (Free registration with Medscape is required.)
7. CENTER FOR EFFECTIVE COLLABORATION AND PRACTICE
Addressing Student Problem Behavior This paper outlines the process for conducting a functional behavioral assessment and a description of how to develop and implement various interventions in planning an individualized education program (IEP). (The Adobe Reader is needed.)
8. PEDIATRIC DEVELOPMENT AND BEHAVIOR
ADHD and the Military This article explores the question of whether young adults are eligible for the military if they are taking medication for ADHD.
9. AMERICAN ACADEMY OF PEDIATRICS (AAP)
Clinical Practice Guideline: Diagnosis and Evaluation of the Child With Attention-Deficit/Hyperactivity Disorder http://www.athealth.com/apps/redirect.cfm?linkid=164
This clinical practice guideline provides recommendations for the assessment and diagnosis of school-aged children with ADHD. (Document may be slow to load.)
10. AMERICAN ACADEMY OF PEDIATRICS (AAP)
Clinical Practice Guideline: Treatment of the School-Aged Child With Attention-Deficit/Hyperactivity Disorder http://www.athealth.com/apps/redirect.cfm?linkid=165
This guideline provides evidence-based recommendations for the treatment of children with ADHD.
11. AMERICAN ACADEMY OF PEDIATRICS and NICHQ
ADHD Practitioners' Toolkit http://www.nichq.org/resources/toolkit/
This is a set of real-world tools for use in implementing the guidelines for treating ADHD. It includes evaluation forms, assessment scales, daily report card, medication chart, and school strategies.
12. ALCOHOL RESEARCH AND HEALTH
Can your Children Drive You To Drink? http://www.athealth.com/consumer/disorders/adhdparents.html
Parents of children with behavior problems - particularly ADHD - experience highly elevated levels of daily child-rearing stresses.
13. JOURNAL OF COUNSELING AND DEVELOPMENT
Strategies for Counselors Working With High School Students With Attention-Deficit/Hyperactivity Disorder http://www.athealth.com/apps/redirect.cfm?linkid=166
The authors provide counselors with strategies to identify social, academic, vocational, and life issues. (May be slow to load.)
14. AMERICAN ACADEMY OF PEDIATRICS and NICHQ
Educational Rights for Children with ADHD http://www.nichq.org/resources/toolkit/19EducationalRightsChild.pdf
This paper gives information about two main laws that protect the educational rights of children with disabilities, including ADHD.
15. THE JOURNAL OF CLINICAL PSYCHIATRY
Clinical Presentations of Adult Patients With ADHD http://www.psychiatrist.com/supplenet/v65s03/v65s0302.pdf
ADHD persists into adulthood in an increasingly recognized number of individuals with childhood onset. This article reviews 3 cases.
16. PRIMARY PSYCHIATRY
Recognizing and Managing the Treatment-Disruptive Effects of Adult Attention-Deficit Disorder
http://www.primarypsychiatry.com/pdf/art_317.pdf
Unrecognized comorbid ADD often undermines the treatment of adults being seen for other psychological disorders.
1. AMERICAN FAMILY PHYSICIAN
Primary Care Treatment of Post-traumatic Stress Disorder Post-traumatic stress disorder (PTSD) can affect a wide range of patients in family practice, regardless of culture, age, sex, or socioeconomic class.
2. THE JOURNAL OF CLINICAL PSYCHIATRY
Posttraumatic Stress Disorder: The Burden to the Individual and to Society PTSD is a highly prevalent and impairing condition. Early and aggressive outreach to treat people with PTSD could help reduce the enormous societal costs of this disorder.
3. AMERICAN PSYCHIATRIC ASSOCIATION
Psychiatric Dimensions of Disaster: Patient Care, Community Consultation, and Preventive Medicine This paper examines posttraumatic responses of direct concern to clinicians working in a community exposed to a disaster.
4. THE JOURNAL OF CLINICAL PSYCHIATRY
Comorbidity of Psychiatric Disorders and PTSD Data from epidemiologic surveys indicate that the vast majority of individuals with PTSD meet criteria for at least one other psychiatric disorder.
5. AMERICAN ACADEMY OF PEDIATRICS
The American Academy of Pediatrics offers advice on how to communicate with children and adolescents during times of crisis.
6. AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Practice Parameters for the Assessment and Treatment of Children and Adolescents with Posttraumatic Stress Disorder The guidelines include sections on diagnostic assessment, differential diagnosis, subtypes of PTSD, and treatment.
7. AMERICAN ACADEMY OF EXPERTS IN TRAUMATIC RESPONSE
Law Enforcement Traumatic Stress: Clinical Syndromes and Intervention Strategies Law enforcement and emergency services personnel are highly prone to PTSD.
8. AMERICAN ACADEMY OF EXPERTS IN TRAUMATIC RESPONSE|
Down the Long Road of Grief: Supporting Survivors, Families and Loved Ones in the Aftermath In the aftermath of tragedy, individuals, families, responders, schools, workplaces, neighborhoods and the community reverberate in grief.
9. National Mental Health Association
Links to PTSD Information
10. AMERICAN FAMILY PHYSICIAN
Diagnosis and Management of Post-traumatic Stress Disorder http://www.aafp.org/afp/20031215/2401.html
One study indicates that 11.8 percent of patients presenting to a primary care clinic met the diagnostic criteria for PTSD.
11. VETERANS ADMINISTRATION AND DEPARTMENT OF DEFENSE
Management of Post-Traumatic Stress http://www.oqp.med.va.gov/cpg/PTSD/PTSD_Base.htm
The guideline addresses management of acute post-trauma stress after exposure to trauma in civilian and military personnel.
