Diagnostic And Statistical Manual Of Mental Disorders 5th Edition Dsm 5 - [PDF] Full eBook Download

Diagnosing the Diagnostic and Statistical Manual of Mental Disorders

Author : ,

ISBN10 : 0429912676

Publisher : Routledge

Number of Pages : 96

Category : Psychology

Viewed : 820

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Book Summary: The Diagnostic and Statistical Manual of Mental Disorders, more commonly known as the DSM, is published by the American Psychiatric Association and aims to list and describe all mental disorders. The publication of DSM-V in 2013 brought many changes. Diagnosing the Diagnostic and Statistical Manual of Mental Disorders is written for all those who wonder whether the DSM-V now classifies the right people in the right way. It is aimed at patients, mental health professionals, and academics with an interest in mental health. Issues addressed include: What are the main changes that have been made to the classification? How is the DSM affected by financial links with the pharmaceutical industry? To what extent were patients involved in revising the classification? How are diagnoses added to the DSM? Does medicalisation threaten the idea that anyone is normal? What happens when changes to diagnostic criteria mean that people lose their diagnoses? How important will the DSM be in the future?

DSM-5® Diagnosis in the Schools

Author : Renée M. Tobin,Alvin E. House

ISBN10 : 1462523765

Publisher : Guilford Publications

Number of Pages : 268

Category : Psychology

Viewed : 992

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Book Summary: This key resource helps practitioners optimize their diagnostic practices in PreK–12 settings. Now significantly revised for DSM-5, the book cuts through the overwhelming length and complexity of the diagnostic manual by focusing thematically on the most common child and adolescent concerns. Tips are provided for diagnostic decision making and coding, and technical terms are demystified. Emphasis is given to using diagnosis as a foundation for effective intervention. The book highlights links to special education eligibility under IDEA and discusses ethical and professional issues in school-based assessment. New to This Edition *Revised throughout for DSM-5. *Restructured chapters on learning, communication, and motor problems; mood problems; anxiety problems; conduct problems; and impulse-control problems. *Updated content on IDEA 2004. *Notes encapsulating changes to each set of diagnostic criteria, for those familiar with the prior DSM. *Author Commentary sidebars sharing clinical insights and experiences.

DSM-5 Insanely Simplified

Author : Steven Buser, MD,Leonard Cruz, MD

ISBN10 : 1630512095

Publisher : Chiron Publications

Number of Pages : 150

Category : Medical

Viewed : 1281

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Book Summary: The release of the Diagnostic and Statistical Manual Version 5 (DSM-5) marked one of the biggest changes to the field of mental health diagnosis in over 20 years. DSM-5 Insanely Simplified provides a summary of key concepts of the new diagnostic schema including a section on the upcoming ICD-10. DSM-5 Insanely Simplified utilizes a variety of devices to help clinicians memorize complex criteria and ideas about the different diagnoses. Cartoons, mnemonic devices, and summary tables allow clinicians and students to quickly grasp and retain broad concepts and subtle nuances related to psychiatric diagnosis. DSM-5 Insanely Simplified fosters quick mastery of the most important concepts introduced in DSM-5 while offering an entirely new way of looking at mental health along a continuum. This new approach avoids simply "labeling" clients by placing them along spectrums that range from normal to problematic symptoms. Mental health professionals as well as laymen interested in a deeper understanding of emotional well-being will appreciate the synthesis of deep psychology and modern approaches to diagnosis. Steven Buser trained in medicine at Duke University and served 12 years as a physician in the US Air Force. He is a graduate of the two-year Clinical Training Program at the CG Jung Institute of Chicago and is a co-founder of the Asheville Jung Center. In addition to a busy psychiatric private practice he serves as Publisher for Chiron Publications. He is active in the community and strives to integrate faith and spirituality into psychotherapy. He resides in the mountains in Asheville, NC with his wife and two children. Len Cruz is the Editor-in-Chief of Chiron Publications, a book publishing company specializing in psychology, mythology, religion, and culture and a co-founder of the Asheville Jung Center. He is a psychiatrist who resides in Western North Carolina. Luke Sloan was a 5th grade student in Asheville, NC when he completed the illustrations for this book. When he's not drawing, Luke enjoys playing soccer, reading books, snow-skiing, and just plain having fun!