12. PRIMARY PSYCHIATRY
Treatment and Prevention of Posttraumatic Stress Disorder http://www.primarypsychiatry.com/pdf/art_381.pdf
The article reviews the basic efficacy of several psychosocial treatments for PTSD i.e., exposure, stress inoculation training, eye movement desensitization and reprocessing, cognitive therapy).
13. JOURNAL OF COUNSELING AND DEVELOPMENT
Preventing Vicarious Trauma: What Counselors Should Know When Working With Trauma Survivors http://www.athealth.com/apps/redirect.cfm?linkid=156
The article describes vicarious trauma and how it differs from burnout and countertransference. (Document may be slow to load.)
14. NATIONAL CENTER FOR POST TRAUMATIC STRESS DISORDER
Disaster Mental Health Services http://www.athealth.com/apps/redirect.cfm?linkid=158
This guidebook is an introduction to the field of disaster mental health for clinicians and administrators.
15. AMERICAN PSYCHOLOGICAL ASSOCIATION
Foster Resilience in Response to Terrorism: Working with Military Families
http://www.apa.org/psychologists/pdfs/militaryfamilies.pdf
Ways in which therapists can help families cope with the stress of separation, reunion, and postdeployment family readjustment.
16. CNS SPECTRUMS
The Syndrome of Traumatic Grief http://www.cnsspectrums.com/article.php3?id=56
PTSD is the diagnosis that most closely resembles traumatic grief; however, there are important distinctions.
17. INTERNATIONAL SOCIETY FOR TRAMUATIC STRESS STUDIES
Childhood Trauma Remembered
http://www.istss.org/publications/ChildhoodTraumaRemembered.pdf
This report is an overall summary of the major issues involved in the recall of childhood trauma.
18. JOURNAL OF CLINICAL PSYCHIATRY
Trauma and Stress: Diagnosis and Treatment http://www.psychiatrist.com/achi/6211.pdf
This discussion of PTSD covers some of the current issues in diagnosis, pathophysiology, and treatment.
19. MIRECC - PALO ALTO VA HEALTH CARE SYSTEM
A Multicultural Developmental Approach for Treating Trauma
http://mirecc.stanford.edu/PTSD%20Education%20Docs/fred2.pdf
The ability to treat trauma victims is enhanced when the clinician fully integrates an appreciation of cultural differences.
20. SAMHSA
Psychosocial Issues for Children and Families in Disasters: A Guide For The Primary Care Physician
http://www.mentalhealth.org/publications/allpubs/SMA95-3022/default.asp
The focus of this manual is on how the child health care provider may better prepare, assess, and treat youngsters and their families in the event of a disaster.
21. AMERICAN PSYCHIATRIC ASSOCIATION
Disaster Psychiatry: Principles And Practice
http://www.psych.org/pract_of_psych/principles_and_practice3201.cfm
This paper discusses psychological, physiological, behavioral, and community responses encountered in the aftermath of a disaster.
22. TRAUMA AND LOSS: RESEARCH AND INTERVENTIONS
Using Drawing as Intervention with Traumatized Children http://www.tlcinst.org/drawingintervention.html
This article provides a basic overview of how therapists and counselors can use drawing as intervention with children who have experienced trauma or loss.
23. AMERICAN PSYCHOLOGICAL ASSOCIATION
The Road to Resilience http://helping.apa.org/resilience/index.html
The APA and the Discovery Health Channel have launched a nationwide public education campaign that will help people manage difficult situations, deal with stress, and bounce back from adversity.
24. AMERICAN ACADEMY OF EXPERTS IN TRAUMATIC RESPONSE
How Can Emergency Responders Manage Their Own Response To a Traumatic Event? http://www.aaets.org/own.pdf
Help for emergency responders who are exposed to overwhelming physical events as well as the psychological impact that these events have on others.
1. Substance Abuse and Mental Health Services Administration
National Alcohol and Drug Addiction Recovery Month
2. Harvard School of Public Health College Alcohol Study
Binge Drinking on America's College Campuses
3. National Center on Addiction and Substance Abuse
Dangerous Liasons: Substance Abuse and Sex
4. National Center on Addiction and Substance Abuse
National Survey of American Attitudes on Teen Substance Abuse
5. Alcohol Research and Health
Parenting Influences on the Development of Alcohol Abuse and Dependence
6. Office of National Drug Policy
MDMA (Ecstacy)
7. American Academy of Pediatrics
Marijuana: A Continuing Concern for Pediatricians
8. Substance Abuse and Mental Health Services Administration
A Provider's Guide to Substance Abuse Treatment for Lesbian, Gay, Bisexual and Transgender Individuals
9. PRIMARY PSYCHIATRY
Treatment Considerations in Patients With Addictions
http://www.primarypsychiatry.com/pdf/art_408.pdf
This article reviews some principles of addiction treatment and other factors that can influence treatment outcomes.
10. THE NATIONAL CENTER ON ADDICTION AND SUBSTANCE ABUSE
Family Matters: Substance Abuse and The American Family
http://www.athealth.com/apps/redirect.cfm?linkid=209
Too many parents set examples that increase the risk their children will smoke, use illegal drugs, and abuse alcohol.
11. JOURNAL OF COUNSELING AND DEVELOPMENT
Addictions Counselors' Attitudes and Behaviors Toward Gay,
Lesbian, and Bisexual Clients
http://www.athealth.com/apps/redirect.cfm?linkid=210
This study surveyed addictions counselors to determine factors that predict
affirmative attitudes and behaviors with clients. (May be slow to load.)
12. AMERICAN FAMILY PHYSICIAN
Addiction: Part II. Identification and Management of the Drug-Seeking Patient
http://www.aafp.org/afp/20000415/2401.html
Codependence and countertransference may affect the clinician's ability
to treat patients with drug addictions.
13. CANADIAN MEDICAL ASSOCIATION
Addiction Beyond Substances: Gambling, Food, Sex and Relationships
http://www.cma.ca/index.cfm/ci_id/5565/la_id/1.htm
The nature of addiction involves a loss of personal choice for the individual.
14. CURRENT PSYCHIATRY ONLINE
Time To Log Off: New Diagnostic Criteria for Problematic Internet Use
http://www.currentpsychiatry.com/article_pages.asp?AID=619&UID=23854
Many clinicians diagnose problematic Internet use with schemas based on substance use disorders and pathologic gambling. (Complimentary registration required to access article.)
15. CENTER FOR ONLINE ADDICTION
Cybersex and Infidelity Online: Implications for Evaluation and Treatment
http://netaddiction.com/articles/cyberaffairs.htm
This paper examines how the ability to form online romantic relationships can negatively impact once stable marriages.
16. CONTEMPORARY PEDIATRICS
The A-R-T of Tobacco Use Counseling: A New Office Approach
http://www.athealth.com/apps/redirect.cfm?linkid=211
The authors offer a practical strategy, which includes a new twist that can work for counseling kids about any risky behavior.
American College Counseling Association www.collegecounseling.org
American College Health Association www.acha.org
American College Personnel Association www.acpa.nche.edu
American Counseling Association www.counseling.org
American Foundation for Suicide Prevention www.afsp.org
Anxiety Disorders Association of America www.adaa.org
Eating Disorders Awareness and Prevention, Inc. www.edap.org
National Clearinghouse for Alcohol and Drug Information www.health.org
National Institute of Mental Health www.nimh.nih.gov
National Panhellenic Conference www.npcwomen.org
The BACCHUS and GAMMA Peer Education Network www.bacchusgamma.org
Mass Board of Registration - Allied Mental Health www.state.ma.us/reg/boards/mh/default.htm
Mass Assoc Marriage & Family Therapy www.mamft.org/
Mass Mental Health Counselors Assoc www.mamhca.org
Am. Psychological Assoc www.apa.org/
ACA Code of Ethics and Standards of Practice www.counseling.org/resources/codeofethics.htm
1. AMERICAN ACADEMY OF NEUROLOGY
Practice Parameter: Screening and Diagnosis of Autism This practice parameter reviews the available empirical evidence and gives specific recommendations for the identification of children with autism. The American Academy of Pediatrics endorses and accepts this practice parameter as its policy.
2. AMERICAN ACADEMY OF PEDIATRICS
Technical Report: The Pediatrician's Role in the Diagnosis and Management of Autistic Spectrum Disorder in Children This report complements and expands on the information in the above practice parameter from the American Academy of Neurology.
3. AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Practice Parameters for the Assessment and Treatment of Children, Adolescents, and Adults with Autism and Other Pervasive Developmental Disorders Topics include assessment, differential diagnosis, and treatment.
4. PEDIATRICS
Counseling Parents Regarding Prognosis in Autistic Spectrum Disorder The author presents a conceptual model to use when introducing parents to the diagnosis of ASD.
5. INSTITUTE OF MEDICINE
Immunization Safety Review: Measles-Mumps-Rubella Vaccine and Autism This report presents an assessment of the evidence regarding a hypothesized causal association between measles-mumps-rubella (MMR) vaccine and autism.
6. VIRTUAL HOSPITAL
Pediatric Psychopharmacology: Autism Therapeutic agents included in this review are fenfluramine, haloperidol pimozide, risperidone, clonidine, and naltrexone.
7. NATIONAL ACADEMY OF SCIENCES
Educating Children With Autism This online book outlines an interdisciplinary approach to educating children with autism.
8. NATIONAL INSTITUTE OF MENTAL HEALTH
Autism This booklet provides diagnosis and treatment information and coping strategies for families.
9. University Students with Autism and Asperger's Syndrome
A UK-based Support Site
10. AMERICAN FAMILY PHYSICIAN
Autism: A Medical Primer http://www.aafp.org/afp/20021101/1667.html
Autism is a wide-spectrum, pervasive developmental disorder of uncertain etiology.
11. CONTEMPORARY PEDIATRICS
Is It Autism? http://www.athealth.com/apps/redirect.cfm?linkid=171
This review covers diagnostic criteria, conditions to consider in the differential, the evaluation, and treatment options.
12. BRIGHT FUTURES
Pervasive Developmental Disorders (PDD) http://www.brightfutures.org/mentalhealth/pdf/bridges/pdd.pdf
Early identification and intensive intervention can improve outcomes for most children with PDDs.
13. PATIENT CARE FOR THE NURSE PRACTITIONER
A Rational Approach to the Medical Evaluation of a Child with Developmental Delay
http://www.patientcarenp.com/pcnp/article/articleDetail.jsp?id=110656
The authors offer a framework for thoughtful and directed use of diagnostic tests available to assess developmental delays.
14. NATIONAL INSTITUTE OF MENTAL HEALTH
Autism Spectrum Disorders http://www.athealth.com/consumer/disorders/autismpdd.html
ASD is defined by a certain set of behaviors that can range from the very mild to the severe.
15. MEDSCAPE
Treatment of Comorbid Disorders in Autism: Which Regimens Are Effective and for Whom?
http://www.medscape.com/viewarticle/430507_print
The development of new classes of medications is broadening the options for treating
individuals with autism and comorbid psychiatric illness.