Essentials of Psychiatric Diagnosis, Revised Edition

Author : Allen Frances

ISBN10 : 1462513700

Publisher : Guilford Publications

Number of Pages : 218

Category : Psychology

Viewed : 1118

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Book Summary: This trusted practitioner resource and text helps the busy clinician find the right psychiatric diagnosis and avoid the many pitfalls that lead to errors. Covering every disorder routinely encountered in clinical practice, Allen Frances provides the ICD-9-CM codes and (where feasible) ICD-10-CM codes required for billing, a useful screening question, a descriptive prototype, diagnostic tips, and other disorders that must be ruled out. Frances was instrumental in the development of past editions of DSM and provides helpful cautions on questionable aspects of DSM-5. An index of common presenting symptoms lists possible diagnoses that must be considered for each. The Appendix (which can also be accessed at the companion website) features a Crosswalk to ICD-10-CM codes.

Psychiatry

Author : Asher B. Simon,Antonia S. New,Wayne K. Goodman

ISBN10 : 1118654250

Publisher : John Wiley & Sons

Number of Pages : 440

Category : Medical

Viewed : 1073

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Book Summary: The Mount Sinai Expert Guides, published by Wiley and endorsed by Mount Sinai School of Medicine in New York, provide rapid access, point-of-care clinical information on the most common diseases in a range of different therapeutic areas. Each title focuses on a different speciality and emphasis throughout is on providing rapid-access, clear clinical guidance to aid physicians with point-of-care management of their patients. Each title is edited by a renowned specialist from Mount Sinai, normally the Chair of the department, who is responsible for recruiting key faculty members to author the chapters. A chapter template has been developed to which each chapter author must adhere, so as to ensure complete consistency across all the chapters in each book and also across every book in the series. Accompanying each book is a companion website containing accessory materials such as case studies, video clips, MCQs, patient advice and PQRI/ICD codes. Mount Sinai Expert Guides: Psychiatry will provide specialist trainees and recently qualified specialists in psychiatry with an extremely clinical, affordable and accessible handbook covering the specialty. It will be used as both a point-of-care resource in the hospital and clinical setting, and also as a refresher guide during preparation for board exams and re-certification. Focused on providing 100% clinical guidance on the most common conditions that psychologists encounter, it will present the very best in expert information in an attractive, easy to navigate informative and well-structured manner, with features such as key points, potential pitfalls, management algorithms, and national/international guidelines on treatment.

Assessing Impairment

Author : Sam Goldstein,Jack A. Naglieri

ISBN10 : 1489979964

Publisher : Springer

Number of Pages : 332

Category : Psychology

Viewed : 1644

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Book Summary: This Second Edition of the book expands on the in-depth treatment of the theory, definition, and evaluation of impairment presented in the original volume. It explores the complex relationships between disabling conditions and impairment, with new data and insights on assessment and potential avenues for treatment. Original and revised chapters critique current models of impairment and offers an integrated model rooted in the contexts of medical, mental health, and cognitive challenges in disability. Leading scholars and clinicians provide updated evidence for a much-needed reconceptualization of impairment within the context of diagnosis and disability. This contextual approach to assessment – a wide-ranging quality-of life perspective – goes beyond symptom counting, resulting in more accurate diagnosis, targeted interventions, and improved patient functioning. Topics featured in this book include: The role of family and cross-setting supports in reducing impairment. Relationships between adaptive behavior and impairment. Legal conceptions of impairment and its implications for the assessment of psychiatric disabilities. Impairment in parenting. The Neuropsychological Impairment Scale (NIS). The Barkley Functional Impairment Scale (BFIS). The Rating Scale of Impairment (RSI). Treatment integrity in interventions for children diagnosed with DSM-5 disorders. Assessing Impairment, Second Edition, is a must-have resource for researchers, clinicians, professionals, and graduate students in clinical child, school, and developmental psychology as well as child and adolescent psychiatry, educational psychology, rehabilitation medicine/therapy, social work, and pediatrics.