16. CNS SPECTRUMS
Social Cognition and Its Neural Correlates in Schizophrenia and Autism
http://www.cnsspectrums.com/pdf/art_508.pdf
This article reviews research into two of the processes thought to underlie social cognition in schizophrenia and autism.
17. FUTURE OF CHILDREN
Special Education for Students with Disabilities http://www.athealth.com/apps/redirect.cfm?linkid=172
This issue provides a series of articles on meeting the educational needs of children with disabilities.
Skill-Based Psychotherapy Integration
(Now retitled as Multitheoretical Psychotherapy)
Mutltitheoretical Model, Workbook and Practice Sheets
Relapse Prevention in the Treatment of Depression
1. MWK PUBLISHING
Relapse Prevention in the Treatment of Depression: Summaries of Clinical Studies This material includes current and relevant information on treatment and research advances in the treatment of depression.
2. VIRTUAL HOSPITAL
Pediatric Psychopharmacology: Depression The article reviews treatment options for children and adolescents with depression.
1. AMERICAN FAMILY PHYSICIAN
Conduct Disorder: Diagnosis and Treatment in Primary Care Conduct disorder is a psychiatric syndrome occurring in childhood and adolescence, and is characterized by a longstanding pattern of violations of rules and antisocial behavior.
2. eMEDICINE
Conduct Disorder Conduct disorder (CD) is one of the most difficult and intractable mental health problems in children and adolescents. (Free registration to site is required.)
3. JOURNAL OF COUNSELING AND DEVELOPMENT
Assessment and Diagnosis of Conduct Disorder The authors examine problems and solutions associated with accurate assessment and diagnosis of conduct disorder. Scroll down to page 189 of the journal.
4. AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Practice Parameters for the Assessment and Treatment of Children and Adolescents with Conduct Disorder The outline includes such topics as diagnostic assessment, diagnostic formulation, and treatment.
5. SCHOOL MENTAL HEALTH PROJECT
Conduct and Behavior Problems: Interventions and Resources This introductory packet provides fact sheets and behavioral strategies for managing disruptive students. (Document may be slow to load.)
6. THE JOURNAL OF CLINICAL PSYCHIATRY
Aggressive Behavior in Patients With Attention-Deficit/Hyperactivity Disorder, Conduct Disorder, and Pervasive Developmental Disorders This article discusses the phenomenology, etiology, assessment, and pharmacologic treatment of aggressive behavior in patients who have ADHD, conduct disorder, and pervasive developmental disorders.
7. BRITISH MEDICAL JOURNAL
Financial Cost of Social Exclusion: Follow Up Study of Antisocial Children into Adulthood Antisocial behavior in childhood is a major predictor of the total cost of public services used by age 28.
8. ERIC/CASS VIRTUAL LIBRARY
Adolescent Behavior Problems: Peer Pressure Is All It Is Cracked Up To Be Findings from this study indicate that peer influence explains student behavior throughout the high school years better than any other variable.
1. KAISER FAMILY FOUNDATION AND SEVENTEEN MAGAZINE
Survey of Teens about Sexual Health Communication According to this national survey of 15- to 17-year olds, most teens are not talking to their parents or their health care providers about sexual health issues.
2. NATIONAL TEEN PREGNANCY PREVENTION RESEARCH CENTER
Home Pregnancy Tests: Do Teens Depend on Them? Teens say they use home pregnancy tests because they are private.
3. AMERICAN ACADEMY OF PEDIATRICS
Sexuality Education for Children and Adolescents Children and adolescents need accurate and comprehensive education about sexuality to practice healthy sexual behavior as adults.
4. AMERICAN FAMILY PHYSICIAN
Implementing the Guidelines for Adolescent Preventive Services GAPS consists of 24 recommendations that encompass health care delivery, health guidance, and screening for teens.
5. NATIONAL TEEN PREGNANCY PREVENTION RESEARCH CENTER
Timely Matters: Human Papillomavirus/HPV/Genital Warts Young females are at greater risk of HPV infection.
6. SIECUS
Lesbian, Gay, Bisexual and Transgender Youth Issues The fact sheet reviews research on sexual orientation during adolescence and presents the available statistics on lesbian, gay, bisexual, and transgender (LGBT) students.
7. AMERICAN ACADEMY OF PEDIATRICS
Sexuality, Contraception, and the Media The media are believed to play a significant role on the sexual attitudes, values, and beliefs of teenagers.
8. SIECUS
Families Are Talking Teens talk about TV, sex, and real life.
9. HUMAN DEVELOPMENT AND FAMILY LIFE BULLETIN
Facing Facts: Sexual Health for American Adolescents This author discusses seven points to consider when promoting adolescent sexual health.
1. MERCK MANUAL
Personality Disorders The Merck Manual provides an overview of personality disorders.
2. AMERICAN PSYCHIATRIC ASSOCIATION
Practice Guideline for the Treatment of Patients With Borderline Personality Disorder This practice guideline summarizes data regarding the care of patients with borderline personality disorder.
3. PRIMARY PSYCHIATRY
Antisocial Personality Disorder: The Forgotten Patients of Psychiatry The article includes history, clinical manifestations, assessment, management of ASP, medication, prevention, and a case example.
4. MEDSCAPE
Suicide Risk Assessment and Management: Personality Disorders This paper reviews recent research into the assessment and clinical management of suicide risk in patients with personality diagnoses. (Free Medscape registration required.)
5. INTEGRATED TREATMENT OF PSYCHIATRIC DISORDERS
Integrated Treatment Planning for Borderline Personality Disorder Scroll down to Chapter 3 to access this information. Topics include assessment and treatment planning. (Textbook may be slow to load.)
6. eMEDICINE
Personality Disorder: Avoidant Personality APD is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
7. MEDSCAPE
How to Help Children at Risk of Developing a Borderline or Narcissistic Personality Disorder Children who are at risk to develop a dramatic personality disorder seem to share a striking incongruity -- an uncanny sensitivity and reactivity.
8. INSIGHT
Borderline Patient: Danger Ahead This article suggests things that therapists can do to protect themselves from malpractice allegations from borderline patients.
1. http://directory.google.com/Top/Society/Transgendered/Transition/
2. Gender Dysphoria Association Standards of Care
Somatoform and Other Disorders
1. AMERICAN PSYCHIATRIC PUBLISHING
Somatoform and Factitious Disorders
http://www.psc.uc.edu/RS/Library/Somatoform-Factitious%20Dis.pdf
Somatoform and factitious disorders can baffle even the most experienced clinician. (May be slow to load.)
2. JOURNAL OF COUNSELING AND DEVELOPMENT
Detecting Chronic Fatigue Syndrome: The Role of Counselors http://www.athealth.com/apps/redirect.cfm?linkid=154
CFS is often mistaken for such mental health problems as depression, school phobia, or somatization. (Document may be slow to load.)
3. MEDSCAPE
Trichotillomania: Recognition and Treatment http://www.medscape.com/viewarticle/430540_print
Despite its apparent prevalence, trichotillomania (TTM) has been one of the more obscure, understudied, and undertreated disorders.
4. AMERICAN FAMILY PHYSICIAN
Somatizing Patients: Part II. Practical Management http://www.aafp.org/afp/20000301/1423.html
Patients with somatization experience emotional distress or difficult life situations as physical symptoms.
5. THE CHILD'S DOCTOR
Somatoform Disorders in the Pediatric Population http://www.childsdoc.org/spring97/martini/somatoformdis.asp
The etiology of somatoform disorders is not clear; the problem seems to be multi-determined.
6. JOURNAL OF HOME CARE MEDICINE
Somatization in Older Adults: Diagnosis and Management http://www.athealth.com/apps/redirect.cfm?linkid=155
Somatization is an expression of psychological distress in the form of physical symptoms.
7. ATHEALTH.COM
Body Image and Body Dysmorphic Disorder http://www.athealth.com/Consumer/disorders/BDDInterview.html
J. Kevin Thompson, PhD, answers questions about body image and BDD.
8. POSTGRADUATE MEDICINE
Is It A Tic or Tourette's? http://www.postgradmed.com/issues/2000/10_00/evidente_tic.htm
The author discusses the various types of tics and the wide range of treatments available for their management.
1. AMERICAN FAMILY PHYSICIAN
Recognition and Treatment of Obsessive-Compulsive Disorder http://www.aafp.org/afp/980401ap/eddy.html
Obsessive-compulsive disorder is a serious and relatively common disorder that is seldom voluntarily disclosed by patients.
2. CNS SPECTRUMS
Long-Term Efficacy of Exposure and Ritual Prevention Therapy and Serotonergic Medications for Obsessive-Compulsive Disorder http://www.cnsspectrums.com/pdf/art_336.pdf
The clinical prognosis for patients with OCD was substantially improved with the introduction of behavioral therapy by exposure and response (ritual prevention).
3. PRIMARY PSYCHIATRY
The Challenge of Obsessive-Compulsive Disorder Hoarding http://www.primarypsychiatry.com/article.php3?id=70&html=yes
The hoarding variety of OCD carries difficult treatment challenges and a poor prognosis.
4. PRIMARY CARE COMPANION TO THE JOURNAL OF CLINICAL PSYCHIATRY
A Case Series of Women With Postpartum-Onset OCD http://www.psychiatrist.com/pcc/pccpdf/v01n04/v01n0402.pdf
There is emerging evidence that postpartum women are at risk for the development or worsening of obsessive-compulsive disorder.
5. THE JOURNAL OF PSYCHOTHERAPY PRACTICE AND RESEARCH
A Time-Limited Behavioral Group for Treatment of Obsessive-Compulsive Disorder
http://www.psc.uc.edu/RS/Library/OCD%20Group%20Treatment.pdf
This report describes a time-limited 10-session behavioral therapy group for OCD.
6. CNS SPECTRUMS
Methylphenidate-Induced Obsessive-Compulsive Symptoms in an Elderly Man
http://www.cnsspectrums.com/pdf/art_377.pdf
Stimulants may cause or worsen OCD symptoms via the dopaminergic system.
7. PEDIATRICS
Obsessive-Compulsive Scale of the Child Behavior Checklist: Specificity, Sensitivity, and Predictive Power http://pediatrics.aappublications.org/cgi/reprint/108/1/e14.pdf
The goal of this research was to create an obsessive-compulsive disorder subscale (OCS)
of the Child Behavior Checklist (CBCL).
8. PRIMARY CARE COMPANION
Cognitive Therapy Lite http://www.psychiatrist.com/pcc/pccpdf/v04n06/v04n0606.pdf
This case illustrates the use of cognitive therapy with an OCD patient.
1. AMERICAN FAMILY PHYSICIAN
School Problems and the Family Physician http://www.aafp.org/afp/990515ap/2816.html
Diagnosis and treatment of school problems depend on the collaboration of a multidisciplinary team.