Making the DSM-5

Author : Joel Paris,James Phillips

ISBN10 : 1461465044

Publisher : Springer Science & Business Media

Number of Pages : 180

Category : Medical

Viewed : 1038

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Book Summary: In 2013, the American Psychiatric Association published the 5th edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Often referred to as the “bible” of psychiatry, the manual only classifies mental disorders and does not explain them or guide their treatment. While science should be the basis of any diagnostic system, to date, there is no knowledge on whether most conditions listed in the manual are true diseases. Moreover, in DSM-5 the overall definition of mental disorder is weak, failing to distinguish psychopathology from normality. In spite of all the progress that has been made in neuroscience over the last few decades, the psychiatric community is no closer to understanding the etiology and pathogenesis of mental disorders than it was fifty years ago. In Making the DSM-5, prominent experts delve into the debate about psychiatric nosology and examine the conceptual and pragmatic issues underlying the new manual. While retracing the historic controversy over DSM, considering the political context and economic impact of the manual, and focusing on what was revised or left unchanged in the new edition, this timely volume addresses the main concerns of the future of psychiatry and questions whether the DSM legacy can truly improve the specialty and advance its goals.

Handbook of DSM-5 Disorders in Children and Adolescents

Author : Sam Goldstein,Melissa DeVries

ISBN10 : 3319571966

Publisher : Springer

Number of Pages : 663

Category : Psychology

Viewed : 1004

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Book Summary: This handbook synthesizes and integrates the science of internalizing and externalizing childhood disorders with the diagnostic structure of the Diagnostic and Statistical Manual – 5th Edition (DSM-5) of the American Psychiatric Association. It offers a comprehensive overview of DSM-5 disorders in childhood, covering etiology, symptom presentation, assessment methods, diagnostic criteria, and psychotherapeutic and pharmacological approaches to treatment, prognosis, and outcomes. Clinical vignettes and empirical insights illustrate key concepts and diagnostic and treatment issues such as developmental, cultural, gender, and other considerations that may influence diagnosis and case formulation. In addition, chapters on psychosocial therapies offer robust guidelines for working with children and adolescents with DSM-5 disorders. The Handbook also addresses the shift from categorical to dimensional, diagnostic, and treatment systems, particularly focusing on the current shift in funded research in childhood disorders. Topics featured in this Handbook include: Intellectual disabilities and global developmental delay. Depressive disorders in youth. Posttraumatic and acute stress disorders in childhood and adolescence. Autism spectrum and social pragmatic language disorders. Alcohol-related disorders and other substance abuse disorders. Parent-child and sibling relationships. Cognitive-behavioral interventions and their role in improving social skills. The Handbook of DSM-5 Disorders in Children and Adolescents is a must-have resource for researchers, professors, and graduate students as well as clinicians, professionals, and scientist-practitioners in clinical child and school psychology, pediatrics, social work, and educational psychology.

Mental Illness in Dogs

Author : Linda Scroggins RN, MSN, CBCC-KA, CPDT-KA

ISBN10 : 1506905404

Publisher : First Edition Design Pub.

Number of Pages : 86

Category : Pets

Viewed : 1827

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Book Summary: Mental Illness in Dogs: A Guide for Trainers is directed to both new and experienced dog trainers and behavior consultants. The idea that dogs can be afflicted with mental illness is fairly new but growing. Author, Linda Scroggins had years of experience working with dogs with behavior issues when a little yellow dog named Tom entered her life and home. Living with a dog who had been diagnosed with mental illness was her wakeup call to the challenges families sharing their lives with these dogs face each day. The author's journey and eventual loss was the catalyst to developing a plan for all dog trainers who may come into contact with these special dogs. This book reviews the current methods for approaching treatment for these dogs by examining the humane hierarchies currently provided by professional organizations. The book highlights those dogs whose needs may cause them to fall outside the hierarchy and how proceeding with current behavior modification methods may harm dogs or worsen their illness. Mental Illness in Dogs: A Guide for Trainers suggests a new approach that focuses on a collaborative process between the dog trainer and other professionals caring for the dog. Keywords: Dog, Trainer, Guide, Behavior, Mental, Illness, Veterinary, Specialist, Fear, Aggression