2. CONTEMPORARY PEDIATRICS
Helping Children With Learning Disabilities Toward A Brighter Future http://www.athealth.com/apps/redirect.cfm?linkid=104
Learning disorders that go undiagnosed and untreated in childhood can blight adult lives.
3. NICHCY
IDEA '97 Training Package http://www.nichcy.org/Trainpkg/toc.htm
IDEA is our nation's special education law. These training materials provide parents and schools a tool to use in implementing IDEA '97.
4. BRIGHT FUTURES
IEP Meeting Checklist for Parents http://www.brightfutures.org/mentalhealth/pdf/families/mc/iep.pdf
This checklist will help parents participate in the development of the child's Individualized Education Program.
5. CENTER FOR EFFECTIVE COLLABORATION AND PRACTICE
Functional Behavioral Assessment http://cecp.air.org/fba/default.htm
Functional behavioral assessment is generally considered to be a problem-solving process for addressing student problem behavior.
6. MEDSCAPE
Learning Disabilities: A Diagnosis Ignored by Nurses http://www.medscape.com/viewarticle/448020
Regardless of the setting, comprehensive care mandates that pediatric nurses understand LDs.
7. CHILD AND ADOLESCENT BIPOLAR FOUNDATION
The Educational Needs of a Child or Adolescent with Bipolar Disorder http://www.cabf.org/learning/educating.htm
A child diagnosed with bipolar disorder needs parents, school staff, and medical professionals who know how the illness affects learning.
8. UCLA SCHOOL MENTAL HEALTH PROJECT
Learning Problems and Learning Disabilities http://smhp.psych.ucla.edu/pdfdocs/LDProbs/ldprobs.pdf
This packet focuses on a wide spectrum of learning problems and emphasizes new directions for classification and intervention.
Suicide Assessment and Intervention
1. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
National Strategy for Suicide Prevention: Goals and Objectives for Action
http://www.mentalhealth.org/publications/allpubs/SMA01-3517
This document outlines our nation's strategy to prevent suicide.
2. POSTGRADUATE MEDICINE
Principles of Suicide Risk Assessment http://www.postgradmed.com/issues/2002/09_02/frierson4.htm
The authors discuss demographics and risk factors of suicide and propose approaches to managing suicide risk in depressed patients.
3. JOURNAL OF COUNSELING AND DEVELOPMENT
A Primer on Suicidology: Implications for Counselors http://www.counseling.org/publications/jcd_summer02.pdf
The author addresses suicide theory, assessment, risk factors, intervention, prevention, and training. (May be slow to load. Scroll down and click on title to access the article.)
4. AMERICAN PSYCHIATRIC PRESS
Treatment of Suicidal Patients in Managed Care http://www.appi.org/pdf/ellison.pdf
Topics include crisis care, suicidal adolescents, suicide in the elderly, pharmacotherapy, risk management, the aftermath of suicide, and formulation of suicide risk. (Document is slow to load.)
5. AMERICAN FAMILY PHYSICIAN
Evaluation and Treatment of Patients with Suicidal Ideation http://www.aafp.org/afp/990315ap/1500.html
Suicidal ideation warrants thorough evaluation--both when suicidality is expressed as well as periodically thereafter.
6. ARCHIVES OF FAMILY MEDICINE
Are No-Suicide Contracts Effective in Preventing Suicide in Suicidal Patients Seen by Primary Care Physicians?
http://archfami.ama-assn.org/issues/v9n10/ffull/fqa0007-1.html
No-harm contracts should be used only as an adjunct to full assessment with patients who are at high risk of self-harm.
7. AMERICAN ACADEMY OF PEDIATRICS
Suicide and Suicide Attempts in Adolescents http://www.aap.org/policy/re9928.html
This statement assists health care providers in the identification and management of the adolescent at risk for suicide.
8. UCLA DEPARTMENT OF PSYCHOLOGY - SCHOOL MENTAL HEALTH PROJECT
School Intervention to Prevent Youth Suicide http://smhp.psych.ucla.edu/pdfdocs/Sampler/Suicide/suicide.pdf
This document provides considerable information on prevention, assessment, crisis response, and aftermath assistance.
1. CONTEMPORARY PEDIATRICS
Bullies and Victims: A Guide for Pediatricians http://www.athealth.com/apps/redirect.cfm?linkid=23
These psychologists talk about how to identify both bullies and victims and how to intervene before lasting harm is done.
2. AMERICAN BAR ASSOCIATION JUVENILE JUSTICE CENTER
The Pathways to Youth Violence: How Child Maltreatment and Other Risk Factors Lead Children to Chronically Aggressive Behavior http://www.abanet.org/crimjust/juvjus/macarthur_index.html
This is one of six juvenile court training modules. Free registration may be required to access the training materials.
3. NATIONAL ACADEMY PRESS
Deadly Lessons: Understanding Lethal School Violence http://www.nap.edu/books/0309084121/html/
This report is the outcome of the National Research Council's effort to glean lessons from six case studies of lethal student violence in urban, suburban, and rural schools.
4. FUTURE OF CHILDREN
Mitigating the Effects of Gun Violence on Children and Youth
http://www.futureofchildren.org/usr_doc/tfoc_12-2f.pdf
Exposure to gun violence profoundly affects children and youth - even if they are not the direct victims or perpetrators.
5. JUVENILE JUSTICE JOURNAL
Conflict Resolution Education: Preparing Youth for the Future http://www.ncjrs.org/html/ojjdp/jjjournal_2001_6/jj3.html
The authors identify and discuss the components of an authentic conflict resolution education program.