Handbook of Diagnosis and Treatment of DSM-5 Personality Disorders

Author : Len Sperry

ISBN10 : 1135019231

Publisher : Routledge

Number of Pages : 298

Category : Psychology

Viewed : 1583

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Book Summary: Since the publication of the acclaimed second edition of Handbook of Diagnosis and Treatment of DSM-IV-TR Personality Disorders, much has changed in how the personality disorders are understood and treated. However, like its previous editions, this new edition is a hands-on manual of the most current and effective, evidence-based assessment and treatment interventions for these challenging disorders. The beginning chapters describes several cutting-edge trends in the diagnosis, case conceptualization, and treatment of them. Then, specific chapters focus on evidence-based diagnosis and treatment interventions for each of the 10 DSM-5 personality disorders. Emphasized are the most recent developments from Cognitive Behavior Therapies, Dialectical Behavior Therapy, Cognitive Behavior Analysis System of Psychotherapy, Pattern-Focused Psychotherapy, Mindfulness, Schema Therapy, Transference Focused Psychotherapy, and Mentalization-Based Treatment. As in previous editions, extensive case material is used to illustrate key points of diagnosis and treatment.

Personality Assessment in the DSM-5

Author : Steven K. Huprich,Christopher J. Hopwood

ISBN10 : 1317980727

Publisher : Routledge

Number of Pages : 140

Category : Psychology

Viewed : 508

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Book Summary: The DSM-5 promises to be a major reformulation of psychopathology, and no section is likely to change diagnostic practice more than that of personality pathology. Unlike the DSM-IV, the DSM-5 personality disorders will be conceptualized as involving core deficits in interpersonal and self-functioning, and will utilize a hybrid assessment model involving both pathological trait dimensions and a limited set of personality disorder types. These changes are based on empirical and theoretical work conducted during the era of DSM-III/IV, but nevertheless there is significant disagreement among personality assessors regarding the DSM-5 proposal. In this volume, several members of the DSM-5 work group offer rationales for the proposal and offer empirical evidence regarding suggested changes, and several personality assessment researchers critique the proposal and offer alternative conceptualizations. This book was originally published as a special issue of the Journal of Personality Assessment.

DSM-5® and Family Systems

Author : Jessica Russo, PhD,J. Kelly Coker, PhD,Jason H. King, PhD

ISBN10 : 0826183999

Publisher : Springer Publishing Company

Number of Pages : 570

Category : Psychology

Viewed : 424

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Book Summary: The first book to present DSM-5 diagnoses within a systems context The first text to present DSM-5 diagnoses within a relational perspective, DSM-5 and Family Systems delivers timely content aimed at training marriage and family therapists, clinical mental health counselors, and other systems-oriented practitioners. It reflects how the DSM-5 examines, for the first time, its diagnostic categories from the perspective of cultural and environmental impact on the development of individual disorders and conditions. This comprehensive text provides students with an understanding of how to approach a diagnosis as it relates to assessments, treatment planning, and ethical implications from a family and relational systems perspective. With contributions from distinguished faculty at counseling and marriage and family therapy training programs, each chapter includes an overview of the DSM in family systems contexts, cultural aspects, family systems assessments and interventions, and ethical and legal implications. Abundant case vignettes aid students in conceptualizing diagnoses in each DSM-5 category. Key Features: Considers all categories of DSM-5 diagnoses from a family and relational systems perspective—the first book to do so Includes family systems contexts, assessments, interventions, cultural considerations, and ethical and legal implications Provides sample case vignettes for conceptualization of each DSM-5 category Written and edited by esteemed educators in counseling and MFT Designed for courses in diagnosis, assessment, and psychopathology

Handbook of Personality Disorders, Second Edition

Author : W. John Livesley,Roseann Larstone

ISBN10 : 1462533132

Publisher : Guilford Publications

Number of Pages : 712

Category : Psychology

Viewed : 1237

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Book Summary: The leading reference on personality disorders and their treatment, this authoritative work is now significantly revised with 80% new content reflecting important advances in the field. Preeminent experts provide in-depth coverage of conceptual and taxonomic issues, psychopathology, epidemiology and longitudinal course, etiology and development, and specific diagnoses. Diagnostic issues are explored and available assessment instruments discussed. All available evidence-based treatments are reviewed in consistently organized chapters that cover theoretical and empirical foundations as well as clinical strategies, facilitating comparison of the various approaches. New to This Edition *Incorporates more than 15 years of major research advances; includes 21 chapters on new topics. *Critically examines DSM-5 diagnostic criteria. *Chapters on additional treatments--mentalization-based treatment, schema-focused therapy, transference-based psychotherapy, and systems training for emotional predictability and problem solving. *Chapters on dimensional models, longitudinal studies, and personality pathology in children and adolescents. *Chapters on specific diagnoses: antisocial/psychopathic, borderline, and obsessive–compulsive personality disorder. *Integrative section introductions by the editors. See also Integrated Treatment for Personality Disorder, edited by W. John Livesley, Giancarlo Dimaggio, and John F. Clarkin, which weaves multiple well-established intervention strategies into a systematic modular approach.

The Treatment of Bipolar Disorder

Author : André F. Carvalho,Eduard Vieta

ISBN10 : 019106548X

Publisher : Oxford University Press

Number of Pages : 528

Category : Medical

Viewed : 1489

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Book Summary: Bipolar disorder is a chronic and debilitating mental illness affecting a significant proportion of the world's population. It is associated with significant impairments in health-related quality of life and psychosocial functioning, and has significant illness-related morbidity and heightened mortality rates due to medical comorbidities and suicide. The management of this disorder requires a complex combination of pharmacological and psychosocial interventions which can be challenging for clinicians. Written by world experts in the field of bipolar disorder, The Treatment of Bipolar Disorder: Integrative Clinical Strategies and Future Directions provides readers with a concise and comprehensive guide to the integrative management of bipolar disorder. This resource contains 31 chapters on the various management choices available, from both established and novel treatment areas, such as psychoeducation, psychotherapeutic interventions, neuromodulatory approaches and novel therapeutic targets. The complexity and diversity of the management choices available makes this a continually evolving field and necessitates forward thinking. By both discussing the current management of bipolar disorder, and the future developments available, this resource provides all clinicians working with patients with bipolar disorder an up-to-date and reflective guide to its management and what the future holds.

Merritt’s Neurology

Author : Elan D Louis,Stephan A Mayer

ISBN10 : 1975141237

Publisher : Lippincott Williams & Wilkins

Number of Pages : 1760

Category : Medical

Viewed : 640

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Book Summary: For more than 60 years, Merritt’s Neurology has remained a trusted landmark text in clinical neurology, providing unparalleled guidance on neurologic protocols, treatment guidelines, clinical pathways, therapeutic recommendations, and imaging. The fourteenth edition reflects the state of today’s practice, with fully updated content and timely new sections and chapters. With this edition, Dr. James Noble joins Drs. Elan Louis and Stephan A. Mayer as co-editor, all of whom trained at Columbia University where Dr. H. Houston Merritt wrote the initial editions of this book. Lauded for its comprehensive coverage, colorful and dynamic visual style, readability, and ease of use, this up-to-date reference is ideal for neurologists, primary care physicians, and residents alike.

Psychiatric Diagnosis and Management in Primary Care, An Issue of Medical Clinics, E-Book

Author : Genevieve Pagalilauan

ISBN10 : 0323323324

Publisher : Elsevier Health Sciences

Number of Pages : 321

Category : Medical

Viewed : 1702

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Book Summary: This issue of the Medical Clinics of North America is devoted to Psychiatric Diagnosis and Management in Primary Care and is edited by Dr. Genevieve Pagalilauan. Articles in this issue include: Psychopharmacology; Office-based Screening of Common Psychiatric Conditions; Depression; Anxiety Disorders; Bipolar Disorder; Borderline Personality Disorder; Grief Reaction, Adjustment Disorder, Seasonal Affective Disorder; Somatiform Disorders; Addiction Disorders; Sleep disorders; Geriatric Psychiatry; Autism Spectrum Disorders in Adults; and Medical Conditions with Neuropsychiatric Manifestations.

The Oxford Handbook of Clinical Psychology

Author : David H. Barlow Ph.D.

ISBN10 : 9780199710485

Publisher : Oxford University Press

Number of Pages : 960

Category : Psychology

Viewed : 1178

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Book Summary: The exponential growth of clinical psychology since the late 1960s can be measured in part by the extensive-perhaps exhaustive-literature on the subject. This proliferation of writing has continued into the new century, and the field has come to be defined as much by its many topics as its many voices. The Oxford Handbook of Clinical Psychology synthesizes these decades of literature in one extraordinary volume. Comprising chapters from the foremost scholars in clinical psychology, the handbook provides even and authoritative coverage of the research, practice, and policy factors that combine to form today's clinical psychology landscape. In addition to core sections on topics such as training, assessment, diagnosis, and intervention, the handbook includes valuable chapters devoted to new and emerging issues in the clinical field, including heath care reforms, cultural factors, and technological innovations and challenges. Each chapter offers a review of the most pertinent literature, outlining current issues and identifying possibilities for future research. Featuring two chapters by Editor David H. Barlow -- one on changes during his own 40-year odyssey in the field, the other projecting ten themes for the future of clinical psychology -- The Oxford Handbook of Clinical Psychology is a landmark publication that is sure to serve as the field's benchmark reference publication for years to come. It is an essential resource for students, clinicians, and researchers across the ever-growing clinical psychology community.