6. OFFICE OF JUSTICE PROGRAMS AND US DEPARTMENT OF EDUCATION
Conflict Resolution Education: A Guide to Implementing Programs http://www.ncjrs.org/pdffiles/conflic.pdf
This guide provides information on how to develop comprehensive youth-centered conflict resolution programs. (May be slow to load.)
7. BUREAU OF JUSTICE ASSISTANCE
Addressing Community Gang Problems: A Practical Guide http://www.ncjrs.org/pdffiles/164273.pdf
The manual provides a foundation for understanding the diverse nature of gangs and how to address gang-related problems.
8. AMERICAN MEDICAL ASSOCIATION
Connecting the Dots to Prevent Youth Violence: A Training and Outreach Guide for Physicians and Other Health Professionals http://www.ama-assn.org/ama/pub/printcat/8197.html
This manual was developed to help practitioners and others discuss youth violence with professional and community groups.
1. JOURNAL OF COUNSELING AND DEVELOPMENT
Road Rage: Risk Factors, Assessment, and Intervention Strategies
http://www.athealth.com/apps/redirect.cfm?linkid=168
This article provides a review of research on road rage risk factors and a discussion of intervention strategies. (Document may be slow to load.)
2. eMEDICINE
Aggression
http://www.emedicine.com/med/topic3005.htm
Aggressive behaviors in patients with psychiatric disorders have many possible causes.
3. AMERICAN FAMILY PHYSICIAN
Assessment and Management of Personality Disorders
http://www.aafp.org/afp/20041015/1505.html
The treatment of medical and psychiatric disorders is more complicated in patients with comorbid personality disorders.
4. ANNALS OF LONG-TERM CARE
Alzheimer's Disease in the Long-Term Care Setting - Management of Behavioral
Disturbances with Cholinesterase Inhibitors
http://www.mmhc.com/altc/attachments/1090590783-A07-04-Osterweil.pdf
This article addresses the treatment of behavioral problems in patients with Alzheimer?s.
5. AMERICAN MEDICAL ASSOCIATION
Bullying Behaviors Among Children and Adolescents
http://www.ama-assn.org/ama/pub/article/2036-7481.html
Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power.
6. PRIMARY CARE COMPANION
Treatment of Aggression in Children
http://www.psychiatrist.com/pcc/pccpdf/v05s06/v05s0602.pdf
Most young patients with aggressive behavior can be treated with nonpharmacologic interventions. Some require pharmacotherapy.
7. CONTEMPORARY PEDIATRICS
Coping Skills for the Angry/Impatient/Clamorous Child
http://www.athealth.com/apps/redirect.cfm?linkid=169
Pediatricians can take a proactive approach to helping parents develop good coping skills in their child.
8. THE BECK INSTITUTE NEWSLETTER
Anger Versus Aggression
http://www.beckinstitute.org/June03/pre4.html
A useful technique in capturing beliefs about anger and aggression - as well as intervening in them - is a simple cost-benefit analysis.
1. MEDSCAPE
The Painful Truth: Physicians Are Not Invincible
http://www.medscape.com/viewarticle/410643_print
The stresses of professional practice can exact a great toll, and self-neglect can lead
to tragic consequences.
2. NATIONAL ASSOCIATION OF SOCIAL WORKERS
Professional Impairment http://www.athealth.com/apps/redirect.cfm?linkid=177
This NASW policy statement emphasizes the importance of prevention, identification, and treatment of professional impairment.
3. PROFESSIONAL RENEWAL CENTER
Sexually Addicted Healthcare Professionals http://www.athealth.com/apps/redirect.cfm?linkid=178
Standards of conduct and ethical codes define ideals, expectations, and boundaries for healthcare professionals.
4. CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS
Professional Therapy Never Includes Sex http://www.psychboard.ca.gov/pubs/proftherapy.pdf
This booklet, designed for consumers, answers questions about sexual exploitation in a professional-client relationship.
5. VANDERBILT MEDICAL CENTER - CENTER FOR PROFESSONAL HEALTH
Physician Impairment By Substance Abuse http://www.mc.vanderbilt.edu/root/vumc.php?site=cph&doc=1088
This article provides an overview of physician impairment due to substance abuse.
6. AMERICAN MEDICAL ASSOCIATION VIRTUAL MENTOR
The Tale of Dr Wells: Competent and Irascible http://www.ama-assn.org/ama/pub/category/10963.html
This case study provides help in dealing with disruptive clinician behavior.
7. THE JOURNAL OF PSYCHIATRIC PRACTICE
Impaired Colleagues http://www.reidpsychiatry.com/columns/Reid09-99.pdf
Dr. William Reid discusses issues related to reporting a colleague for unsafe or incompetent practice.
8. JOURNAL OF COUNSELING AND DEVELOPMENT
Mandated Supervision: An Intervention for Disciplined Professionals http://www.athealth.com/apps/redirect.cfm?linkid=179
Supervision is often cited as an appropriate part of a remedial plan in cases of impaired professionals. (May be slow to load.)
1. AMERICAN FAMILY PHYSICIAN
Asthma Update: Part II. Medical Management http://www.aafp.org/afp/20040915/1061.html
This article discusses the medical management of asthma in children and adults.
2. NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Managing Asthma: A Guide for Schools http://www.nhlbi.nih.gov/health/prof/lung/asthma/asth_sch.pdf
Asthma is the leading cause of school absenteeism. Responding to the needs of kids with asthma can reduce absences and school disruption.
3. FAMILY PRACTICE MANAGEMENT
Improving Chronic Disease Care in the Real World: A Step-by-Step Approach
http://www.aafp.org/fpm/991000fm/38.html
Diabetes management requires a proactive approach to care and major behavioral changes.