The Politics of Autism

Author : Dr. Bryna Siegel

ISBN10 : 0199361002

Publisher : Oxford University Press

Number of Pages : 288

Category : Psychology

Viewed : 1693

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Book Summary: The Politics of Autism investigates the truths and fictions of public understanding about autism, questioning apparent realities too sensitive or impolitic to challenge. Is there really more autism? How has the count expanded by diagnosing autism over other conditions? Have scientific methods in autism diagnosis gone hand-in-hand with autism increases? Are mild autism cases really a 'disorder,' rather than personality variant? Can autism be quiescent in childhood but truly first recognizable in adulthood? Why does popular media often portray people with autism as odd geniuses ignoring the kind of autism most have? Siegel tackles thorny issues and perennial questions: How do we weigh likely treatment gains with treatment costs? Why does our autism education persist in teaching academic subjects some never master? Why do we fail to plan realistically for autistic adulthood? Which parents get caught up in non-mainstream 'treatments' and fear of vaccines? Readers will see an insider's view of controversies in autism research. Siegel's views, sometimes iconoclastic, always frank and informed, challenge broad unexamined assumptions about our understanding of autism. Each chapter addresses different issues, data, and social policy recommendations. A chapter-by-chapter bibliography with URLs provides both popular media and scientific references.

Introduction to the Counseling Profession

Author : David Capuzzi,Douglas R. Gross

ISBN10 : 1134991436

Publisher : Taylor & Francis

Number of Pages : 474

Category : Psychology

Viewed : 1658

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Book Summary: Designed for students who are taking a preliminary course in the counseling field, Introduction to the Counseling Profession, 7th Edition, provides a comprehensive overview of the history and foundational concepts of counseling, offering the most current and relevant breadth of coverage available from experts in their respective fields. This edition includes topics rarely discussed in introductory texts, such as self-care and self-growth and the use of technology in counseling, as well as a new chapter on crisis counseling. Chapters also reflect updates to the 2016 Council for the Accreditation of Counseling and Related Educational Programs (CACREP) standards, and a chapter on each CACREP specialization is included. Students will gain insight into the myriad issues that surround not only the process of counseling and its many populations but also the personal dynamics that have an impact on this process. Furthermore, a collection of supplemental resources is available online to benefit both instructors and students. Instructors will find PowerPoint slides and test banks to aid in conducting their courses, and students can access chapter summaries, exercises, and other tools to supplement their review of the material in the text.

New Developments in Diagnosing, Assessing, and Treating ADHD

Author : Gopalan, Rejani Thudalikunnil

ISBN10 : 1799854965

Publisher : IGI Global

Number of Pages : 419

Category : Psychology

Viewed : 1397

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Book Summary: It seems as though each day more children are diagnosed with attention-deficit/hyperactivity disorder (ADHD). ADHD causes challenges not only for the patient but also for their parents, siblings, teachers, and other significant people in their lives. They have an increased vulnerability to addiction and crime. Controversially, stimulants are the primary choice for treatment of ADHD in medical management, and the side effects of this long-term pharmacological management has raised many questions. Psychosocial management including parent training, behavior therapy, and educational inputs are also major components of treatment and should not be ignored. Thus, it is vital to explore the latest best practices for the diagnosis, assessment, and management of ADHD. New Developments in Diagnosing, Assessing, and Treating ADHD is a collection of research on innovations in the management of ADHD. While highlighting topics including adolescent care, neurological disorders, and mental health, this book is ideally designed for academicians, clinicians (especially psychiatrists, clinical psychologists, and pediatricians), social workers, psychiatric nurses, rehabilitation centers, researchers, and students interested in the handling of this disorder and the long-term effects and social risk factors associated with treatment.