4. NATIONAL INSTITUTES OF HEALTH
Helping the Student with Diabetes Succeed: Guide for School Personnel
http://www.ndep.nih.gov/diabetes/pubs/Youth_NDEPSchoolGuide.pdf
This guide educates school personnel about diabetes, how it is managed, and how to meet the needs of students with the disease.
5. JOURNAL OF COUNSELING AND DEVELOPMENT
Psychosocial Adaptation to Chronic Illness and Disability: A Primer for Counselors
http://www.athealth.com/apps/redirect.cfm?linkid=180
This article focuses on psychosocial adaptation to acquired disabling conditions. (May be slow to load.)
6. CHILDREN'S HOSPITAL BOSTON
Making Sense: A Parent's Guide to a Child's Psychiatric Hospitalization
http://www.experiencejournal.com/depression/pdfs/hospital_guide.pdf
The purpose of the guide is to help parents understand their rights, ways to cope, and questions to ask.
7. PATIENT CARE FOR THE NURSE PRACTITIONER
Sexuality of Teens with Chronic Illness
http://www.patientcarenp.com/pcnp/article/articleDetail.jsp?id=114899
Dr.Morbidity may be increased during pregnancy in teens with congenital heart disease, diabetes, epilepsy, or systemic lupus erythematosus.
8. DARTMOUTH-HITCHCOCK MEDICAL CENTER
Nine Stories http://www.athealth.com/apps/redirect.cfm?linkid=181
Nine teens share what it is like to live with chronic illness.
1. JOURNAL OF COUNSELING AND DEVELOPMENT
The DSM-IV-TR and Culture: Considerations for Counselors
The authors discuss the importance of considering cultural issues in psychological assessment and diagnosis. (May be slow to load.)
2. AMERICAN PSYCHOLOGICAL ASSOCATION
APA Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations
http://www.apa.org/pi/oema/guide.html
There is increasing need for psychologists to understand culture and ethnicity in order to provide appropriate psychological services.
3. AMERICAN PSYCHIATRIC PUBLISHING, INC
Culture and Psychotherapy: A Guide to Clinical Practice http://www.appi.org/book.cfm?id=8955
This work presents the nuts and bolts of incorporating culture into therapy. (Complimentary registration is required to access material.)
4. AMERICAN FAMILY PHYSICIAN
Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians
http://www.aafp.org/afp/20050201/515.html
Cultural factors strongly influence patients' reactions to serious illness and decisions about end-of-life care.
5. PRIMARY CARE COMPANION
The Cuban American with Depression in Primary Care http://www.psychiatrist.com/pcc/pccpdf/v06n05/v06n0506.pdf
This case report and commentary provides knowledge and strategies helpful in the clinical encounter with patients from other cultures.
6. THE FUTURE OF CHILDREN
Preparing Diverse Adolescents for the Transition to Adulthood http://www.athealth.com/apps/redirect.cfm?linkid=183
This article focuses on the extent to which diverse teens are prepared for adulthood according to three critical developmental outcomes.
7. PRIMARY PSYCHIATRY
Cultural Awareness in the Diagnosis of ADHD http://www.primarypsychiatry.com/pdf/art_326.pdf
The goal of the article is to raise awareness concerning issues in diagnosing ADHD in African-American children.
8. NATIONAL CENTER FOR CULTURAL COMPETENCE
Promoting Cultural Competence and Cultural Diversity in Early Intervention and Early Childhood Settings
http://gucchd.georgetown.edu//nccc/nccc7.html
This checklist is intended to heighten the awareness of personnel to the importance of cultural competence in human service settings.
1. CNS SPECTRUMS
A Review of Common Sleep Disorders http://www.cnsspectrums.com/pdf/art_308.pdf
This article briefly introduces the reader to sleep medicine and succinctly reviews common sleep disorders.
2. POSTGRADUATE MEDICINE
Parasomnias
http://www.postgradmed.com/issues/2000/03_00/schenck.htm
Sleep can be a troubling experience for persons plagued by nocturnal disorders known as parasomnias.
3. PRIMARY PSYCHIATRY
Diagnosis, Epidemiology, and Consequences of Insomnia
http://www.primarypsychiatry.com/pdf/art_4904.pdf
Insomnia is one of the most common healthcare complaints among patients presenting to both primary care and other practitioners.
4. THE JOURNAL OF CLINICAL PSYCHIATRY
Cognitive-Behavioral Approaches to the Treatment of Insomnia
http://www.psychiatrist.com/supplenet/v65s16/v65s1607.pdf
CBT management of insomnia includes 3 components - behavioral, cognitive, and educational modules.
5. CNS NEWS SPECIAL EDITION
Narcolepsy: Evaluation and Management
http://www.cnsnewsse.com/articles/8644/pdf/8644.pdf
The diagnosis and treatment of narcolepsy range from simple and straightforward to very complex.
6. POSTGRADUATE MEDICINE
Sleep Disorders in Children and Teens
http://www.postgradmed.com/issues/2000/03_00/garcia.htm
This article discusses common sleep disorders in various pediatric age-groups. Includes a sleep-history questionnaire.
7. NATIONAL SLEEP FOUNDATION
Adolescent Sleep Needs and Patterns
http://www.athealth.com/apps/redirect.cfm?linkid=204
Adolescents and young adults have been identified as a population at high risk for problem sleepiness.
8. CONTEMPORARY PEDIATRICS
Putting Sleep Disturbances to Rest
http://www.athealth.com/apps/redirect.cfm?linkid=203
Sleep problems such as frequent awakenings, sleep terrors, and sleepwalking are common in children and adolescents.
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